See how physician time is actually spent. Defend it in an audit.
RealActivity replaces manual time studies with a continuous, CMS‑accepted methodology that makes physician activity visible, auditable, and actionable - by the 15th of every month. Providers verify it in Provider Activity Studio in under 30 seconds.
Memory is not data.
For decades, physician effort has run on the least trustworthy data there is - human memory, reconstructed weeks after the fact and stretched across a year.
RealActivity doesn't ask anyone to remember. It captures activity as it happens and has a clinician confirm it in Provider Activity Studio in under thirty seconds. The result is a record you can do two things with that no one else can: defend it in a CMS audit, and safely govern an AI on it.
One platform. Three steps. Data you can defend.
AI curates activity data
RealActivity integrates with your ERP and EHR to compile all physician activity - clinical, research, teaching, and administrative - into a single, system-wide view. No manual collection. No surveys.
Providers attest in under 30 seconds, inside Provider Activity Studio
Each month, providers review their AI-curated data and attest to their own percentage allocation. The form takes under 30 seconds - 60% are completed within 4 hours of notification.
Leadership gets defensible data
By the 15th, you have 100% accurate, provider-verified activity data. One dataset powers compliance, compensation, workforce planning, benchmarking, and audit preparation.
Provider Activity Studio is the secure workspace where providers review and attest, with the system of record kept in sync across your environment. Ava, the Activity Verification Assistant, is the governed assistant inside it - the provider attests, Ava assists.
15+ years in production across 15 hospitals of a leading academic health system.
The methodology was developed in direct discussions with CMS as an alternative to traditional time studies, and has supported successful third-party audits. Our forward-deployed engineers run it inside the health system's own environment, not from a slide. The team behind it has shipped healthcare technology in dozens of US hospitals over the past 30 years.
Defensible where it counts
- Medicare Cost Report (Schedule J) built on defensible physician time data
- 340B drug program eligibility documentation maintained automatically
- Compensation models defensible with RVU-matched benchmarks
Capacity you can see
- Clinical Workforce Committee makes hiring decisions backed by FTE data
- Surplus capacity identified and redeployed across affiliate locations
- Grant expiration planning gives months of advance notice
The same thirty seconds that satisfies the compliance requirement also surfaces the invisible work - supervision, teaching, coordination - that returns wRVU credit to the clinician.
The pressure on physician effort data is rising fast.
Unprecedented CMS audit expansion
CMS has expanded audit activity from roughly 60 to 550 plans annually, with medical coding staff scaling from 40 to 2,000.
Physician workforce crisis
The U.S. faces a projected shortage of 141,000+ physicians by 2038. AMCs that can't optimize capacity face compounding shortfalls.
340B under scrutiny
The 340B program faces intensified HRSA audits and manufacturer restrictions. Accurate effort documentation is foundational to compliance.
Rising physician labor costs
Physician labor costs rose more than $42 billion between 2021 and 2023. Leaders need precise data on how that investment translates to output.
Governed patient agents, on an open foundation.
The same human-verified record principle applies on the patient side. Tula is RealActivity's open-source personal health agent - records, visit prep, and Lookout for me. Aria is the pilot-ready platform that adds identity, consent, and audit so health systems can run those skills at scale. Aria capabilities described reflect a platform in active development.
Ready to make physician activity visible?
We offer a structured 30-day pilot on your data, with your providers, in your environment - scrubbed data first, live data under a BAA. The best first conversation connects whoever owns clinical FTE at your institution, usually HR or Medical Affairs, with your Compliance leadership.
hi@realactivity.com · +1 857-206-1190 · Gloucester, MA