Clinical Intelligence for Post-Acute Care

Q: What does a 30-day pilot ask of my team?

A clinical champion, access to your EMR environment, a short weekly check-in, and agreement on the success metrics up front. Zanium handles setup and training.

From the Founder

This was never a business idea. It was a debt I owed to two people.

My mother had a stroke. Before that, dementia. My father lived with Parkinson's, and then cancer. I watched skilled, caring clinicians visit them again and again, and I watched the small signs of decline slip through anyway.

Not because anyone was careless. Because the tools were built to capture a form, not a person.

Home health runs on documentation designed for reimbursement first. The result is exactly what that design produces: the quiet changes that predict a fall, an infection, a readmission go unseen until they are an emergency.

I also own and run a Medicare-certified home health agency. I have paid for every denial and every do-over this system creates.

I built Zanium so that other people's parents are seen. So the clinician at the bedside gets back their judgment, their time, and the full picture. We capture the whole patient first, head to toe, and we let the regulatory paperwork follow from that clinical reality, never the other way around.

This is personal. It always will be.

Shahid Khwaja

Founder & Chief Executive Officer

The Problem

The documentation system is taking clinicians away from patients, and taking revenue away from agencies.

25–50%

of a nurse's shift is spent documenting, roughly two to six hours every day away from the bedside.

SOURCE: ICGI, 2026

All-payer

OASIS submission is now mandatory for every skilled patient, multiplying the surface area for costly documentation error.

SOURCE: CMS, effective July 2025

49.4%

of improper Medicare home health payments, about $1.07 billion in total, came down to insufficient documentation.

SOURCE: CMS improper payment data, 2025

Agencies did not get these results by accident. They were perfectly designed for them.

The Clinical Reasoning Engine

Capture reality first. Derive the documentation from it.

Legacy software asks the clinician to fill in regulatory fields and hopes the patient is described somewhere in the gaps. Zanium inverts that. The whole patient comes first, head to toe, and it is the spine of everything we build.

Step 01 · Capture

The whole patient, head to toe

Ambient point-of-care capture
Comprehensive clinical reality
Admitting clinician's observation holds authority

Step 02 · Reason

ZaniumMed

One engine, five reasoning domains

Patient, Agency, Disease, Institution, and Zanium data
Continuous multi-domain risk stratification
Every finding cites its source; gaps are flagged, not filled

Step 03 · Derive

The paperwork, as output

OASIS, plan of care, and orders
Checked before anything is submitted
Aligned across diagnosis, plan, and note

Populate, never submit. Zanium prepares the documentation. A licensed clinician always reviews and signs. The judgment stays with the human.

The Platform

Six products. One reasoning engine. One data model.

Each product solves a different role's biggest pain. Together they form a single intelligence layer across the entire post-acute episode.

Insight

Intelligence at intake

Turns a referral into an evidence-based plan of care, surfacing risks and interventions before the first visit is ever scheduled.

Essential

Intelligence at the point of care

Ambient documentation and live clinical guidance at the bedside, so the assessment is complete and compliant by the end of the visit.

Assure

Intelligence for revenue

Checks OASIS and documentation in real time, catching the gaps that become denials before a single claim is submitted.

04Q1 2027

Conductor

Intelligence for physicians

A clean physician portal for orders, signatures, and oversight. The delta, not the full chart. Faster turnaround, cleaner trails.

MyZanium

Intelligence for patients and families

Connects the care team to the people they serve, closing the loop on communication, adherence, and the family's peace of mind.

06Q1 2027

Oversight

Intelligence for nursing leadership

The DON's command center. Monitor clinician performance and surface patient escalations across the full census in real time, before a decline becomes a crisis.

Q1 2027 On the roadmap

See It Working

The real product, not a mock-up.

One patient, one picture. Every finding shows where it came from, and the clinician makes every call.

Zanium Insight intake decision card showing homebound status, referring physician, services ordered, medications with high-risk flags, and fall risk for a test patient — Insight · Intake
A referral packet becomes one clinical picture
Homebound status, orders, high-risk medications and fall risk on one card, with gaps marked "not documented".

Zanium Assure OASIS review showing each suggested answer with its OASIS item, and the clinician's decision to accept or override — Assure · OASIS review
Every suggestion waits for the clinician
Each OASIS item shows what is coded now, what Zanium suggests, and the clinician's decision.

Zanium Essential mobile app at start of care, with a microphone button to begin ambient recording — Essential · At the bedside
Tap the mic. Talk to the patient.
Ambient capture on the clinician's phone, so the visit is documented while the nurse stays with the patient.

Screens show test patients only. No real patient data.

In the Field

Not a concept. A platform already running in real agencies.

Live

deployed across paying home health agencies today

Growing

patient census under active management on the platform

4 of 6

products in daily use in agencies today

2026

non-provisional patent filed on the core architecture

Works alongside the EMR your agency already runs. No rip and replace.

Zanium Innovation Labs

Where the proven engine becomes the future.

What if technology could think like your best clinician, document like your fastest nurse, and optimize like your smartest administrator? Every idea in the lab has to pass one test: does it make great care easier?

Our own clinical modelQ1 2027

ZaniumMed

Built for post-acute care

Zanium's own clinical model, trained for home health and post-acute care, ready in Q1 2027.

