Streamline Your
Discharge Process.
You've optimized the stay. Now optimize the transition. Gain Control Tower visibility over every discharge to help reduce readmissions and protect your VBP margins.
When Patients Crash, Everyone Pays
Every readmission ripples outward—patients face setbacks, families feel the strain, and your bottom line takes the hit.
Family Impact
Patients and their families face the stress and uncertainty of unexpected readmissions, disrupting recovery and peace of mind.
VBP Penalties
Up to 2% of your Medicare Part A fee-for-service payments withheld and redistributed on readmission performance.
Lost Referrals
Hospitals stop referring to "unsafe" landing zones with poor outcome data.
Operational Waste
Case managers lose hours every day to referral phone tag instead of patient care.
See the Difference in Outcomes.
Don't leave the landing to the unknown.
Calculate Your Financial Impact
See the real numbers. Adjust the controls to match your facility and watch your projected annual ROI update in real-time.
Financial Impact Simulator
Annual Value
CMS FY2025 SNF VBP Final Rule • Wheeler et al., JAGS 2025 • Salary.com 2024 loaded coordinator cost
Annual Value Across 10 Facilities
Ecosystem Command
Visualize your facility's entire referral ecosystem. See real-time status of patients with community providers like Home Health, Hospice, Caregiving, Transport, DME, and Placement agencies in your local network. Know exactly who is active and ready to land your patient.
Traffic Control
Stop faxing. Push discharge packets directly to your community providers. Track the 'Open' and 'Accept' status in real-time.
Pre-Land Safety Protocols
A second set of eyes for your Social Workers. AI reviews discharge documents and flags potential gaps for your team to verify before the patient leaves. It generates a shared dashboard view of patient risks for both your discharge team and the receiving provider.
Post-Landing Safety
Extend your radar beyond the discharge. Automated surveys ping the patient at home to detect instability. Our AI analyzes survey trends to flag readmission risks early.
Outcome Tracking
Track post-discharge outcomes across your patient population. See which providers respond fastest, which patients need follow-up, and how your discharge process improves over time.
Replace 30-60 minutes of phone tag with digital coordination.
By helping lower readmission rates.
You cannot see performance across your buildings.
Every building runs its discharges its own way, and the differences never reach you. MAXMRJ rolls the same numbers up the same hierarchy you already manage.
Everyone sees their own level
Executive
Entire portfolio
SVPO
Their division
VPO
Their facilities
Administrator
Their building
Reporting rolls up. Coordinator activity becomes the operator's number.
Standards flow down. One workflow, applied the same way in every building.
What one operator found
Share of referrals with a recorded outcome, building by building, inside a single organization — on the day they first saw it measured.
Anonymized historical snapshot from one operator's referral records, before the gaps were visible to them. A short bar does not mean that building placed fewer residents — it means no outcome was recorded there. Once the spread was on a dashboard, the lagging buildings were the ones that moved.
Roles you control
Authorized admins assign users and promote or demote them as your org changes. No support ticket, no waiting on us.
Dashboards scoped to the level
Each person sees their own slice — a building for an Administrator, a region for a VPO, the whole portfolio for an executive.
Reporting fax and phone cannot produce
Referral volume, placement and finalize rates, and where residents stall — compared across every building, in one view.
Org hierarchy, role administration, and cross-facility reporting are part of the Enterprise plan for organizations running more than one building.
Talk to our teamA Day in the Life of Your Coordinator
See how MAXMRJ transforms the discharge workflow.
Certified Development PartnerIntegrates with PointClickCare
MAXMRJ connects directly with PCC so your coordinators can work from the patient data they already have — no double data entry.
Optional PCC connection fee: $99/mo (charged by PointClickCare)
Go Live in Days, Not Weeks
No hardware. No IT project. Browser-based and mobile-friendly — coordinators can use it from a phone or tablet on the floor.
Account setup + PCC connection
We handle it
Coordinator training
Initial and advanced sessions — we train your team
Invite your providers
Community providers join your network and start receiving referrals
Provider onboarding
MAXMRJ onboards every provider you invite — your team trains no one
Post-Launch Support
- Dedicated onboarding contact for your first month
- In-app help and documentation
- Escalation path if PCC integration issues arise
- Reporting to see usage across your coordinators
The 3-click referral workflow your coordinators will learn in one sitting:
Example: Your coordinator Maria currently spends 30-60 minutes per discharge on follow-up calls and faxes. With MAXMRJ, she sends referrals in as few as 3 clicks and finishes in under 5 minutes.
