Aurinode runs automated compliance scans on top of your existing EMR data. We find documentation gaps, supervision shortfalls, and authorization risks before Medicaid does — so you can protect what you built.
★ Built with input from BCBAs who refused to compromise their ethics.
3 critical vulnerabilities detected in active Medicaid logs
"Clinics with poor operations will get crushed in 2026. Clinics that can prove clean operations will acquire the ones that don't."
When Medicaid or commercial payers audit an ABA clinic, they search for specific documentation gaps. Here is how Aurinode guards them.
The Vulnerability: Medicaid state guidelines strictly require session documentation to be signed by the therapist within 24 hours. Notes signed 48+ hours after the session are flagged as administrative gaps. During audits, these claims are routinely clawed back in full.
Aurinode Safeguard:Scans EMR logs daily to isolate any unsigned notes approaching the 24-hour window, alerting leadership before they solidify.
The Vulnerability: RBT credentials require a minimum of 5% BCBA supervision hours rendered against their monthly clinical hours. Evaluating this at the end of the month is too late. If an RBT falls to 4.9%, all billing for that technician is exposed to retrospective recovery.
Aurinode Safeguard:Correlates session logs with BCBA logs daily, showing a projected supervision dial so you can assign supervision hours before the month closes.
The Vulnerability: Commercial insurers (like BCBS, Aetna, Cigna) and TRICARE deny claims instantly if care is rendered a single day before an authorization begins or after it expires. Clinics lose tens of thousands of dollars on rendered, unbillable care.
Aurinode Safeguard:Auto-maps calendar appointments against insurance auth limits to block sessions outside of valid bounds.
The Vulnerability: State Medicaid investigators audit verify that parent verification match the rendered logs. If logs are missing matching daily signatures, it triggers clinical fraud indicators and billing suspension.
Aurinode Safeguard:Validates session records with matching parent signatures daily, compiling a list of missing sign-offs for immediate follow-up.
The Vulnerability: After the New York Times investigation and federal audits running across seven states, every ABA clinic is under increased scrutiny, including the ones doing it right. Ethical clinic directors have no way to show payers, families, or their own staff that their operation is clean. Good intentions do not survive an audit.
Aurinode Safeguard:The Ethical Operations Score and pre-audit PDF report give you documented proof of your supervision quality, documentation integrity, and clinical justification standards. This is proof you can share at intake, during BCBA recruitment, and when payers review your rates.
Aurinode processes administrative logs and outputs specific, itemized risk signals across five core categories.
Scans daily appointments and flags session notes unsigned past the 24-hour deadline. Detects missing parent signatures before billing export.
Calculates real-time monthly supervision ratios. Flags Registered Behavior Technicians falling below the mandated 5% BCBA oversight threshold.
Maps rendered sessions directly against insurance authorization boundaries, alerting you to under-utilization or service delivery outside valid dates.
Runs text analysis on session notes. Flags phrases hinting at behavior suppression (e.g. parent requests to omit behaviors to avoid program strikes).
Tracks therapists in transition (e.g., RBTs becoming BCBAs) through registry status, NPI assignments, CAQH updates, and payer enrollment, stopping daily revenue leakage due to credentialing limbo.
Aurinode sits on top of your existing systems as an audit-risk validation layer. There is no software to switch or employee training needed.
Export your clinical logs as CSV files from your current EMR (CentralReach, Rethink, or Motivity) and drop them securely into the Aurinode portal. No API setup required.
Our rule engine cross-checks daily note submissions, supervision logs, and authorization records, mapping clinical justification to billing codes automatically.
Remediate supervision gaps, clear notes backlog, and edit denial-trigger phrases in your sandbox, then export a printable compliance audit PDF report.
Send us an anonymized export from your EMR. We run it through our compliance engine and email you back a PDF showing your real risk score. No account. No BAA. No PHI.
Export your standard billing or supervision report from CentralReach, Rethink, or Motivity.
Replace client and staff names with Client A, RBT A, and so on to remove all identifying information.
Email the file to scan@aurinode.com and receive your compliance risk PDF within 24 hours.
Anonymized files contain no PHI. No HIPAA agreement required. This service is completely free with no obligation.
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