AI Powered. Expert Human Insight. Total Clinical Documentation Integrity.

Because every
patient & dollar matters.

AI-powered Clinical Documentation Integrity built exclusively for community hospitals and health systems. We capture acuity, secure full reimbursement, and defend against payer denials, on contingency, with a money-back guarantee.

Request a Meeting See How It Works
$540K
Average annual reimbursement recaptured per 3,000 IP discharges
30 days
From signed contract to revenue impact
100%
Referenceable client base. No exceptions.
§ 1 · The Industry Problem

Sources: AHIMA Journal · CMS IPPS · DRG audit benchmarks

Hospitals are systematically undercoding their own complexity.

3–7%
of Net Patient Revenue

Lost annually to coding and documentation gaps. For a $500M hospital, that's $15–35M slipping past CDI, quietly.

DRG Audit Benchmarks · 2026
63.2%
CC/MCC Capture Rate

Roughly 37% of Medicare cases miss a documented complication or comorbidity that could change the DRG.

AHIMA Journal
22%
Sepsis Cases Missing MCC

Coded without an MCC despite clear clinical evidence in the chart, at a single tertiary-care hospital.

Vayalil · 2026
2.5×
DRG 291 vs. 293

Same heart-failure patient. With an MCC documented, the DRG pays 2.5× more. Without it, money on the table.

AHIMA CDIP · CMS IPPS
§ 2 · About Sandiola

Built specifically for community hospitals and health systems.

1 · Who We Are

A specialized partner.

An AI technology and expert talent partner focused exclusively on Clinical Documentation Integrity and DRG optimization, not a generalist consulting shop.

2 · What We Believe

Paid what you've earned.

Every hospital deserves to be paid what they have rightfully earned. Especially the community hospitals that are the lifeblood of the communities they serve.

3 · Our Promise

Results, guaranteed.

We're relentless about producing results and stand behind our work. If we don't produce a positive ROI, you don't owe us anything.

§ 3 · How It Works

Three levers behind every result.

1
Tech

100% Case Coverage

A compound AI system reviews every chart in under a second and surfaces the highest-yield charts first.

2
Talent

Dual-Credentialed Talent

Every Sandiola clinician is dual-credentialed in CDI and Coding, a rare combination needed to spot what others miss.

3
Financial Model

Money-Back Guarantee

Contingency-based fees. Every DRG recommendation backed by a money-back guarantee against denials and downgrades.

§ 4 · Expert-Informed AI

Meet Sandy. Purpose-built for CDI.

Trained on four years of real CDI case reviews, powered by Anthropic's most advanced models and a proprietary machine learning algorithm. Sandy reviews charts in under a second, surfacing hidden opportunities your team would never have time to find.

1
AI Speed

Cases reviewed in less than one second. Surface hidden opportunities instantly across your entire inpatient volume.

2
Human at the Helm

Seamless workflows keep your CDI team in charge of every DRG recommendation. Sandy proposes. Clinicians decide.

3
Skip the Noise

Eliminate needle-in-a-haystack manual searches. Focus your team's attention on the highest-value cases first.

4
DRG Explanation

Every suggestion comes with full clinical reasoning, so CDI reviewers understand and confidently confirm changes.

5
Workforce Upskilling

Turns average CDIs into experts. Every suggestion is a teaching moment, building deep institutional knowledge over time.

6
Always On · 24/7/365

Codified CDI coverage that never leaves the organization. Not limited by headcount or hours. Resilient by design.

§ 5 · Proof

$7.7M+ recaptured across 10 client hospitals.

Real reimbursement, recaptured.

Recaptured Annually
$1.5M
Southwest · For-Profit

Southwest Independent For-Profit Hospital

Recaptured Annually
$1.4M
Midwest · Non-Profit

Midwest Independent Non-Profit Hospital

Recaptured Annually
$1.3M
Midwest · Non-Profit

Midwest Independent Non-Profit Hospital

Recaptured Annually
$1.2M
Rocky Mountain · Non-Profit

Rocky Mountain Independent Non-Profit Hospital

Recaptured Annually
$700K
South Central · Non-Profit

South Central Independent Non-Profit Hospital

Recaptured Annually
$500K
Rocky Mountain · Non-Profit

Rocky Mountain Independent Non-Profit Hospital

Recaptured Annually
$400K
Great Plains · Non-Profit

Great Plains Independent Non-Profit Hospital

Recaptured Annually
$300K
Southeast · Non-Profit

Southeast Independent Non-Profit Hospital

Recaptured Annually
$250K
Midwest · Non-Profit

Midwest Independent Non-Profit Hospital

Recaptured Annually
$175K
Southeast · Non-Profit

Southeast Independent Non-Profit Hospital

§ 6 · How We Partner

Two ways to put Sandiola to work.

