Medication-adherence Clinical Decision Support
Detect adherence decline before it becomes hospitalization.
Facility-grade, non-device clinical decision support for hospitals exposed to the CMS Hospital Readmissions Reduction Program. RxSmart.ai scores every enrolled patient every cycle and routes each finding to the right clinician, with the right action, inside the right window.
Non-device CDS under Section 520(o)(1)(E) · Proprietary scoring engine · Every recommendation routes through a licensed clinician
The engine
Scores that route to action.
The engine reads signals your data already carries and computes a single 0–100 adherence score. The method is a proprietary scoring engine — the score, its tier, and the recommended action are shown; the formula is confidential.
Missed doses — frequency and recency of gaps
Refill latency — delay between due and fill
Polypharmacy — interaction and regimen complexity
Engagement — response and touchpoint patterns
Cost barriers — affordability signals that predict abandonment
| Tier | Score | Action & window |
|---|
| STABLE | 70–100 | Routine monitoring |
| MONITOR | 50–69 | Watch at next touchpoint |
| ALERT | 25–49 | Pharmacist outreach < 72h |
| CRITICAL | 0–24 | Coordinator / physician < 24h |
| NO DATA | — | Verify enrollment / source |
Thresholds are operationally ratified and under prospective pilot validation — not represented as clinically validated cut-points.
See it work
Move the signals, watch the tier and action change.
An illustrative demonstration of how signals map to a tier and a clinical action. This demo uses simplified illustrative math — not the proprietary scoring engine.
The five agents
Purpose-built minds on your live cohort.
Each agent does one job and reports back for clinician review. Agents inform — they never act on a patient without you. They operate only inside the platform, on your enrolled cohort, after sign-in.
Triage
Ranks the cohort by escalation urgency and drafts the day's outreach worklist.
Billing
Reviews device-supply eligibility (99445 / 99454) and time-based capture (99470 / 99457 / 99458), flags missing interactive-communication documentation, and surfaces the RPM / RTM distinction for your certified coder.
Trends
Surfaces adherence trajectories — who is declining before they cross a tier boundary.
Sentinel
Watches for co-firing risk patterns that historically precede readmission, and for data-integrity gaps.
Copilot
Answers staff questions about the live cohort in plain language for nurses and care coordinators.
Economics
A flat fee, designed to be offset by reimbursement.
RxSmart.ai charges a flat $45 per patient per month. It is designed so that CMS remote-monitoring reimbursement can offset that fee. All figures below are illustrative — subject to the current CMS Physician Fee Schedule and geographic adjustment, and not a guarantee of payment.
Where it fits
Different from a reminder app, a pill bottle, or an EHR module.
| Capability | RxSmart.ai | Reminder app | Smart bottle | EHR module |
|---|
| Computes clinical risk (0–100 score) | Yes | No | Partial | Partial |
| Time-bound action per tier | Yes | No | No | Partial |
| Tamper-evident audit chain | Yes | No | No | No |
| Reimbursement-aligned billing support | Yes | No | Partial | Partial |
| Hardware required | No | No | Yes | No |
General category comparison for orientation only; individual products vary. RxSmart.ai is non-device CDS under Section 520(o)(1)(E) and is not FDA approved, cleared, or authorized.
Deployment
From signature to first scored cohort in about a week.
1
Sign the BAA (days 1–2)
A standard, attorney-reviewed Business Associate Agreement. No data is connected before it is executed.
2
Connect your data via FHIR (days 3–5)
Authorize RxSmart.ai against your FHIR R4 endpoint with read-only scopes; your tenant is provisioned on encrypted infrastructure.
3
First scoring pass (day 6)
Every enrolled patient is scored and tiered; the worklist is triaged on first login.
4
Operate & bill (week one)
Clinicians work the tiers; billing-eligible encounters are staged with documentation and audit provenance.
Request a 30-day pilot
Training
Your team is onboarded inside the platform.
An interactive clinical training library — modules, knowledge-check questions, and saved progress — maps each concept to a workflow: the tiers and escalation windows, the routing rules, the billing distinction, FHIR enrollment, MemoryAnchor framing, and audit-chain review.
Tiers & windows
How the ratified bands map to a 72-hour or 24-hour clinical action, and the override workflow.
Billing workflow
The CY2026 code set, mutual exclusivity, the interactive-communication rule, and the RPM / RTM distinction.
FHIR & audit
Enroll via the EHR with no hand-typed PHI, and verify the SHA-256 chain before compliance review.
Inside the platform
A worklist ordered by clinical urgency.
After sign-in, the cohort surfaces highest-need patients first — NO DATA, then CRITICAL, ALERT, MONITOR, STABLE.
RxSmart.ai · Cohort worklist (illustrative)
Patient — CHF
missed 11 / 30 · 12 days lateCRITICAL 18
Patient — T2DM
missed 6 / 30 · 5 days lateALERT 41
Patient — COPD
missed 3 / 30 · on deviceMONITOR 61
Patient — HTN
missed 1 / 30 · on deviceSTABLE 88
MemoryAnchor
A cognitive memory buffer — cognitive support, not treatment.
For patients who struggle to remember, MemoryAnchor holds the patient's profile, people, medications, and routine, and returns them on demand — with a patient link and a caregiver link, and weekly adherence monitoring that routes to the care team. It is cognitive support, not treatment: it does not treat, restore, or cure dementia or Alzheimer's disease, and it is not a substitute for clinical care.
FAQ
Questions hospitals ask.
How is the score different from MPR or PDC?
MPR and PDC are retrospective, aggregate ratios. The engine combines multiple live signals into a prospective, per-patient 0–100 score that routes to a specific clinical action each cycle. We are building pilot data to demonstrate comparative performance; we do not claim the score outperforms PDC without that study.
Is it HIPAA-aligned?
A Business Associate Agreement is signed with each facility before any data is connected; no patient data is connected until a Business Associate Agreement is executed with every subprocessor, and every action seals to a tamper-evident SHA-256 audit chain.
Does it replace our EHR?
No. RxSmart.ai reads from your EHR via FHIR R4 and supports clinicians; it is not a system of record.
What does the Section 520(o)(1)(E) exemption apply to?
It applies to the software's status as non-device Clinical Decision Support: the clinician remains the decision-maker, and RxSmart.ai is never described as FDA approved, cleared, or authorized.
What happens to our data if we cancel?
Your tenant data is handled per the Business Associate Agreement and the data-handling terms agreed at signing.
Who built RxSmart.ai?
Bionectech, Inc. (Texas) and Bionectech AI, LLC (Maryland).
Honest status
What is live today — and what is on the roadmap.
Live in production
- Cohort dashboard, patient roster, and admin console
- Scoring engine with the ratified four-band tiering and NO-DATA handling
- Five-agent console and MemoryAnchor cognitive memory buffer
- JWT authentication and role-based access control
- SHA-256 append-only audit chain
- CPT staging for the CY2026 code set (99445 / 99454 device tiers; 99470 / 99457 time tiers (mutually exclusive); 99458 add-on only after 99457 is met) with interactive-communication capture — RPM vs RTM set by your certified coder
- Discharge medication-reconciliation view (FHIR-computed)
- FHIR R4 patient import (Epic, Cerner, athenahealth)
- Interactive clinical training library
On the roadmap
- SMS / IVR outreach
- Connected smart-dispenser (BLE) device pairing
- EDI 837P batch billing export (CSV export available today)
- Caregiver mobile companion app
Get started
Run a zero-cost 30-day pilot.
Sign a standard BAA, connect a data feed, and the engine scores your first cohort within a week. If you decide not to continue, no invoice is sent.