$5.9B
Improper Payment Rate
Skilled nursing facilities have one of Medicare's highest improper payment rates, roughly $5.9 billion annually.
Automated Claim Compliance
AI Powered SNF Billing Compliance
Reduce errors and ensure accurate reimbursement with automated TripleCheck audits and Reimbursement Integrity Review.
99%
Errors Caught
Seconds,
Not Days
50+
CMS/OIG Aligned Rules
Audit Passed
Ready for billing
TripleCheck
Finished in seconds
Trusted Nationwide
200+ facilities love Acuri
Skilled nursing operators rely on Acuri to protect reimbursement and keep every claim defensible.
Pursue Health runs monthly triple check in minutes! The digital audit trail and sophisticated rules are a breath of compliance fresh air.
From day one, I could tell this was a game-changer. Acuri revolutionized our TripleCheck process by automating the third check which is more thorough than the manual process. Gone are the days of manually validating a long list of compliance standards one at a time for each claim and documenting results on printed paper pre-bill forms. With Acuri, our teams feel more confident that they are billing clean claims.
Billions Lost to Preventable Errors
SNF billing compliance is complex, and mistakes are costly. Even small documentation gaps lead to millions in lost revenue and audit risk.
80%
Documentation Issues
Nearly 80% of these errors are due to insufficient documentation, meaning they're entirely preventable.
15%
Part A Error Rate
Medicare Part A SNF claims have an error rate around 15%, representing ~$4.8 billion in improper payments.
Acuri addresses these issues head-on, preventing errors before they happen and protecting your revenue with automated compliance checks.
Calculate Your Risk Exposure
See how quickly we pay for ourselves.
~700
claims / month
Volume is a Risk Multiplier: Your Medicare Part A scale turns small control gaps into enterprise-level exposure.
$10.5M
/ month
Estimated monthly dollars at risk: 700 Medicare A claims × $15,000 per stay.
$105K
/ month
Even when restricting the model to 1% of the CMS-reported error volume (14.9%), the financial impact totals $105K / month.
Finding just 1-2 issues covers your investment
At $15K per caught claim, recovering just $30K in prevented errors and Acuri pays for itself.
Based on 35 claims per facility per month at $15,000 average claim value. All figures shown monthly. Industry risk calculated using the CMS-published 14.9% SNF improper payment rate. Conservative estimate uses 1% (a fraction of the published rate).
The Platform
Follow a claim through Acuri
Watch one claim travel from raw data to billing-eligible. This runs on every claim, every month, automatically.
1Intake
2Validation
3Approval
4Billing-Ready
Approved
ClaimPart A
Skilled stay · 28 days · PDPM
MN ✓B ✓A ✓
Live Sync
⇅PointClickCare
Data Relay
Data Relay
acuriAI + Rules Engine✓MSP · Medicare Secondary Payer status
✓Primary Dx Match · UB-04 vs MDS
✓HIPPS Code Match · UB-04 vs MDS
✓Daily Skilled Need · every covered day documented
✓Cert / Recert · signature missing · resolved
Approval Chain
MNMDS Nurse
Clinical sign-off✓
Clinical sign-off✓
BBiller
Billing sign-off✓
Billing sign-off✓
AAdministrator
Final sign-off✓
Final sign-off✓
Claim drafted from PointClickCare data and clinical documents
MSP · Medicare Secondary Payer StatusPrimary Dx Match · UB-04 vs MDSHIPPS Code Match · UB-04 vs MDSDaily Skilled Need · Every Covered DayCert / Recert · Signatures & DatesSection GG · First 3 Days Post-Admit
How We Transform Your Compliance
AI powered automation that catches errors, validates billing accuracy, and gives your team confidence that every claim is compliant.
Automated TripleCheck Audits
Our system performs comprehensive TripleCheck audits before submission: verifying documentation, checking coding accuracy, and ensuring compliance with Medicare Part A, Part B, Managed Care, and HMO rules.
Catch errors before they cost you
99%Errors Caught
Reimbursement Integrity Review
Our AI validates MDS coding accuracy against clinical documentation, identifying discrepancies in diagnoses, NTA qualifiers, and therapy classifications to ensure every claim is defensible and accurate.
Defensible, accurate claims
100%Claims Validated
Real-Time Alerts & Analytics
Get instant alerts for missing signatures, inconsistent coding, or documentation gaps. Track trends and improvements with comprehensive dashboards.
Fix issues immediately
<30sAlert Time
Trusted by SNF providers nationwide
Ready to Eliminate
Billing Errors?
Join SNF providers who have recovered lost revenue and achieved compliance peace of mind.
Book Your Free Demo✓Free 30-minute demo✓No commitment required