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FAQ

Commonly Asked Questions and Answers

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Written by Support Anthuria
Updated over 7 months ago

♺ General

What is Anthuria?

Anthuria is an AI-powered platform designed to help Skilled Nursing Facilities (SNFs) streamline workflows, improve accuracy, and enhance patient care. It offers a suite of applications that leverage the power of Amazon Claude, a Large Language Model (LLM), to provide intelligent assistance and insights.

Explain the Anthuria AI agents?

The AI agents are a core feature of the Anthuria platform. It's powered by Amazon Claude, an LLM that has been specifically trained by Anthuria on a vast amount of SNF data and language, including clinical notes, MDS assessments, and other relevant documentation. This training allows the AI agents to understand the nuances of your clinical documentation and workflows, providing contextually relevant suggestions and insights.

Can the AI agents lie or provide incorrect information?

While the AI agents are designed to be highly accurate and leverages a large language model (LLM) trained on massive amounts of textual data, it's important to understand that it can still provide incorrect or incomplete information. LLMs, while generally less prone to "hallucinations" (generating entirely fabricated information) than other forms of generative AI, are not perfect. They operate by identifying patterns in the data they were trained on, and while this allows them to make helpful suggestions, it doesn't guarantee complete accuracy.

How it works

The LLM analyzes clinical notes and other data to identify patterns and make suggestions. It uses a reasoning model to understand the context and provide relevant alerts. Its extensive training on a vast amount of text makes it less likely to generate completely fabricated information compared to some other types of generative AI, particularly those focused on visual or auditory content. However, it can still make mistakes.

Why inaccuracies can occur: LLMs can sometimes misinterpret context, be influenced by biases in the training data, or struggle with complex or unusual cases. They also lack real-world experience and common sense reasoning that human clinicians possess. Therefore, while the AI agents strive for accuracy, it can still provide suggestions that are incorrect, incomplete, or inappropriate.

The importance of user oversight

You have the ability to accept or reject suggestions, and this interaction is crucial. Your feedback helps further train the model and improve its accuracy over time. However, even with user feedback, the model may still occasionally miss opportunities or provide incorrect suggestions. This is why continuous improvement through feedback is essential.

A tool, not a replacement

The AI agents are designed to assist you, not replace your clinical judgment. It is a tool to enhance your workflow and provide insights, but you always have the final say in MDS coding, patient care decisions, and other clinical tasks. Your expertise and critical thinking are paramount. Always double-check the AI's suggestions and rely on your own professional knowledge.

What distinguishes Anthuria from other competitors offering similar solutions?

Anthuria stands out from the competition in several ways:

  1. AI That Can Reason, Not Just Word Matching: Many competitor solutions rely on simple word matching, which can lead to inaccurate results. Anthuria's AI agents use a sophisticated reasoning model that understands the context and meaning of clinical documentation, minimizing errors and providing more accurate insights.

  2. Comprehensive Platform: Many competitors offer only a piece of what Anthuria provides (e.g., just referral management, just MDS coding, or just clinical surveillance). Anthuria offers a comprehensive platform with all these features integrated, resulting in significant cost savings and improved workflow efficiency.

  3. SNF-Specific Training: Anthuria's AI agents have been specifically trained on a vast amount of SNF data and language, ensuring it understands the unique needs and challenges of SNFs.

Are there compliance risks should we miss something that the AI flags?

The product is designed to help protect customers from compliance risks by identifying potential issues in clinical notes before they are reviewed by state surveyors or compliance auditors. It does this by using AI to analyze clinical notes and flagging any potential compliance concerns, allowing users to address these issues proactively. The product helps ensure that weak or missing information in clinical notes is identified and corrected, reducing the likelihood of compliance issues arising during audits. Additionally, the AI does not report to compliance agencies, so it acts as a protective measure rather than a risk.

Can I download the data into Excel or CSV?

Yes, you can download data from Pulse. At this point you cannot download data from MDS 3.0. When downloading from Pulse you will see the below icon for download to the right of the search bar. Selecting the download option will download the current Pulse list you are viewing. The download will apply all of your filters and Settings- If you’ve tailored your column, the download will be your tailored view. If you’ve filtered on a trigger or search phrase the download will only show your filtered results.


🔑 Account Access & User Management

How do I sign in once I've been invited to Anthuria?

