Adult day care center software where attendance, authorization and care plan sit in one record
An adult day care center is a community setting that provides supervised care, health services and social activity to adults during daytime hours so they can continue living at home. Federal long term care survey work counted about 4,200 adult day services centers serving roughly 251,100 participants, most of it funded through Medicaid home and community based services. Neurobird records attendance as billable units at the door and tracks every authorization against it.
Neurobird Adult Day Care Center in short
- Record arrival and departure as billable units at the door, not from a sign in sheet later
- Watch every authorization and warn before units run out rather than after
- Keep care plans, reviews and incident notes against the participant and their payer requirements
- 4,200 Adult day services centers counted in federal post acute and long term care survey work, alongside 15,600 nursing homes and 11,500 home health agencies. CDC National Center for Health Statistics, long term care providers
- 251,100 Estimated participants currently enrolled in adult day services centers at the time of the national survey. CDC National Center for Health Statistics
- Pricing runs 130 to 470 US dollars per month across 3 tiers. Early access is free.
What adult day services operators actually deal with
Why it stays broken
Adult day sits between healthcare and social care, so it inherits the documentation load of both and the software of neither. Centers with 40 to 60 participants a day end up running attendance on paper and billing from memory.
A single expired authorization can mean 3 weeks of care delivered that no payer will cover.
Adult Day Care is a supervised program in a community group setting offered during the day to individuals with cognitive and/or physical impairments to promote social, physical and emotional well-being.
Neurobird Adult Day Care Center Coverage Platform
Capture the unit at the door and hold the authorization beside it. The billing month then exists on the last day of the month instead of being assembled.
- 1Record arrival and departure as billable units at the door, not from a sign in sheet later
- 2Watch every authorization and warn before units run out rather than after
- 3Keep care plans, reviews and incident notes against the participant and their payer requirements
- 4Build transportation manifests from the same attendance record the billing uses
What changes with Neurobird Adult Day Care Center?
The same work, read left to right: how it runs today, and how it runs once the record is in one place.
| Today | With Neurobird Adult Day Care Center |
|---|---|
| Attendance is a paper sign in sheet, and the billing month is reconstructed from it at the end of the month | Record arrival and departure as billable units at the door, not from a sign in sheet later |
| Authorizations expire quietly, so care is delivered for 3 weeks that no payer will cover | Watch every authorization and warn before units run out rather than after |
| Care plans, transportation manifests and incident notes live in three binders that only meet during a survey | Keep care plans, reviews and incident notes against the participant and their payer requirements |
Who is this for?
Same day, three different exposures.
You run activity and supervision
Your funding is a mix of waiver, private pay and area agency contracts. You need one attendance record that satisfies all 3.
You deliver nursing and therapy
Clinical documentation and billing units have to agree. You need authorizations tracked against services actually delivered.
You run several sites
Capacity, payer mix and denial rates vary by site and nobody can see it. You need center level reporting from the same record.
How does Neurobird Adult Day Care Center work?
Record attendance as units
Arrival and departure become billable units in the payer's own definition, with the signature captured at the time.
Track authorizations forward
Units remaining, expiry dates and payer limits are visible daily, so a shortfall is a warning rather than a denial.
Keep the record survey ready
Care plans, reviews, incident notes and manifests hang off the participant, so a state licensing visit is a read rather than a scramble.
How adult day services are actually funded and counted
Useful if you are opening a center or renegotiating a contract. Each source links out.
Adult day services centers counted in federal post acute and long term care survey work, alongside 15,600 nursing homes and 11,500 home health agencies.
CDC National Center for Health Statistics, long term care providersEstimated participants currently enrolled in adult day services centers at the time of the national survey.
CDC National Center for Health StatisticsThe Medicaid waiver authority under which many states purchase adult day services as a home and community based service.
Medicaid.gov, home and community based servicesThe year the Older Americans Act created the network of area agencies that still contracts for a share of adult day and caregiver support.
Eldercare Locator, Administration for Community LivingThe day, as your coordinator would run it
A working preview. Tick a participant to record attendance.
- Participant arrivespending
- Claim submittedpending
- Attendance recordedpending
- Units validatedpending
Advance a step to see what the client sees.
Adult day care center software questions, answered
Key terms
- What is an adult day care center?
- An adult day care center, also called an adult day services center, is a community setting that provides supervised care, health services and social activity to adults during daytime hours so they can keep living at home. Federal survey work counted about 4,200 such centers serving roughly 251,100 participants.
How is adult day care usually paid for?
Largely through Medicaid home and community based services, often under a waiver, alongside private pay, Veterans programs and area agency contracts. Each payer has its own unit definition, authorization limits and documentation demands, which is why one attendance record rarely satisfies all of them.
Why do centers lose revenue on attendance?
Because units are billed from paper. A sign in sheet with a missing signature, a participant who left 90 minutes early, or an authorization that ran out on the 12th all become denied claims discovered 6 weeks later.
Does this replace our electronic health record?
No. Clinical documentation can stay where it is. Attendance capture, authorization tracking, transportation manifests and the billing month are what we are building.
Why we are building this
Adult day services keep people out of nursing homes at a fraction of the cost, and the sector runs on paper sign in sheets. That is not a criticism of the people running it. Nobody built them anything.
The money is lost in three predictable places: units not captured accurately, authorizations that expire quietly, and documentation that only assembles during a survey.
We would rather build this with directors than guess. Tell us how your center actually runs a day, and where we have got it wrong.
Where the requirement comes from
Public sources on funding, counts and the long term care context.
- Medicaid home and community based services The federal authorities, including waivers, under which states purchase adult day services.
- CDC NCHS, long term care providers report National counts of centers, participants and staffing across long term care sectors.
- CDC National Post-acute and Long-term Care Study The survey program that produces adult day services center and participant statistics.
- Eldercare Locator, Administration for Community Living The public referral network families use to find adult day and caregiver support services.
How much does Neurobird Adult Day Care Center cost?
Priced per center because licensing, capacity and billing all run per center. Participants and staff users are unlimited on every tier.
- Attendance unit capture
- Participant records
- Authorization tracking
- Monthly billing export
- Email support
- Everything in Single center
- Care plans and reviews
- Incident and note log
- Transportation manifests
- Named contact
- Everything in Licensed operator
- Multi center reporting
- Payer mix analysis
- Survey response pack
- Onboarding included
Get free early access
If you run a center, tell us how attendance becomes a claim today and where the denials come from.
Straight answer on where this is: In development. Early access gets the working preview, influence on what ships first, and early access pricing. It does not get you a login today.
Prefer email? Write to office@neurobird.com and a person will reply. No autoresponder.