Primary focus
Home health & post-acute clinical ops
Referral documentation, QA/coding review, physician orders, operational dashboards, and billing-adjacent workflows—the work Excelin scaled without new FTEs.
Embedded Healthcare Operations Partner
Automate manual clinical operations without replacing your EHR.
We help multi-site healthcare operators reduce referral, QA, coding, documentation, and order-management bottlenecks with custom workflow software and practical AI built around existing systems.
- Turn referral, QA, orders, and coding bottlenecks into reliable workflows
- Custom AI and workflow software that works around your EHR—not instead of it
- Reduce manual review, billing delays, and headcount pressure without vendor sprawl
Proven with Excelin Health
Multi-site home health network—clinical QA, coding, orders, and documentation automation.
10 days
Faster 485 completion
Zero
New FTEs required
Faster
Assessment-to-billing
Thousands
Orders triaged
Impact Case Study
Excelin Health
Home health clinical ops automation
Multi-site home health network — referral, QA, coding, orders, dashboards
The Challenge
Excelin Health needed to manage high-volume clinical documentation, QA review, patient coding, and physician order workflows without adding unnecessary operational headcount.
The Solution
We built AI-assisted automation that reads referral documentation, supports patient coding, reviews clinical notes, automates QA steps, and helps manage thousands of physician orders through signature, follow-up, and escalation.
Workflow Scope
Referral documentation, patient coding, clinical note review, QA steps, and operational dashboards.
Orders Layer
Physician order management, signature routing, status checking, and triage for thousands of open orders.
"Since implementing Walter, we've seen a measurable reduction in assessment-to-billing time and reduced our average 485 completion time by 10 days... resolved major operational challenges for our multi-site organization."
10-Day
Reduction in Completion Time
Zero
New FTEs Required
Unified
Clinical & Admin Visibility
Orders
Triage & Escalation Layer
See how Excelin reduced coding and OASIS review staffing by 50%, saved about $475K annually, and reduced 485 completion time by approximately 39%.
Workflow focus
Clinical QA, coding & documentation workflows
When manual clinical review delays billing, QA backlogs create rework, and documentation sits in review queues, the pain is operational—not a missing EHR module.
What we automate
Referral intake and documentation review, patient coding support, clinical note review, QA steps, and operational dashboards tied to your existing systems.
Outcome operators care about
Faster assessment-to-billing, fewer rework loops, and visibility across sites without adding coordinators or offshore review capacity.
Proof
At Excelin Health, we reduced coding and OASIS review staffing by 50%, saved about $475K annually, and reduced 485 completion time by approximately 39%. Read the Excelin case study.
Who this is for
Built for operators with revenue-critical workflow pain.
We partner with multi-site healthcare businesses where workflow failure directly affects revenue, quality, compliance, or scale—not teams shopping generic AI or hourly development.
Best fit for
Multi-site home health, post-acute, specialty care, MSO, utilization management, and healthcare services teams with high-volume manual workflows across referrals, QA, coding, documentation, physician orders, prior auth, or revenue operations.
- 5+ people touching the same workflow
- EHR-adjacent gaps spreadsheets and offshore tools cannot fix
- Growth pressure—manual work is preventing scale
- COO, VP Ops, VP Clinical Ops, or revenue-cycle leadership owns the pain
Not a fit for
Single-location practices, low-stakes app ideas, teams shopping hourly development rates, or organizations looking for a plug-and-play SaaS product.
- Buyers asking for an AI chatbot without operational urgency
- Generic “custom healthcare software” procurement
- Teams that need a cheap vendor instead of production ownership
Where we lead
Three wedges. One embedded ownership model.
We lead with home health and post-acute clinical ops—where our proof is strongest—and extend into prior auth and platform modernization for ops-heavy healthcare businesses.
Adjacent
Prior auth & utilization workflows
Platform modernization and workflow automation for prior authorization, review loops, and payer/provider portal coordination.
Adjacent
Healthcare platform modernization
When spreadsheets, offshore-built platforms, and off-the-shelf tools create more drag than leverage—we rebuild core infrastructure so ops-heavy businesses can scale.