Most Popular
1 · Full Service

AI + expert CDI team.

Our senior clinicians review every DRG-reimbursed case using Sandy AI. Real-time coaching for your team. Full appeal support included.

Contingency Fee No Recovery, No Fee
  • Review every DRG-reimbursed case
  • DRG recommendations with full clinical reasoning
  • Pre-bill and post-bill workflows
  • Physician query support & real-time coaching
  • Money-back guarantee on denials & downgrades
  • Monthly report: cases, DRG changes, RW shifts, ROI
Start a Pilot
2 · Software Only

Sandy AI subscription.

License the same Sandy AI our clinicians use every day. Your team stays in the driver's seat. We provide the engine.

Custom Tailored Pricing · Based on Volume
  • Full Sandy AI platform access
  • Case prioritization algorithm
  • DRG suggestions with clinical reasoning
  • Pre-bill and post-bill workflows
  • Implementation & onboarding support
Get Pricing
§ 7 · Implementation
30
Days. Not Months.

From contract signing to revenue impact in four weeks, because you can't afford to wait six months to start capturing the reimbursement you've already earned.

Week 1

Contract & Kickoff

Week 2

Tech Access

Week 3

Team Onboarding

Week 4

Go Live

§ 8 · Trusted by Every Client

Our clients' trust is our strongest endorsement.

100% of our clients recommend our services.

“

Sandiola is an exceptional CDI partner, and we appreciate them consistently prioritizing our interests above all else.

Chief Executive Officer
Southwest Hospital
“

Those results definitely work for us!

Chief Executive Officer
Midwest Hospital
“

Sandiola's implementation was easy and having their expert CDI team reviewing our cases to ensure patient acuity is being captured correctly has been a great value add to our organization.

Chief Financial Officer
West Coast Hospital
“

The Sandiola team has been easy to work with. Having a second set of expert eyes reviewing our cases to make sure we are receiving full reimbursement has been very reassuring.

VP Revenue Cycle
Rocky Mountain Hospital
“

Sandiola was the smoothest and easiest implementation I have ever been a part of.

UR / CDI / Coding Director
Midwest Hospital
“

Sandiola's expert CDI team has really helped ensure we are receiving full credit for the work we are doing.

HIM Director
Southeast Hospital
“

The Sandiola team is very knowledgeable and easy to work with. Our team nurse has gained a wealth of knowledge working with Sandiola.

Case Management Director
Southeast Hospital
“

Being a small, rural hospital, our resources are limited, so we rely on Sandiola to be our CDI experts.

Revenue Cycle Manager
Southeast Hospital
“

Even though we have a CDI team, it's valuable having another set of expert eyes ensuring we capture the correct acuity and reimbursement.

HIM Manager
Midwest Hospital
“

As the hospital CDI leader, having the Sandiola team as a second set of eyes gives me full confidence that we are accurately capturing the patient acuity.

Lead CDI
Southeast Hospital
“

Sandiola's expert CDIs have really helped our query process to find reimbursement that we earned but were previously missing out on.

HIM Supervisor
Southwest Hospital
“

Thank you Sandiola... my sleep quality and quantity have improved since we started working with you!

CDI Leader
Rocky Mountain Hospital
“

Your team is such a pleasure to work with! I'm so grateful for all you have taught me.

CDI Team Member
Midwest Hospital
“

It's been great working with Sandiola, they have taught me so much! Thank you for your patience and thoroughness every time I had a question.

CDI Specialist
Midwest Hospital
“

The Sandiola CDI team's attention to detail has helped improve our coding accuracy.

Coding Team
West Coast Hospital
§ 9 · Get Started

Ready to capture every opportunity?

AI Powered. Expert Human Insight.
Total Clinical Documentation Integrity.

Let's talk about a 30-day pilot at your hospital.

Address

Sandiola, LLC

PO Box 26

Cardiff, CA 92007

Request a meeting