Profility
Provider of an AI- and cloud-based platform for post-acute care transitions. The platform ingests hospital referrals and related records, produces condensed patient summaries and decision-support insights, automates managed-care authorizations and reporting, and provides market and operational analytics for skilled nursing, home health, and other post-acute settings. The company emphasizes physician oversight of models, HIPAA-first design, and integrations with EMRs and referral systems.
Industries
Nr. of Employees
small (1-50)
Products
Patient transition suite (AI decision-support)
A suite of AI-powered applications that support referral triage, patient placement recommendations, collaborative tools for care teams, and reporting to support reimbursement and compliance.
AI-driven authorization platform
Platform that automates authorization generation, performs contract intelligence, extracts supporting documents, and compiles audit/denial files to optimize reimbursement workflows.
AI-Driven
AI- and machine learning-powered platform designed to streamline and automate the complex process of creating and managing authorizations for managed care patients in skilled nursing and home health settings. Integrates directly with EMR systems and analyzes managed care contracts in real time.
AI-driven Predictive Behavioral Tools
Tools providing comprehensive patient history, risk assessment, and predictive analytics to improve patient matching and treatment planning in behavioral health.
Profility AI-powered care transitions and referral optimization platform
A physician-developed, clinically supported platform designed to improve outcomes, streamline intake, and drive value-based care across post-acute and home health settings.
Profility AI for Home Health Agencies
An AI-powered system that dramatically reduces the time and effort required for patient intake, ensuring critical information is available to provide high-quality care. It minimizes errors, reduces intake team burden, and streamlines communication to improve patient experience and success in the local provider marketplace.
Patient transition suite (AI decision-support)
A suite of AI-powered applications that support referral triage, patient placement recommendations, collaborative tools for care teams, and reporting to support reimbursement and compliance.
AI-driven authorization platform
Platform that automates authorization generation, performs contract intelligence, extracts supporting documents, and compiles audit/denial files to optimize reimbursement workflows.
AI-Driven
AI- and machine learning-powered platform designed to streamline and automate the complex process of creating and managing authorizations for managed care patients in skilled nursing and home health settings. Integrates directly with EMR systems and analyzes managed care contracts in real time.
AI-driven Predictive Behavioral Tools
Tools providing comprehensive patient history, risk assessment, and predictive analytics to improve patient matching and treatment planning in behavioral health.
Profility AI-powered care transitions and referral optimization platform
A physician-developed, clinically supported platform designed to improve outcomes, streamline intake, and drive value-based care across post-acute and home health settings.
Profility AI for Home Health Agencies
An AI-powered system that dramatically reduces the time and effort required for patient intake, ensuring critical information is available to provide high-quality care. It minimizes errors, reduces intake team burden, and streamlines communication to improve patient experience and success in the local provider marketplace.
Services
Service that ingests referral packets, extracts relevant clinical and administrative data, and produces condensed referral records and recommendations for placement.
Automates prior-authorization generation, evaluates managed-care contract terms in real time, and assembles documentation to support reimbursement and reduce denials.
Provides payor-agnostic market intelligence and benchmarking to identify referral opportunities, track network performance, and inform growth strategy.
Integration with existing EMRs, CRMs and referral platforms, rapid deployment timelines, and onboarding support to align the platform with existing workflows.
Service that ingests referral packets, extracts relevant clinical and administrative data, and produces condensed referral records and recommendations for placement.
Automates prior-authorization generation, evaluates managed-care contract terms in real time, and assembles documentation to support reimbursement and reduce denials.
Provides payor-agnostic market intelligence and benchmarking to identify referral opportunities, track network performance, and inform growth strategy.
Integration with existing EMRs, CRMs and referral platforms, rapid deployment timelines, and onboarding support to align the platform with existing workflows.
Expertise Areas
- Post-acute care transition management
- Clinical decision support for admissions
- Prior-authorization and reimbursement optimization
- Interoperability and EMR integration
Key Technologies
- Machine learning and predictive analytics
- Natural language processing and document summarization
- Automated prior-authorization generation
- Cloud-native scalable architecture
News & Updates
Thought piece on moving vendor relationships from transactional engagements toward outcome-focused partnerships that improve documentation, reduce administrative burden, and strengthen reimbursement and compliance.
Announcement and link to a recorded webinar discussing practical AI integration strategies for MDS coordinators and case managers in post-acute care.
Investor announcement describing the platform's capability to convert lengthy hospital referrals into actionable profiles, automate authorizations, provide market analytics, and its growth metrics and customer ROI.
Announcement of a partnership with AAPACN highlighting the company's work on improving information flow from hospitals to skilled nursing and support for authorization and audit workflows.
Reported presence in 800 skilled nursing facilities across 37 states (reported as facility footprint and growth metric).
Reported annual customer retention of approximately 90% and multiple customer-reported revenue and admissions improvements.
Thought piece on moving vendor relationships from transactional engagements toward outcome-focused partnerships that improve documentation, reduce administrative burden, and strengthen reimbursement and compliance.
Announcement and link to a recorded webinar discussing practical AI integration strategies for MDS coordinators and case managers in post-acute care.
Investor announcement describing the platform's capability to convert lengthy hospital referrals into actionable profiles, automate authorizations, provide market analytics, and its growth metrics and customer ROI.
Announcement of a partnership with AAPACN highlighting the company's work on improving information flow from hospitals to skilled nursing and support for authorization and audit workflows.
Reported presence in 800 skilled nursing facilities across 37 states (reported as facility footprint and growth metric).
Reported annual customer retention of approximately 90% and multiple customer-reported revenue and admissions improvements.