Adjacent wedge
Prior authorization & utilization workflows
Prior auth and utilization review sit between payer portals, clinical documentation, and revenue operations. When volume outgrows spreadsheets and brittle platforms, teams need workflow ownership—not another point solution.
What we build
Prior authorization platforms, review loops, payer/provider portal coordination, workflow engines, and infrastructure modernization—with practical AI where review volume justifies it.
Rhythmm
AI-powered prior authorization platform rebuild
Rhythmm had an overseas-built platform that could no longer support growth. We modernized the architecture and rebuilt the core platform supporting their AI-powered prior authorization workflows.
Capabilities
Workflow ownership for work that cannot stay manual.
Clinical & Administrative Workflow Automation
Referral intake, documentation review, patient coding, QA workflows, clinical note review, physician orders, signatures, follow-up, and escalation.
AI-Ready Healthcare Platform Modernization
Legacy rebuilds, prior authorization platforms, patient/provider portals, internal tools, workflow engines, and infrastructure modernization.
Healthcare Integrations & Data Systems
EHR-adjacent workflows, fragmented data, APIs, dashboards, reporting, auditability, and operational visibility.
Our Point of View
Why embedded operations automation works
Healthcare operators are not buying “AI automation.” They are buying relief from workflows stuck between the EHR, staff inboxes, spreadsheets, and payer portals—where manual review delays billing, QA backlogs create rework, and orders sit in signature loops.
We design, build, and operate custom workflow software around existing systems so multi-site teams can reduce bottlenecks, improve visibility, and scale without adding operational headcount.
We embed before we automate
We learn the actual workflow, exceptions, handoffs, and operational pressure before designing software around it.
We build around existing systems
Automation has to work with existing EHR-adjacent workflows, data sources, reporting needs, and operating constraints.
We own production outcomes
We stay accountable after launch, improving reliability, visibility, and process fit as the operation changes.
Why $30K/month makes sense
The math behind embedded workflow ownership.
A $30K/month engagement is not a software subscription. It replaces the cost and risk of multiple FTEs, offshore rebuilds, and workflow failure that directly slows revenue.
Labor you are already paying for
When 5+ people touch the same referral, QA, coding, or orders workflow, even partial automation often exceeds $30K/month in loaded labor—before billing delays and rework.
What $30K/month buys
Embedded technical ownership across multiple workflows, integrations, dashboards, and production improvements—without hiring and managing an internal engineering team.
Proof, not theory
At Excelin Health, we reduced average 485 completion time by 10 days and required zero new FTEs across a multi-site home health network. That is the kind of operational ROI operators pay for.
Healthcare Automation Engagement Models
Transparent starting points for multi-site operators who need workflow ownership, platform work, and accountable production outcomes.
Focused Workflow Automation
For one high-volume workflow that is ready to automate.
Starts at
$20K/mo
- Referral, QA, coding, or order workflow automation
- Custom software, rules, AI-assisted review, and dashboards
- Light integrations and post-launch stabilization
Outcome: One manual bottleneck becomes reliable.
Get StartedMost Selected
Strategic Healthcare Automation Ownership
For multiple revenue-critical workflows that need coordinated technical ownership.
Starts at
$30K/mo
- Documentation, QA, coding, orders, triage, and reporting
- Custom tools, integrations, dashboards, and workflow engines
- Rollout, feedback loops, and production improvements
Outcome: Manual review, billing delays, and coordination bottlenecks shrink without you managing engineers.
Get StartedTechnology Partner
If fully embedded. We operate as part of your business.
Starts at
$50K+/mo
- Execution speed and system reliability
- Technical direction with operational leadership
- Platforms, workflows, infrastructure, and multiple initiatives
Outcome: Technology becomes a growth lever.
Get StartedHealthcare automation review
Executive ops review for multi-site healthcare teams
A focused review of the workflows, systems, and manual review points slowing revenue, quality, or scale. Built for COOs, VPs of Ops, clinical operations, and revenue-cycle leaders—not generic software inquiries.