Case studies

Pursue Health runs 12 skilled nursing facilities. Before Acuri, the monthly TripleCheck was the most expensive meeting on their calendar: six to eight hours per building with the MDS coordinator, the billing manager, the DON, and a reimbursement lead in a room, reconciling every Medicare claim against the record by hand. Now Acuri checks the claims before the meeting, and the meeting is a short pass over the exceptions.

One of the facilities at Aspen Healthcare was the first building in the group to put Acuri in front of its billing. Before, the monthly TripleCheck took the MDS coordinator, the biller, the DON, and a reimbursement lead the better part of a day, going down every Medicare claim against the record by hand. Now Acuri checks the claims before anyone sits down, and the meeting is under an hour.

A large operator runs Medicare Part A billing across 44 skilled nursing facilities. Every month, before claims went to Medicare, each building ran its own TripleCheck by hand: billers and MDS nurses in a room reading diagnosis codes off paper and spelling out patient names while everyone else checked their own screens, about eight hours a building. Now Acuri runs that check on its own, and the month-end meeting is an hour or less.