One Platform, Not Five Point-Solutions
Most SNF and LTC operators stitch together a scheduling tool, a separate analytics dashboard, a billing rate spreadsheet, an HR integration middleware, and a compliance tracker. Horizon Care Ops consolidates the features you actually need into a single platform with dedicated infrastructure per customer.
Executive Dashboards & Financial Metrics
Platforms like MegaData charge thousands per month just for analytics dashboards. Horizon includes real-time executive analytics as part of the platform — no add-on fees, no separate login, no data lag.
Multi-Facility Executive Dashboard
Aggregated portfolio-wide financial view: global weekly staffing cost, total active staff across all buildings, and per-facility drill-down — all computed from live scheduling and payroll data.
Full-Time Staff Utilization Tracking
Real-time FT utilization percentage per facility, calculated from actual scheduled hours against availability-based capacity — not a hardcoded 40-hour assumption.
DOR Productivity Metrics
Live Director of Rehab productivity percentage tied to actual scheduled patient sessions versus available capacity, so DORs and executives see true clinical throughput.
Part A Cost & Private Pay Revenue
Per-facility Medicare Part A cost and private pay estimated revenue, computed from actual scheduled sessions and billing rate tables — updated in real-time as the schedule changes.
Billing Rate Management & Payer Classification
Competitors like PointClickCare and NetHealth treat billing as a separate module that costs extra. Horizon includes a complete billing rate engine, multi-payer support, and automated payer classification within the core platform.
Medicare Part B Rate Tables
Per-discipline, per-CPT-code, per-MAC-region Medicare Part B rate management with built-in Multiple Procedure Payment Reduction (MPPR) support and configurable assistant reduction percentages.
Multi-Payer Support
Full billing rate management across Medicare Part A (per-diem), Part B (per-unit), Managed Care (flat / percent-of-Medicare / fee-schedule), Private Pay, and Private Insurance — with carrier-level rate granularity.
Automated Payer Classification
Raw payer sources from external systems are automatically classified into billing categories (Medicare A/B, Managed Care, Private Pay/Insurance) with managed care company resolution — reducing manual billing prep.
Billing Quote & Coverage Check
Real-time coverage validation that checks whether your Managed Care rates have backing Medicare Part B rates in every MAC region where you operate — surfacing gaps before they become unpaid claims.
HR, Payroll & EHR Integrations
Other platforms like OnShift and SmartLinx lock integrations behind enterprise tiers. Horizon supports bulk HR/payroll system integration out of the box with support for Workday, ADP, BambooHR, NetHealth, and custom providers.
HR Roster Bulk Ingest
Idempotent upsert of staff rosters, facility assignments, time-off records, and time entries from your HR system. Re-running a sync never creates duplicates — changed fields update in place, and unknown records are flagged, not silently dropped.
Time & Attendance Ingestion
Ingest actual clock-in/clock-out data and regular/overtime hours from your timekeeping system. Time entries feed the financial analytics dashboards and enable schedule-vs-actual variance reporting.
NetHealth Therapy Report Ingestion
Automated ingestion of NetHealth utilization review data — therapy diagnosis reports with PT/OT/ST values, payer information, and admission dates — with encrypted PHI and facility cross-mapping.
Facility & Payer Cross-Mapping
External systems use different names for the same buildings and payers. Horizon's source mapping engine resolves aliases across HR, NetHealth, and other feeds into a canonical facility and payer list.
Medicare Part B Supervisory Visit Compliance
Manual spreadsheet tracking of Medicare Part B supervisory visits is the industry norm, and compliance violations can result in claim denials. Horizon automates supervisory visit scheduling with configurable per-discipline intervals.
Per-Discipline Supervisory Intervals
Configure Medicare Part B supervisory visit frequency independently for PT, OT, and SLP (1-52 week range). The system tracks which sessions are supervisory and flags when visits are overdue.
Coverage & Labor Deficit Alerts
Automated alerts when staffing coverage falls below required levels or when supervisory visit timelines are approaching deadlines — visible to DORs and regional managers in real-time.
Group Therapy Ceiling Enforcement
Configurable Medicare group therapy and concurrent therapy ceiling percentages with optional force-alignment — the schedule optimizer automatically respects these limits so you never accidentally overbill.
Immutable Audit Trail
Every schedule change, note sign-off, and administrative action is logged with user ID, timestamp, entity type, and details — ready for CMS audit requests at any time.
Encrypted Messaging & SMS Bridge
Most scheduling platforms lack built-in secure messaging. Horizon includes end-to-end encrypted in-app chat with an SMS bridge, so clinical teams can communicate about patients without using unsecured text messages.
AES-256-GCM Encrypted Chat
In-app messaging with message bodies encrypted at rest (AES-256-GCM). Conversations are scoped to facilities with membership-based access control. Push notifications are content-free doorbells.
SMS Chat Bridge
Staff who aren't on the app can communicate via regular SMS text messages. Inbound texts are routed through Twilio to the in-app conversation — outbound replies go back as SMS.
AI-Powered Clinical Notes
Session recordings are transcribed via a self-hosted Whisper pipeline, then AI-generated clinical notes (SOAP and progress notes) are produced by a self-hosted LLM — no PHI leaves your infrastructure.
Recruiting Pipeline
Built-in job requisition tracking per facility and discipline, with status management and target hire dates — so staffing gaps are visible alongside your active recruiting efforts.
Replace Your Fragmented Stack
Stop paying separate vendors for analytics, HR integration, billing rate management, and compliance tracking. Horizon includes all of this in a single, integrated deployment.
Supported HR/Payroll Providers
Workday, ADP, BambooHR, NetHealth, and custom — with idempotent upsert and encrypted secret storage.
Payer Categories
Medicare Part A & B, Managed Care, Private Pay, Private Insurance, and custom payers — all with rate management.
Discipline-Level Supervisory Configs
Independent Medicare Part B supervisory visit intervals for PT, OT, and SLP.
Facilities in One Dashboard
Multi-facility executive analytics with per-building financial drill-down — no per-facility pricing.