Ensuring Revenue Received Aligns with Care Delivered
Accuity provides comprehensive clinical revenue integrity services to health systems, leading to higher-quality clinical documentation and accurate, compliant coding. Its technology-powered, physician-led review strategy incorporates physicians, CDI specialists, and coders with proprietary analytics to identify clinical documentation improvement opportunities.
Accuity reviews occur post-discharge and pre-bill; after in-house clinical documentation and medical coding are complete. This space provides a unique vantage point to ensure the true clinical story of each patient’s hospital stay is reflected in the final chart and provides for a non-disruptive engagement.
Leveraging Amplifi Clinical Technology for the Most Precise Clinical Revenue Integrity
Since launching in 2016, Accuity’s physician-led approach has set its solution at the forefront of clinical revenue accuracy and drives Accuity’s ability to find opportunities that would otherwise be uncaptured. The Amplifi Clinical Data Platform, launched in 2023 expands Accuity’s unique methodology by harnessing expansive AI technologies and enabling its clinical precision at scale.
Amplifi revolutionizes the identification of potential diagnoses from clinical indicators in the patient chart and presents opportunities found to Accuity’s clinical experts who ultimately determine the most accurate, complete, and compliant interpretation of the encounter.
The insights identified by Amplifi are driven by its analysis of complete chart data, including the unstructured components like physician notes and imaging that make up 80% of the average chart. The Amplifi clinically intelligent engine leverages Accuity’s physician-created algorithm which contains the codified clinical scenarios and criteria for a complete set of MS- and APR-DRGs, and its proprietary dataset of outcomes from more than four million chart reviews to pinpoint opportunities.
Industry-Leading Results for Health Systems of All Sizes and Types
The substantial financial results Accuity delivers to its clients are driven by many factors including each hospital’s DRG mix and volume. Last year, Accuity delivered half a billion dollars of fully attributable, incremental revenue to its clients and is on a trajectory to exceed that number this year. Because of its turn-key service delivery model, Accuity delivers actualized revenue, not just opportunity found. An ancillary outcome of Accuity’s reviews is a positive impact on risk-adjustment metrics.
Accuity partners with hundreds of hospitals nationwide, with clients in nearly every state. Collective client results from the past 12 months include:
- 7.6% average increase in CC/MCC Capture Rate
- 4.4% average increase in CMI
- 10-25% opportunity rate on viable DRG discharges reviewed by Accuity
- 1% final denial rate on cases reviewed by Accuity
- 2.5% increase in Elixhauser code capture
- HCC codes captured on 10-15% of cases
- Ancillary improvement of Severity of Illness (SOI) and Risk of Mortality (ROM)
A Comprehensive Partnership
Accuity’s AI-powered, physician-led reviews unlock full reimbursement and quality capture, covering all payers (Medicaid, Medicare, Commercial) and all DRGs/diagnoses. Added value components of Accuity’s service provided at no additional cost include:
- Clinical denials support
- Data-driven, education delivered peer-to-peer
- Business intelligence reporting
- External compliance audits provided by PwC
- Commitment to data security demonstrated by HITRUST certification
Try Accuity with No Financial Risk
Accuity bridges the gap between care delivered and revenue received through its unique service model combining clinical expertise with its proprietary clinical technology, Amplifi. Accuity’s clients realize optimized reimbursement, typically two to three times more than competitive offerings, better educated and engaged physicians, and improved quality metrics without extra work added to their team’s plate.
Accuity offers a 60-day, no-risk pilot, as an opportunity for new clients to validate their potential revenue impact and the Accuity partnership. Revenue improvement begins in the first 30 days. Visit www.accuityhealthcare.com/60-day-pilot to learn more and request customized financial projections for your health system.