Hospice eligibility,
completed in minutes.

Atulya digitizes the hospice eligibility workflow end-to-end. Nurses capture patient data at the bedside, physicians review and decide eligibility on their phone, and AI assists with Certification of Terminal Illness documentation in minutes, not days.

HIPAA-alignedStructured bedside intakeAI-assisted CTI drafting
Atulya app icon
Time to eligibility
Several days → under 60 minutes
Several days
Industry average eligibility time
<60 min
Target with Atulya
41%
Hospice referrals rejected (2022)
$1.5B
Annual Medicare savings if hospice begins 5 days earlier
The Product

A purpose-built platform for the eligibility bottleneck.

Atulya is a hospice application built specifically for eligibility workflows. It helps teams move referred patients from bedside intake through physician review and certification in one connected experience for nurses, physicians, and managers.

  • Structured bedside intake on tablet
  • Mobile-first physician review and eligibility decision
  • AI-assisted CTI drafting
  • Real-time dashboards for managers across the entire pipeline
Patient · Awaiting Review
Awaiting Physician Claim
Eleanor R.
ID-ER123456 · F · 82 yrs
Working diagnosis
Heart failure
I50.9
Level of Care
RHC
PPS
40%
Code
DNR
Submitted 5/1/2026, 12:00 PM
The Bottleneck

Delays in hospice eligibility outlast the time many patients have.

Hospice eligibility today is paper, faxes, and phone tag across nurses, physicians, and intake coordinators. Every day of delay is a day a terminally ill patient goes without comfort care, and a 2026 analysis found that moving hospice election just five days earlier could save Medicare $1.19B-$1.5B annually while improving timely access to comfort-focused care (Hospice News, Apr 2026).

18–24days
Median hospice length of stay
NHPCO Facts & Figures, 2024
62.5%
Late referrals linked to process factors
NHPCO / Brown University
$1.5B / yr
Medicare savings if hospice begins 5 days earlier
ATI Advisory, 2026
One Connected Path

From referral to certified eligibility, in one workflow.

No more re-keying intake data into the EHR, the billing system, and the CTI. Atulya captures structured clinical data once and carries it through every step.

  1. 01
    Bedside intake

    Nurse captures demographics, diagnoses, functional status (PPS + ADLs + falls), nutrition, cognition, medications, and a hospice-eligibility narrative during the home visit.

  2. 02
    Request review

    One-tap submission notifies the physician instantly. No fax, no phone tag, no waiting room.

  3. 03
    Mobile eligibility decision

    Physician reviews structured patient data on their phone, claims the case, and marks the patient eligible or not yet eligible in minutes.

  4. 04
    AI-assisted CTI draft

    Atulya generates a draft Certification of Terminal Illness for physician review, editing, and signature.

Built for the entire eligibility team

Three roles. One platform. Zero re-entry.

RN

For Nurses

Tablet- and laptop-friendly intake designed for home visits. Curated quick-pick ICD-10 codes by LCD category, plus full NLM autocomplete for the long tail.

  • 8-section structured assessment
  • ICD-10 & medication quick-picks with NLM autocomplete
  • PPS, FAST, ADLs, BMI, and hospice narrative
  • Comments & assignment tracking
MD

For Physicians

Mobile-first review designed for the device physicians actually use. Get notified, review, claim, and decide eligibility, all from your phone.

  • Push-driven review queue
  • One-tap claim, mark eligible or not yet eligible
  • AI-assisted CTI drafting with edit + e-sign
  • In-app telehealth video calls with patients
M

For Managers

Real-time visibility into the eligibility pipeline. See every bottleneck, every pending case, every KPI, without waiting for a weekly report.

  • Live eligibility pipeline KPIs
  • Process time & status breakdown charts
  • Nurse workload, rosters & scheduling
  • Medications and reports
HIPAA-First Architecture

Compliance is the foundation, not a feature.

Atulya is designed with HIPAA compliance in mind, using confidentiality, integrity, and access-control safeguards for PHI across product workflows.

BAA-backedHIPAA-aligned controlsSecurity review readyEncryption in transitMFA enforced
Encrypted everywhere

Data is encrypted at rest and in transit using industry-standard controls.

Server-side PHI

Protected health information is processed securely server-side and minimized in client exposure.

Tenant isolation

Customer data is logically isolated to maintain strict separation across organizations.

Full audit trail

Access and critical actions are logged with auditability controls for compliance review.

SSO + MFA

Strong identity controls include single sign-on support and multi-factor authentication.

Private AI

AI-assisted workflows are designed to operate within secure, privacy-focused boundaries.

AI-Assisted CTI

The certification, drafted in seconds. Signed by the physician.

The Certification of Terminal Illness is governed by 42 CFR 418.22 and is the gating document for eligibility. Atulya helps generate a draft CTI to accelerate documentation while keeping the physician in control of review, edits, and final signature.

Human-in-the-loop

A licensed physician must review, edit, and electronically sign every CTI. AI support does not replace clinical judgment.

Secure documentation support

AI assistance supports documentation workflows while maintaining privacy and compliance requirements.

LCD-aware

Diagnoses are checked against the 12 CMS LCD categories and the CR 13882 exclusion list before submission.

Proven in the field

Designed with the clinicians who live this workflow every day.

Atulya was built by a team that started in the field, not the boardroom. Every screen reflects the actual rhythm of a hospice nurse's home visit and a physician's on-call shift.

50,000+patient eligibility journeys informing the design
About Atulya

Giving hospice patients their days back.

The median hospice stay is eighteen days. Every day lost to paperwork is a day a patient doesn't get the comfort, dignity, and family time hospice is meant to provide.

Our mission

Remove the eligibility delay entirely, so the people who qualify for hospice actually receive it while they still can.

What we solve

We replace fragmented phone calls, faxes, and delayed signatures with one connected path: structured bedside intake, instant mobile physician review, and an AI-assisted certification draft ready to sign.

How we work

Designed with the nurses, intake teams, and physicians who live this workflow. HIPAA-aligned safeguards by default. AI that supports clinical judgment, never replaces it.

Ready to compress your eligibility timeline?

Talk to the team about a pilot at your hospice. We'll walk through the workflow, the architecture, and the path to eligibility in minutes.