Accuity’s Amplifi™ Technology Boosts Revenue to Providers by $4MM to $6MM Per Each 10,000 Discharges

Accuity, the market leader in clinical revenue cycle integrity for hospitals and health systems, is revolutionizing the healthcare revenue cycle with advanced technology that mimics and enhances the thought process of highly specialized physicians. Amplifi, a proprietary, AI-enabled tool developed and used by Accuity, adds 15% additional incremental revenue lift for provider clients by ensuring the full clinical picture is captured for billing so that clients can be fully and fairly paid for patient care in a compliant manner. Accuity plus Amplifi consistently delivers between $4MM and $6MM in incremental revenue benefit per 10,000 DRG-eligible inpatient discharges for our clients.

Amplifi has enabled Accuity to increase the effectiveness of its physician-led and tech-enabled business model for clinical documentation reviews and other mid-revenue cycle services. Accuity combines its unique patent-pending Amplifi technology that thinks like a physician with the expertise and experience of nearly 200 multi-specialty physicians, paired with coders and clinical documentation integrity (CDI) specialists. This approach ensures the most accurate, complete, and compliant clinical documentation and coding for inpatient care, especially for complex cases.

“Traditional provider revenue cycle processes often struggle to capture the full picture of all available clinical data, resulting in missed revenue, efficiency, and accuracy in DRGs and payer billing. Our Amplifi-powered solution addresses these complexities, ensuring hospitals and health systems can optimize their billing and coding processes, reduce costs, and improve cash flow and net profits. We are excited to continue the rollout of Amplifi across our client base,” said Todd Van Meter, CEO of Accuity.

Improved Provider Results
Accuity’s clinical team uses Amplifi as a tool to enhance work processes, enabling them to more quickly and accurately pinpoint gaps between delivered and documented care and coding. With Amplifi, Accuity:

• Supports a more accurate clinical picture, more opportunities identified, ensuring that each diagnosis is supported by the most accurate clinical data available.
• Lowers unit cost to clients.
• Delivers faster review turnaround time.

“Our ongoing partnership with Accuity has been instrumental in significantly increasing our compliant revenue. This enables us, as a non-profit health system to invest more in our people, facilities, operations and technology to fulfill our mission of delivering world-class outcomes to our patients and communities across our 10 acute care adult and pediatric hospitals,” said J.J. Melin, Assistant Vice President of Clinical Documentation Integrity, Audit and Appeals for MultiCare Health System. “Accuity has taken its effectiveness to a new level with Amplifi, which identifies more opportunities at a lower cost for an enhanced return on investment. As a result, we are accelerating cash flow and capturing more than $16M in net annual return that we would otherwise not have received without Accuity’s services.” J.J. went on to state, “Accuity’s outcomes, reporting, and superb customer support illustrate the ongoing exceptional partnership to internal stakeholders, Hospital Presidents, CFOs, COOs, CNOs, and supporting department leadership, solidifying the need for Accuity’s services in years to come.”

Amplifi Thinks Like a Physician
The key to this success is Amplifi’s groundbreaking 1,300 clinical algorithms, which map the complex reasoning of physicians into a machine-readable format. Accuity’s highly specialized physicians invested more than 16,000 hours in developing clinical mind maps, initially on paper in 2018, and later digitized into the algorithm. These mind maps account for 175,000 clinical pathways and 360,000 clinical decision nodes, ensuring that every potential clinical scenario is accurately captured.

In addition, the algorithms are built on eight years of data from more than five million chart reviews and analyses, 580,000 queries, and 500,000 coding changes. As a result, Amplifi considers the multitude of clinical pathways and decision nodes that influence DRG assignment to suggest more accurate DRGs. All suggested changes are reviewed, certified, and implemented by Accuity’s qualified specialists.

Leveraging AI and No-Code Updating
Amplifi’s clinical algorithm is enhanced by cutting-edge technology, which enables it to process large volumes of clinical data with unparalleled speed and accuracy. The integration of advanced technologies, including natural language processing and AI, allows Amplifi to identify relevant clinical data and present it to the reviewing physician in an intuitive, user-friendly interface.

What’s more, Amplifi keeps getting better. Its organic, no-code system allows the algorithm to evolve based on physician input and client feedback, empowering expert physicians to tailor the system to the specific needs of their specialty without relying on external developers. This flexibility ensures that Amplifi can adapt to changing clinical needs and continuously improve its performance.

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.

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