The moment your patient
walks out, you go blind.
MaxAlly is your eyes.
Your team activates it in one tap at discharge. The family goes home with the care plan you pre-loaded, and their post-discharge check-ins flow straight back to your coordinators — so rising risk gets caught before it becomes the readmission your VBP score pays for. Free for families, on any smartphone.
One price. Everything included.
No tiers, no bed-count bands.
Everything MAXMRJ makes, at every building you run.
30 buildings is $10,500 a month. That is the whole pricing conversation.
What $350 a month is standing against
Two numbers decide whether this is worth doing: what readmissions already cost you, and what your coordinators' time is worth.
What VBP already costs you
CMS withholds 2% of Medicare Part A fee-for-service payments and redistributes it on 30-day readmission performance. 71.7% of SNFs were penalized in 2024. In FY2025, 100% of your VBP score is the readmission measure.
Most at stake is the full 2% withheld from your building. Typical penalty is what a penalized facility of that size actually loses.
One building, one year
A 120-bed facility running roughly 145 discharges a year.
This is the conservative case — it assumes you stop being penalized, not that you earn a bonus. Facilities that move into bonus territory do better.
VBP penalty avoided and VBP bonus earned are the same redistribution pool — we count it once, not twice.
Sources: CMS FY2025 SNF VBP Final Rule · Wheeler et al., JAGS 2025 (71.7% penalized) · MedPAC 2024 · Salary.com 2024 loaded coordinator cost. Coordinator time saved is user-reported, not independently measured. Individual results vary. MAXMRJ does not guarantee specific outcomes.
Try it for 60 days. The clock starts at your first discharge.
Choose one to five buildings. We agree what success looks like before we start, with a sponsor named on your side. The 60 days begin when your first discharge is entered — not when you sign, and not while we are still connecting PointClickCare.
Written success criteria
Agreed up front, not argued about later
A full round of outcomes
Long enough to see check-ins come back from home
Cancel for any reason
60 days after you convert, no penalty
What the $350 includes
All of it. There is no higher tier to be upsold into.
Discharge Logistics Engine
Unlimited referrals to your community providers. Three clicks to send, everything after that automatic.
AI Risk Radar
Post-discharge check-ins, readmission risk alerts, and decision support for your coordinators.
MaxAlly family app
MAXMRJ provides MaxAlly to families at no charge. Your team activates it at discharge, and the family’s check-ins feed Risk Radar.
Enterprise console
Org hierarchy, level-scoped dashboards, cross-facility reporting, SSO. Included at every building.
PointClickCare integration
Bidirectional — pulls the patient profile, writes referral events back as progress notes.
Unlimited users
Every coordinator, administrator, and executive who needs access. No per-seat cost, ever.
Your community providers are never charged to receive a referral from you. Joining your network and accepting referrals is free for them, permanently — so cost is never the reason a provider stays off the platform, and nothing about the referral itself is metered. That is how the network stays neutral.
The features behind each outcome
Four things a $350 subscription is meant to change, and what actually does the work.
Patient visibility — even at home
- Automated post-discharge check-ins, Day 0 baseline through Day 30
- AI Risk Radar flags concerning survey responses for coordinator review
- MaxAlly family app keeps you connected to the patient after they go home
Help prevent avoidable readmissions
- AI readmission risk alerts surface high-risk patients on your dashboard
- AI decision support suggests the specific tasks to intervene
- MaxAlly lets families report changes at home — surfacing concerns before a bounce-back
- Daily at-risk digest so no one slips through
Protect your VBP score
- Follow-up across the 30-day post-discharge window that drives VBP (SNFRM)
- Early-intervention workflow to help move from penalized toward neutral or bonus
- Documented post-discharge follow-up hospitals want to see under TEAM
Reclaim coordinator hours
- 3-click referrals replace 30–60 minutes of phone tag and faxes
- Automatic provider notifications, accept/decline, and status updates
- MaxAlly keeps families updated in-app, so fewer routine questions reach your staff
- PointClickCare write-back — no double data entry
AI features are decision support for your coordinators — they flag patterns for review. They are not clinical diagnosis.
Ready to see it on your own discharges?
Pick a building, and we will show you what the first 60 days look like.
Talk to our team