Revenue Integrity
Physician advisory expertise from reviews to appeals — with regulatory strength and lasting financial protection.
About Acustat
Acustat helps hospitals protect revenue and strengthen compliance with physician advisory expertise at every step of the review and appeal process. Our platform ensures every inpatient denial is reviewed by subject matter expert physician advisors, while board-certified hospitalists and advisors focus appeals only on cases with real merit. Backed by up-to-date Medicare and Medicaid regulatory knowledge, Acustat supports hospitals through all five levels of appeals and audit defenses.
Identify and Overturn Denials with AI Precision:
Leverage AI to quickly pinpoint appeal opportunities and generate targeted drafts.
Expert Physician-Led Review & Refinement:
Licensed physician advisors act as a human-in-the-loop, ensuring accuracy, clinical integrity, and compelling appeal arguments.
Improve Utilization Management Processes:
Consulting services to streamline operations and enhance compliance, informed by data insights.
Maximize Reimbursement:
Recover lost revenue and improve financial performance through efficient, data-driven denial resolution.
Empower Your Team:
Education and training for your staff and physician advisors, enhanced by technological tools.
15%
$8K–$12K
recovered per overturned case → directly strengthening hospital bottom lines.
20–30%
increase in staff efficiency → freeing Physicians and RNs to focus on other clinical priorities.
Our Expertise
Medicare
- Compliant Status Determinations: Secondary, Short Stay, Extended Stay, and Discharge/HINN12 Reviews
- Denials and Audits: Medical Necessity, DRG Downgrade, Beneficiary, and ALJ Appeals
- Quality Reviews: Mortality, PSI-90, Readmissions, Length of Stay
- Tech-Enabled: AI for accelerated review coupled with human expertise to leverage regulatory guidance
Managed Plans
- Status Determinations: Increased Payment Without Increased Avoidable Denials
- Denials and Audits: Medical Necessity, Clinical Validation, Hospital Billing/Coding, Payment Dispute
Post Acute Care: Pre-Submission/Authorization Review and Denial P2P - Quality Reviews: Mortality, PSI-90, Readmissions, Length of Stay
- Tech-Enabled: AI for accelerated review. Clinical expertise to leverage evidence-based need for hospital care
Commercial
- Status Determinations: Increased Payment Without Increased Avoidable Denials
- Denials and Audits: Medical Necessity, Clinical Validation, Hospital Billing/Coding, Payment Dispute
- Post Acute Care: Pre-Submission/Authorization Review and Denial P2P
- Quality Reviews: Mortality, PSI-90, Readmissions, Length of Stay
- Tech-Enabled: AI for accelerated review. Clinical expertise to leverage evidence-based need for hospital care
Our Services
01
Denials and Appeals
Appeals that win — driven by physician advisor expertise, backed by regulatory strength.
02
Primary Status Review
Getting it right from the start — expert reviews that protect revenue and compliance.
03
Secondary Status Review
Clinical precision in every upgrade — minimizing denials, maximizing revenue.