Kaigo Health

Kaigo Health is best understood as a service, not a dashboard. The subscription buys you a human + AI workforce that takes exports of invoices, P&L, census, payer and vendor contracts, and PointClickCare data, then investigates every line against every other line. What comes back is deliberately narrow: a found-money list every other week, dollar-ranked, with a drafted action attached to each item. You press approve; Kaigo's team fills out the referral, chases the auth, submits the appeal or dispute. Strengths. First, the scope covers both directions of the ledger, which most point tools don't. Outgoing recovery targets pharmacy charges that should have been billed to insurance, vendor charges that don't match contracts, DME leakage, and zombie subscriptions. Incoming capture targets ADRs, ECM opportunities, skill-in-place and care-level capture, authorizations, concurrent reviews, and Part B reimbursement. Second, the deliverable is operational rather than analytical — five items, yes or no, drafts prepared. Third, the published evidence is specific: a 34-bed, five-star building recovering roughly $5,000/month from pharmacy bills alone, plus a $145,000 one-time historical recovery from an eligible lookback period. Weaknesses. The evidence base is a single building, so treat the numbers as directional, not a forecast. Everything Kaigo does still requires your staff to review, decide, and submit — the drafts are not autonomous filings. Access requirements are real: exports first, then integration across invoices, P&L, census, payer and vendor contracts, and PointClickCare. And the fit is genuinely narrow: acute hospitals, standalone home health, individual clinicians, and very low-referral-volume buildings where recovery won't cover the engagement are all outside the target. Where it fits. Multi-facility SNF operators standardizing revenue protection across buildings, business office teams buried in manual invoice and remittance reconciliation, PACE programs recovering denials and vendor overcharges, and any building with suspected phantom vendor charges or recurring billing it no longer uses. Where it doesn't: if you need coding, documentation, or EHR assistance for clinicians, that isn't this product; if you run an acute hospital without post-acute exposure, Kaigo isn't built for you. The comparison that matters is against generic revenue cycle software. Those tools hand your billers another dashboard to work. Kaigo hands you recovered dollars and executes the paperwork behind them. The trade is access and scope: you give up a wide net for a narrow, deeper one.