ESC
ACURO / PRODUCT ARCHITECTURE

The Automated EHR Audit Engine.

A modular clinical intelligence platform built to parse unstructured medical records, evaluate configured audit logic, and anchor every discrepancy to auditable evidence.

Acuro Product Architecture Data Layers
MODULE 01

Clinical Intelligence & Entity Resolution

Healthcare text is dense with acronyms, anatomical laterality, and subjective observations. The Clinical Intelligence engine reads physician documentation not as arbitrary strings, but as structured clinical facts.

  • Anatomical site and laterality disambiguation (e.g. left vs right radial artery)
  • Acuity and severity modifier classification (acute, chronic, recurrent)
  • Procedural action and instrumentation verification
SYNTACTIC ENTITY GRAPH
[ENTITY: ANATOMY] Right Lower Quadrant
[ENTITY: CONDITION] Acute Appendicitis (Acuity: High)
[ENTITY: DIAGNOSTIC] Ultrasound confirmation (7.8mm diameter)
TEMPORAL & NEGATION LOGIC
CASE: "History of hypertension resolved 2021"
Status: Past History (Non-billable as active diagnosis)
CASE: "Patient denies chest pain"
Status: Direct Negation (Exclude symptom code R07.9)
CASE: "Rule out acute pancreatitis"
Status: Outpatient Uncertain (Review required)
MODULE 02

Context Engine & Negation Parsing

Generic search tools fail in healthcare because they flag keywords without context. The Acuro Context Engine evaluates whether a diagnosis is actively treated during the encounter, an unconfirmed rule-out hypothesis, or explicitly denied by the patient.

This critical filtration prevents false-positive alerts from cluttering the review queue.

MODULE 03

Every signal should have evidence.

No black boxes. Every discrepancy surfaced by Acuro is linked directly to the exact sentence in the medical record.

STEP 01

Discrepancy Signal

System detects mismatch between assigned code and clinical narrative.

STEP 02

Sentence Span Link

Exact line reference in EHR note highlighted in real time for reviewer inspection.

STEP 03

Configured Rule Check

Rule criteria and coding guideline reference displayed alongside findings.

STEP 04

Human Audit Trail

Reviewer action (Accept / Dismiss / Escalate) permanently logged with timestamp.

MODULE 04 & 05

Configured Audit Rules & Risk Scoring

Organizations configure audit criteria to match their specific specialty workflows, payer contracts, and compliance thresholds.

Cases are prioritized on a dynamic risk spectrum from Low to Critical, ensuring high-risk billing mismatches are caught before claims leave the building.

Test in Interactive Demo
RULE CATEGORIES
Primary Diagnosis Specificity Active
Historical Condition Active Coding Active
Procedural Documentation Completeness Active
Negated Symptom Coding Prohibition Active
E/M Level MDM Concordance Active
DEPLOYMENT SCOPE

Ready to evaluate the engine?

Speak with our engineering team about integration scope, EHR data models, and pilot evaluation.

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