A full EHR and revenue cycle for healthcare.
Chart, Cadence, Claims, and Contracts run clinical records, remove the administrative layer from clinical staff, and recover the money you’ve already earned — under a hard financial doctrine and with HIPAA and 42 CFR Part 2 compliance built into the platform, not bolted on. Purpose-built for behavioral health.
Four apps, one platform
Chart
A full EHR, built into the platform.
The clinical core — patient charts, assessments, treatment plans, progress notes, orders, and e-prescribing, with the same audit trail, PHI access logging, and consent tracking as the rest of xOPS. Because Chart, Cadence, Claims, and Contracts share one system, clinical documentation flows straight into census and billing — no duplicate entry, no interface engine, no third-party EHR to reconcile against.
Cadence
The census board becomes a system of record.
Replaces the paper census board with a digital, e-signed, audit-ready record. Nurse-reported census with charge-nurse e-signature, a watchdog for unsigned shifts, a coverage sentinel for scheduling gaps, dual-census reconciliation against billing, and AI shift summaries. Survey-ready exports mean state surveys stop being fire drills.
Claims
Your full revenue cycle, under a hard financial doctrine.
Charge capture from 17 kinds of sources, 837 submission, real-time 270/271 eligibility, ERA auto-posting, and a general ledger with period close. Posted money is immutable and AI only drafts while humans post — auditability your auditors will love, with AI-prioritized collections and AR aging on top.
Contracts
The underpayments you can’t currently see.
Reads your payer contracts with AI, prices every claim against its actual terms across fourteen reimbursement methodologies, flags every variance, and drafts the appeals to recover them. RCM outsourcers charge a percentage of collections for a less transparent version of this.
HIPAA & 42 CFR Part 2, built into the platform
Consent tracking, PHI access logging with user and purpose, right-of-access exports, and retention policies live in the schema. The AI doctrine — drafts labeled, never auto-applied, humans approve — is the posture a compliance officer needs to sign off on AI in a hospital.
What each leader buys
Stop spending clinical labor on paper.
Nurses are hard to hire and easy to burn out, and margins are payer-squeezed. xOPS removes the administrative layer from clinical staff (Cadence) while recovering money you’ve already earned (Contracts) — growth in margin without growth in census.
You have underpayments right now. You just can’t see them.
Contracts reads every payer contract, prices every claim against its actual terms across fourteen methodologies, flags every variance, and drafts the appeal — for a flat fee, on your own instance, with your team in control. Run the valuation sweep over last year’s remittances and the product quantifies its own business case.
The census board becomes a system of record.
Nurse-reported digital census with charge-nurse e-signature, a watchdog for unsigned shifts, a coverage sentinel for scheduling gaps, dual-census reconciliation against the billing system, and AI shift summaries. Survey-ready exports mean audits stop being fire drills.
Compliance is in the schema, not in a binder.
Every PHI access logged with user and purpose, Part 2 consent tracking, right-of-access exports, retention policies — and the AI doctrine (drafts labeled, never auto-applied, humans approve) is exactly the posture a compliance officer needs to sign off on AI in a hospital.
Want the variance number for your own remittances? See the platform or start a conversation.
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