Zanium Health ScoreIn validation

Predictive risk

The crisis, seen days early

Surfaces decline, fall, and readmission risk earlier in the episode, so intervention beats emergency.

Computer visionEarly lab

Visual assessment

Expert eyes on every detail

Exploring wound progression and home safety, measurement without the guesswork.

The Future We See

Post-acute care, a few years out.

New nurses confident on day one
Care plans that evolve on their own
Complications prevented, not treated
Documentation that happens invisibly
Every decision informed by millions of cases
Compliance without thinking about it
This is not fantasy. It is what we are building, on a foundation that already works.

Inside Innovation Labs →

Built for Your Agency

Enhance the system you already run. Never rip and replace.

Zanium works alongside the EMR your agency already runs. Your clinicians keep the software they know, and Zanium's intelligence follows the patient from referral to claim. No migration, no operational disruption.

ZaniumMed, our own clinical model, will be ready in Q1 2027. It will run the high-volume reasoning on infrastructure we own, so the platform stays fast, consistent, and priced for the margins home health actually runs on.

Built by people who run a home health agency, for the people who run yours.

Patent-pending · Filed 2026

Safety you can see in the design

Head-to-toe primacy as the clinical capture model
The clinical reasoning engine and its five reasoning domains
Populate-never-submit with mandatory clinician attestation
The four-way alignment chain for denial prevention
AI reliability design principles for clinical safety

Why Now

Three forces are converging on exactly the problem we built for.

REGULATION

CMS is turning up the heat

All-payer OASIS and rising claim scrutiny mean documentation accuracy is no longer a back-office task. It is survival. Reviewing after the fact is too late; the catch has to happen before the claim.

CMS, 2025–2026

MARGINS

There is no room left for do-overs

MedPAC has recommended a 7% cut to the 2027 home health rate. Every QA return, denial, and rework cycle now comes straight out of the margin.

MedPAC, March 2026

WORKFORCE

Clinicians are burning out

Documentation burden is a leading driver of nurse attrition. Giving clinicians their time and judgment back is now a retention strategy, not a nicety.

KLAS Arch Collaborative, 2025

The 30-Day Pilot · Limited Cohort

Stop evaluating software. Start living it.

In thirty days, see Zanium working inside your own agency, on your patients, in your clinicians' hands. Not a demo. Not a deck. The live platform, measured against targets we set together.

Days 1 to 5

Connect

Set up alongside your existing EMR
Zero disruption to live operations

Days 6 to 10

Configure & train

Your rules, your workflows
Clinicians trained at the bedside

Days 11 to 25

Run & measure

Live in daily use
Every agreed metric tracked

Days 26 to 30

Readout

Results you can take to your board
Decide together how to scale

01 Intake turnaround

How fast a referral becomes a ready, defensible plan of care.

02 Documentation quality

Completeness and consistency that hold up to review and protect revenue.

03 Time returned to care

Hours given back to clinicians, away from the keyboard, beside the patient.

Single agency

Prove it in your operation

For owners, administrators, and DONs. Thirty days from go-ahead to a results conversation.

Portfolio & multi-agency

Prove it once, scale it across the census

For private equity and multi-agency operators. Pilot one or two agencies, then roll out.

Request your pilot Book a scoping call

Questions

The things agency leaders ask first.

What is Zanium?

Zanium is a clinical intelligence platform for post-acute home health care. Six AI products run on a single clinical reasoning engine that captures the whole patient first, head to toe, then derives the required documentation from that clinical reality.

Does Zanium replace my EMR?

No. Zanium works alongside the system you already run. There is no rip and replace, no migration, and no operational disruption.

How does Zanium protect revenue?

Assure validates documentation in real time, before a claim is ever submitted. It catches the inconsistencies and gaps that typically trigger Requests for Information and denials, so revenue is protected at the source rather than fought for in appeals.

Is the AI safe to use in a clinical setting?

Zanium operates on a populate-never-submit model. The platform prepares documentation and surfaces clinical signal, but a licensed clinician always reviews and signs. The judgment stays with the human, by design.

What does a 30-day pilot ask of my team?

A clinical champion who wants this to work, access to your EMR environment, a short weekly check-in, and agreement on the success metrics up front. We handle setup and training.

Every system is perfectly designed for the results it gets. So we redesigned the system.

This was never a business idea. It was a debt I owed to two people.

The documentation system is taking clinicians away from patients, and taking revenue away from agencies.

Capture reality first. Derive the documentation from it.

The whole patient, head to toe

One engine, five reasoning domains

The paperwork, as output

Six products. One reasoning engine. One data model.

Insight

Essential

Assure

Conductor

MyZanium

Oversight

The real product, not a mock-up.

Not a concept. A platform already running in real agencies.

Where the proven engine becomes the future.

ZaniumMed

Predictive risk

Visual assessment

Post-acute care, a few years out.

Enhance the system you already run. Never rip and replace.

Safety you can see in the design

Three forces are converging on exactly the problem we built for.

CMS is turning up the heat

There is no room left for do-overs

Clinicians are burning out

Stop evaluating software. Start living it.

Connect

Configure & train

Run & measure

Readout

Prove it in your operation

Prove it once, scale it across the census

The things agency leaders ask first.

We are building the intelligence layer for post-acute care.

Talk to us. One inbox, the right person.

Book a demo session