Accuity, the market leader in clinical revenue cycle integrity for hospitals and health systems, has delivered incremental net cash averaging $10 million to $12 million and an ROI of 200% to 500% in 2024 for its more than 50 clients and 400 hospital sites across the United States. In the past 12 months, Accuity has generated more than $600 million in annualized net cash benefit in total for provider clients.
Accuity’s unique model for mid-revenue cycle services combines its state-of-the-art Amplifi AI-enabled technology with expert input and oversight by 185 multi-specialty physicians paired with coders and clinical documentation integrity (CDI) specialists. By ensuring the most accurate, complete and compliant clinical documentation and coding that captures full inpatient care, especially for complex cases, Accuity consistently drives significant incremental cash every year for its clients.
“Our groundbreaking physician-led and tech-powered approach is key to successfully translating the medicine delivered and documented into the proper diagnosis codes. Technology alone cannot bring the clinical intelligence and coding expertise necessary to bridge the gaps and fill in the gray areas between clinicians, coders and CDI teams,” said Todd Van Meter, CEO of Accuity. “By unifying deep human knowledge and experience with our patent-pending AI system, which was developed based on more than 4 million chart reviews, we produce the most substantial financial results for clients.”
With its HITRUST r2-certified solution, Accuity’s proven track record is driving fast growth, attracting more than a dozen new clients in the past year. It also reviewed 55% more charts in 2024 than last year.
Founded in 2016 by hospital-based physicians, Accuity’s post-discharge clinical documentation and coding integrity leadership has only become more crucial for improving provider financial health. Claim denials are a case in point. Nearly 3 out of 4 providers agree that claim denials are increasing, and 49% report that their claims are denied at least 10% of the time, according to Experian’s 2024 State of Claims report. In contrast, Accuity’s final DRG assignment-related denial rate is 1.5%, with Accuity supporting denials on all charts reviewed.
Accuity’s approach delivers other major benefits, including:
- 60-day no-risk Pilot as proof-of-concept, with the last 21 providers continuing with Accuity post-Pilot
- Amplifi accelerates segmenting and prioritizing high-impact cases for review
- Turnkey service that handles the entire process, from chart reviews to clinical queries sent by Accuity doctors to client physicians if necessary to claims submissions, thus not adding more work to hospital teams
- Improvement opportunities through customized peer-to-peer documentation and coding education for each client’s doctors, coders and CDI specialists
- Covers pending claims for all insurers, including Medicare, Medicaid and commercial plans
- 12-week implementation with minimal provider IT effort needed
About Accuity
Headquartered in Mount Laurel, NJ, Accuity’s tech-enabled physician-led platform provides hospitals with accurate, higher-quality clinical documentation and compliant coding so they can thrive in today’s complex value-driven environment. Accuity’s industry-leading inpatient clinical documentation review strategy incorporates physicians, CDI specialists, and coders combined with data-driven proprietary analytics to identify clinical documentation improvement opportunities. Accuity’s clients realize optimized reimbursement, better educated and engaged physicians, and improved quality measures. Clients engage with a 60-day, no-risk pilot, driving proven rapid results.
Contact
Lois Padovani, Padovani Communications Inc.
[email protected]