ICD-10-CM opportunities already supported by documentation — the recovery thesis that survives seller pushback and post-close audit.
DRL Holdings · Intelligence
PE Acquisition
Chart diligence before you close — not after the first ADR lands.
Documentation-backed revenue quality and audit exposure for skilled nursing acquisitions. Every finding cited to the source note. Nothing invented for the model.
The diligence gap
Financials show the story management wants. Charts show the one CMS will audit.
Private equity and strategic buyers underwrite census, rate, and labor — then inherit documentation risk that never appeared in the CIM. Earned-but-unbilled PDPM opportunity and weak chart language both sit in physician notes, nursing notes, therapy, and the MAR.
PE Acquisition Intelligence reads Medicare Part A charts the way an auditor does, so quality of earnings includes documentation quality — before funds are wired.
- Pre-close baseline Revenue and risk reads from a chart export during exclusivity — days, not a post-close project.
- Model-grade findings Only ICD-10-CM opportunities already supported on file. Clinicians validate; nothing upcoded for the deck.
- Compliance Shield Maps documentation weakness and ADR / TPE / UPIC exposure before it becomes a purchase-price dispute.
What diligence receives
A chart-backed package your IC can defend
Compliance Shield surfaces where documentation is weakest so audit exposure informs reserves, reps, and week-one operating plans.
One Medicare Part A chart export from any major EHR. No integration project during a deal that cannot wait on IT.
Role-specific charting lessons and PDPM Audit Group retainers so documentation improves under new ownership — not only in the diligence memo.
Who it’s for
Buy-side teams that underwrite clinical reality
Private equity & growth equity
Add chart intelligence to QoE so PDPM revenue and audit risk are evidenced, not assumed.
Strategic operators
Know the documentation gap before you fold a building into the platform — and what week-one training must fix.
Lenders on acquisition facilities
Collateral read that includes chart risk — see also Lender Intelligence.
Next step
Prove it on one stay before you price the book.
Pick one target facility. We review one Medicare Part A stay at no cost — BAA first, findings in days, every recommendation verifiable by clinical staff.