The first time you sign in you will use a one time password (OTP) sent to your email address. Enter the OTP on the login page, and you'll then create your permanent password. Once you've created your permanent password you will be able to login with your password on all subsequent sessions.

What if I am unable to log in or forget my password?

If you are having any trouble signing in, select the option for 'Forgot Password?' and a One Time Password (OTP) will be emailed to you. You will enter the OTP to sign in and then be prompted to create a new password.

What if I have lost my original email invitation?

An admin can resend you an invitation from Account Settings at any time with the resend invitation option

Can I resend an email invitation to a user I've added?

Yes, to resend the invitation simply navigate to Account Settings and select 'Resend Invitation' to the right of the user under 'Access Management.' This will resend the email invitation to the user.

How do I add or remove users from an account?

From 'Account Settings' navigate to 'Access Management'

  • Adding Users: 'Invite A New User' is a button located on the lower right corner of the page, below the list of current users.

  • Removing Users: To the far right of each user is a trash can icon that you can select to remove the user. You can use the filter options to find the user you want to remove and then select the trash icon to remove that user.

Can I control what patients, facilities and applications users have access to?

Yes, when adding or editing a user you determine the applications and facilities they are able to see when they login. This allows you to ensure that users are only seeing the facilities and applications relevant to them to make the application as useful as possible for each of your users.


🩺 Pulse: Real-Time Insights from Your EHR

What is Pulse?

Pulse is an application within the Anthuria platform that empowers SNFs with real-time insights derived directly from your existing Electronic Health Record (EHR). It leverages the AI agents to proactively identify potential clinical triggers requiring review.

How does Pulse work?

The AI agents continuously analyze every note within your EHR, proactively identifying potential clinical triggers, such as falls, medication errors, changes in mental status, and wound deterioration. For each potential trigger, the AI agent tags the note, provides an AI explanation, displays the original note, and offers direct EHR access.

What types of clinical triggers does Pulse identify?

Pulse identifies a wide range of clinical triggers, including:

  • Falls

  • Changes in mental health

  • Wounds

  • Abuse

  • Unwanted Behavior

  • Weight Change and more

  • Triggers can be customized to use Pulse for as many triggers as you need

Can I create my own triggers in Pulse?

Yes, we actually recommend that you create custom triggers to have the AI agents automatically identify specific information in clinical notes that you would otherwise manually look for. You can define a trigger using:

  • Trigger Word: A single word where you want the AI to understand the meaning and context. For example, you might create a trigger word 'mobility' to identify notes discussing patient movement.

    • Important: It takes approximately 24 hours for the AI to learn and process new trigger words before they begin returning results.

  • Keywords: These are words the AI will search for directly within the text of the notes. For example, the keyword 'wound' will find any note containing the word 'wound' or variations like 'wounds'.

    • Important: Keywords start working within 20 minutes of being added.

When creating a trigger what's the difference between a keyword and trigger word?

  • Trigger Word: A single word where you want the AI to understand the meaning and context. For example, you might create a trigger word 'mobility' to identify notes discussing patient movement.

    • Important: It takes approximately 24 hours for the AI to learn and process new trigger words before they begin returning results.

  • Keywords: These are words the AI will search for directly within the text of the notes. For example, the keyword 'wound' will find any note containing the word 'wound' or variations like 'wounds'.

    • Important: Keywords start working within 20 minutes of being added.

How much historical data can a custom trigger include?

Custom triggers analyze historical data from the past 3 days. They refresh regularly to ensure you always have the latest insights.

What specific data and field within an Electronic Health Record (EHR), like PointClickCare (PCC) does Anthuria Pulse read from?

Anthuria reads a variety of clinical data from EHR systems like PointClickCare (PCC) to provide comprehensive insights. Currently Anthuria analyzes progress notes, including:

  • Daily Nursing Charting Notes: Document routine care, observations, and interventions. (e.g., "Resident ate 75% of breakfast...")

  • Physician/NP/PA Notes: Record medical assessments, diagnoses, and treatment plans. (e.g., "Mr. Smith seen for follow-up of UTI...")

  • IDT Notes: Document collaborative care planning and resident progress discussions. (e.g., "IDT meeting held. PT reports improvement in gait...")

  • Orders/Order Notes: Record new or changed medical orders. (e.g., "New order: Increase Lasix to 40mg PO daily...")

