$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
Catch billing errors before claims go out, with automated TripleCheck audits and Reimbursement Integrity Review.
80+
Checks Per Claim
Minutes,
Not Days
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.
A single missed claim is $15K of exposure
At an average Medicare Part A stay of $15,000, one claim denied or recouped is $15,000 of revenue at risk. This model estimates industry exposure only. It does not estimate what Acuri will find.
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 and checks billing accuracy, so your team knows what needs a second look before you bill.
Automated TripleCheck Audits
Acuri runs a TripleCheck audit on every claim before submission: verifying documentation, checking coding accuracy, and comparing against Medicare Part A, Part B, Managed Care, and HMO rules.
Catch errors before they cost you
80+CMS/OIG Aligned Rules
Reimbursement Integrity Review
Acuri compares MDS coding against clinical documentation and surfaces discrepancies in diagnoses, NTA qualifiers, and therapy classifications, so your team can review and correct them before submission.
Review before you bill
Every ClaimChecked Pre-Bill
Real-Time Alerts & Analytics
Get alerts for missing signatures, inconsistent coding, or documentation gaps as claims are prepared. Track trends and improvements with dashboards across every facility.
Fix issues while the claim is still open
ContinuousNot Month-End
Trusted by SNF providers nationwide
Ready to Catch Billing Errors
Before They Go Out?
Join SNF providers running their monthly pre-bill review on Acuri.
Book Your Free Demo✓Free 30-minute demo✓No commitment required