Built by clinicians, for clinicians, SARA is SimiTree’s proprietary AI-powered OASIS review solution designed to enhance the speed, accuracy, and quality of the outsourced coding and OASIS review services we deliver to home health agencies.
Developed using over one million charts and refined by SimiTree’s certified coding experts, SARA combines the power of artificial intelligence with real clinical expertise and sets a new standard in post-acute care documentation.
What Is SARA?
SARA (SimiTree Assessment Review AI) is a specialized AI platform designed to accelerate chart review processes, reduce operational strain, and improve both coding accuracy and OASIS scoring without compromising compliance. It uses Robotic Process Automation (RPA), Optical Character Recognition (OCR), and custom-trained Large Language Models (LLMs) to interpret unstructured clinical documentation and identify the most accurate ICD-10 codes, OASIS responses, and Plan of Care components.
By combining RPA, OCR, NLP, and LLMs, SARA cross-validates structured OASIS data against unstructured clinical narratives, bringing unmatched speed and precision to one of home health’s most complex workflows.

SARA is more than a tool, it’s the proprietary engine behind SimiTree’s best-in-class coding and OASIS services. For clients who outsource Coding and OASIS reviews to SimiTree, SARA enables faster turnaround, better accuracy, and lower costs. While not offered as a standalone product, agencies benefit from SARA’s AI-powered reviews when they partner with us for coding and OASIS support.
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How Does SARA Work?
From Documentation to Coding: What AI-Powered OASIS Review Means for Your Team
- Ingests clinical documentation using OCR and NLP
- Extracts critical data across OASIS, diagnosis codes, and care planning
- Cross-examines documentation for discrepancies
- Flags issues and suggests corrections with direct quotes from the original narrative
SARA’s AI doesn’t just flag discrepancies, it performs comparative analysis. For example, it will flag if the OASIS indicates the patient is ‘independent’ while documentation states ‘substantial assistance required,’ and then cite the exact line from the chart to justify the recommended fix. - Passes to SimiTree’s QA team for human validation

This hybrid model blends speed with accuracy, empowering agencies to improve their clinical and financial outcomes.
What Makes SARA the Leading AI-Powered OASIS Review Solution?
- AI with Human Experience: SARA enhances SimiTree’s clinical review process by integrating AI with our team of certified coding professionals for expert validation on every chart.
- PDGM-Optimized OASIS Review: The platform identifies Risk Adjustment opportunities, ensures functional alignment, and provides real-time QA alerts, supporting PDGM consulting strategies, all of which help maximize reimbursement and compliance. Looking for PDGM revenue optimization tools?
- Seamless Implementation: SARA requires no new software or infrastructure to get started. SARA integrates through APIs and RPAs into your existing workflow.
- Reduced Costs & Review Time: SARA streamlines the review process by leveraging citation logic and AI-powered validation, giving teams back valuable time and reducing bottlenecks in QA.
- Built for Scale: With 24/7 capacity, SARA eliminates staffing bottlenecks caused by PTO, turnover, or inconsistent productivity. It supports sustainable growth even in a constrained labor market.
This efficiency is driven by SARA’s unique ability to cross-check data points and provide direct, sourced citations from clinical documentation to justify every correction. That transparency not only improves accuracy but builds trust with QA teams and surveyors alike.
While SARA competes with emerging AI platforms, it stands apart through its specialized focus, real-time citation logic, and clinician-driven oversight. Many AI tools aim to automate revenue cycle management broadly, SARA’s strength lies in its narrow focus. Purpose-built for OASIS, PDGM, and home health compliance, SARA delivers deeper context and more accurate recommendations than generalist tools like Fathom or CodaMetrix.
Why We Built SARA
SARA wasn’t designed to be sold as software. It was built to help our clinical teams deliver better, faster, and more accurate results to clients, especially as documentation demands grow and staffing pressures mount. When you partner with SimiTree, you get the combined power of expert reviewers and AI-powered precision.
Who Is SARA For?
Built for Home Health: An AI-Powered OASIS Review Engine You Can Trust
SARA is an AI chart review internal enablement tool for home health, designed to support agencies facing documentation bottlenecks, audit risk, and staff turnover.
- Home health agencies seeking faster, more accurate coding and OASIS reviews
- Organizations looking to reduce audit risk and improve reimbursement
- Clinical teams facing documentation bottlenecks or turnover
- Compliance leaders looking for trusted support from a QA-backed partner
Implementing SARA: What to Consider
Seamless For You. There’s no software to install or workflows to redesign… SARA works behind the scenes to power every review our team delivers. We integrate through APIs and RPAs into your existing workflow. Other considerations for your team:
- Secure BAAs to ensure HIPAA compliance
- Train staff to review AI-recommended changes efficiently
- Evaluate current EHR integration options for seamless data flow
What Problems Does SARA Solve?
How Our AI-Powered OASIS Review Enhances Accuracy and Compliance
- Cuts OASIS documentation review by more than 80%
- Reduces chart review time from 30–45 minutes to under five
- Eliminates guesswork with direct citations from clinical notes
- Boosts PDGM alignment with precision scoring and QA logic
- Trained on millions of anonymized records, specifically from home health and hospice
The stakes are high. Inaccurate OASIS scoring not only reduces payment under PDGM but may also trigger audits and negatively impact star ratings on Care Compare. With reimbursement tied directly to OASIS accuracy, agencies cannot afford errors. SARA improves home health documentation efficiency and accuracy, validating every OASIS and coding decision with clinical citations.
- Staffing shortages: Agencies scale without increasing headcount. If you need additional support beyond this powerful internal enablement solution, learn more about our interim staffing solutions.
- Denials and audit risk: Real-time QA logic prevents submission errors
- Documentation inefficiencies: Streamlined review improves turnaround time
- OASIS and PDGM inaccuracy: Precision scoring boosts reimbursement

“OASIS assessments are the foundation of home health reimbursement and outcomes measures, yet they remain one of the most complex and error-prone assessment tools in healthcare. SARA brings Al precision to OASIS and coding, improving patient assessment accuracy and optimal reimbursement outcomes.”
— J’non Griffin, SVP Coding and OASIS/Compliance
Looking for More?
With SARA, SimiTree is pioneering a model of domain-specific, clinician-supported AI that balances accuracy, efficiency, and compliance. SimiTree’s AI-powered OASIS review helps agencies scale smarter and grow stronger.
Contact us today to learn more about how our specialized solutions can support your practice’s growth and success.
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