  • EMAR Administration Notes: Track medication administration. (e.g., "Lisinopril 10mg administered PO at 0900...")

  • Encounter Notes: Document specific interactions or events. (e.g., "Resident c/o chest pain at 2 PM...")

  • Behavior Notes: Record resident behaviors. (e.g., "The resident exhibited agitation...")

  • Nurse Notes: General nursing observations and interventions. (e.g., "Family voiced concerns about resident's decreased appetite...")

  • Therapy Assessment Notes (Respiratory, Psychotherapy, PT/OT/ST): Include evaluations and progress from various therapies. (e.g., "PT initial assessment: Resident demonstrates decreased balance...")

  • Health Status Notes (Vitals, Weight Change, Skin Check, etc.): Document routine health monitoring. (e.g., "Weekly weight: 150 lbs...")

  • By analyzing this diverse range of data, Anthuria can provide a holistic view of resident health and care. This list is not exhaustive and may vary depending on the specific EHR configuration and integration. Contact us for more details about specific data points.


💵 MDS 3.0: Optimizing Reimbursements

What is MDS 3.0?

MDS 3.0 is an AI-powered application within the Anthuria platform designed to help SNFs maximize managed care PDPM reimbursement rates and streamline operational efficiency. It analyzes patient data, identifies potential coding discrepancies in MDS assessments, and provides clear, actionable suggestions to ensure you receive appropriate reimbursement for the care you provide.

How does MDS 3.0 work?

MDS 3.0 continuously reviews clinical documentation for managed care PDPM patients under the Patient Driven Payment Model (PDPM). It securely and HIPAA-compliantly scans clinical notes, comparing them against the current MDS record. Using AI, it identifies potential coding changes, highlighting areas where documentation suggests the MDS may not fully reflect the patient's condition and care needs. This helps ensure accurate representation of patient status for appropriate reimbursement.

How often is MDS 3.0 updated?

MDS 3.0 updates daily, reflecting new clinical documentation and changes to the MDS record. This means that rate opportunities will reflect MDS changes made the previous day. For MDS forms that have not yet been submitted with an ARD date in the future data will refresh every 3 hours.

When is MDS 3.0 used – before or after MDS submission?

MDS 3.0 provides continuous review, both before and after initial MDS submission. Within MDS 3.0 you can view both in progress and completed MDS. It offers suggestions based on the most recent MDS and available patient data, creating a centralized resource for the next scheduled assessment. While suggestions are refreshed daily as new evidence emerges, they are valuable throughout the MDS process. Significant changes impacting reimbursement may warrant a new MDS submission at any time.

Can I see in progress MDS patients?

Yes, at the top of the MDS 3.0 application you are able to switch between completed an in progress. 'Completed' will show suggestions for patients who have already had MDS submitted to Centers for Medicare and Medicaid Services (CMS). 'In Progress' will show patients who have MDS submissions in draft and an ARD date in the future. The suggestions for patients with MDS in progress will compare what is currently entered in the draft MDS against all notes, diagnosis codes, and current and historical orders.

How long are MDS suggestions displayed?

MDS suggestions are dynamic and refresh daily. Discharged patients are removed, MDS changes are reflected, and suggestions and potential rate adjustments are updated accordingly. If you disagree with a suggestion (using the "thumbs down" feedback), it will be removed unless further supporting evidence is found.

What is the look-back window for MDS 3.0?

MDS 3.0 analyzes all available clinical notes against the current MDS record. There isn't a fixed look-back window in the traditional sense, as it considers the entire documented patient history relevant to the current assessment.

Why don't I see all my facilities or patients in MDS 3.0?

MDS 3.0 currently focuses on managed care PDPM patients. MDS 3.0 will include all Medicare Part A and managed care patients with an MDS form that has been started or submitted. If a patient has no MDS form started they will not appear in the MDS 3.0 application. If you have active Medicare Part A patients in a facility and don't see them, please contact [email protected].

How does MDS 3.0 handle Section GG: Functional Abilities and Goals?

MDS 3.0 provides suggestions related to Section GG, identifying potential discrepancies between clinical notes and documented functional abilities. While it highlights areas where documentation suggests potential changes, it does not currently make direct rate change suggestions for Section GG, as accurate assessment requires observation, interviews, and detailed medical history review. Instead, MDS 3.0 flags areas where further assessment (interviews, detailed evaluations) may be warranted to determine if updates to functional abilities and goals are necessary. This helps ensure accurate reflection of patient function while respecting the required assessment methods for Section GG.

