ClinicalFlow AI automates prior authorizations, OASIS documentation flagging, and denial tracking for home health agencies.
The average agency spends 12+ staff hours per week on prior auth alone.
— American Medical Association, 2024 Physician Survey
Home health agencies are drowning in administrative work that pulls nurses away from patient care.
43 prior auth requests per week on average — each one requiring manual data entry, fax follow-ups, and status tracking across multiple payers.
Incomplete or inconsistent OASIS assessments trigger claim denials and audit flags. Clinicians spend hours on documentation instead of care.
Denied claims sit in a backlog because no one has time to appeal. Every missed appeal is lost revenue — often thousands of dollars per case.
We build custom automation systems that handle the repetitive administrative work — so your clinicians can focus on patients.
Automated submission, status tracking, and follow-up for prior authorization requests across all major payers.
AI reviews OASIS assessments before submission, flagging inconsistencies and missing data that trigger denials.
Automated denial tracking with prioritized appeal workflows. Never let a recoverable claim slip through the cracks.
We integrate with your existing EHR/EMR system. No switching, no disruption.
Our AI scans documentation for errors and flags issues before submission.
Prior authorizations are auto-submitted with smart payer routing.
Denials are tracked automatically. Appeals are generated in one click.
"Prior authorizations used to eat up half our admin team's week. ClinicalFlow changed that overnight."— Home Health Agency Administrator, Los Angeles
I'm Adam Gupilan, LVN — a California-licensed vocational nurse who spent years in home health and hospice watching clinicians drown in paperwork.
I saw the same problem everywhere: skilled nurses spending more time on prior authorizations and documentation than on actual patient care. Agencies hiring extra admin staff just to keep up. Denial stacks growing because nobody had time to appeal.
So I learned to build AI automation systems. ClinicalFlow AI is the tool I wish every agency I worked at had — purpose-built to eliminate the administrative burden that burns out clinical teams.
I'm not a tech vendor. I'm a clinician who builds.
Book a free 15-minute workflow audit. No pitch, no pressure — just an honest look at where automation could help.
Book Your Free Workflow Audit