How does MDS 3.0 handle situations with limited or weak clinical documentation?

When clinical documentation is limited, MDS 3.0 may offer suggestions based on broader trends or default values. These suggestions are intended to be starting points and should not be considered definitive. Your clinical expertise and direct patient interaction are crucial. Always use your professional judgment, incorporating all available information, including direct observation and patient interviews, to determine the most accurate MDS coding. MDS 3.0 is a tool to assist you, not replace your clinical decision-making.

Why is MDS 3.0 showing patients that have not yet had the 5 day Assessment Reference Date (ARD) completed?

For patients that have in progress assessments, including patients that have not yet had the standard 5 day ARD completed, you will see them listed under 'In Progress', a tab at the top of MDS 3.0 that allows you to switch between completed and in progress MDS assessments.

MDS 3.0 leverages AI to proactively analyze all available clinical documentation, including notes entered into your EHR immediately upon admission. This continuous analysis provides coding suggestions for PDPM, regardless of ARD status, enabling you to optimize the accuracy of your 5-day MDS and subsequent assessments. By identifying potential coding opportunities early, you can ensure timely and appropriate reimbursement throughout the patient's stay.

MDS Insights email- What is this email and why am I receiving it?

An administrator from your company invited you to access our MDS application. We send out daily insights for MDS to all MDS users, which is why you are receiving this email. The insights are meant to help you run your daily MDS review and capture all reimbursement opportunities to ensure you are being reimbursed for the level of care your patients need.

What types of data does MDS read?

MDS reads a variety of clinical data, including information from progress notes, diagnosis codes, and orders within an Electronic Health Record (EHR) system. This data helps create a comprehensive resident profile.

  • Diagnosis Codes (ICD-10): MDS incorporates existing and active diagnosis codes to accurately reflect a resident's medical conditions. (e.g., Congestive Heart Failure (I50.9), Type 2 Diabetes Mellitus (E11.9)...)

  • Current and Historical Orders: MDS utilizes information from various order types:

    • Diet Orders: Specific instructions for nutritional intake, including diet type, consistency, and restrictions. (e.g., "Regular diet, mechanical soft texture...")

    • Pharmacy Orders: Detailed medication administration instructions. (e.g., "Lantus (insulin glargine) 20 units subcutaneously...")

    • Other Orders: Encompass a wide range of care instructions, therapies, and monitoring requirements. (e.g., Physical Therapy evaluation and treatment 3 times per week..., Monitor for orthostatic hypotension..., Wound care...)

  • MNA (Mini Nutritional Assessment) used to assess malnutrition risk

  • PHQ (Patient Health Questionnaire) used to screen for depression

  • Admission/Readmission Notes: Document a resident's condition and history upon admission or readmission. (e.g., "Mrs. Johnson admitted from Memorial Hospital...")

  • Regular Follow-up Notes: Periodic assessments to evaluate progress and update care plans. (e.g., "60-day follow-up: Mr. Smith's cognitive function remains stable...")

  • Chief Complaint Notes: Detail the primary reason for a medical evaluation. (e.g., "Chief Complaint: Increased shortness of breath...")

  • Medical Professional Progress Notes: Documentation by specialists and consultants. (e.g., "Cardiology follow-up: Mrs. Davis's heart failure symptoms have improved...")

  • Physician's Order Notes: Specific instructions for treatments, medications, and care. (e.g., "Physician's Order: Start low-dose ACE inhibitor...")

  • Skin/Wound Notes: Detailed documentation of skin integrity and wound care. (e.g., "Pressure ulcer on sacrum measured 2cm x 2cm...")

  • Physician/NP/PA Notes: Record medical assessments, diagnoses, and treatment plans. (e.g., "Mr. Smith seen for follow-up of UTI...")

  • Encounter Notes: Document specific interactions or events. (e.g., "Resident c/o chest pain at 2 PM...")

  • Therapy Assessment Notes: Evaluations and progress from various therapies. (e.g., "PT initial assessment: Resident demonstrates decreased balance...")

This list is not exhaustive and the specific data points read by MDS may vary. Contact us for more information about the data used by MDS.


🧑‍🔧 Support

How do I contact support?

You can contact Anthuria support by emailing [email protected].


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