Proven at Dartmouth Health. For 15+ years.
RealActivity's methodology wasn't built in a lab and pitched to hospitals. It was developed inside a leading academic medical center, in direct discussions with CMS, and has run in production for more than fifteen years - through real cost reports, real audits, and real workforce decisions.
Built where the audit actually happens.
Academic medical centers carry a uniquely complex effort-reporting burden: clinical care, sponsored research, teaching, and administration all draw on the same physician hours, and each has its own compliance lens. Getting the allocation wrong isn't a rounding error - it shows up in the cost report, in 340B eligibility, and in an auditor's questions.
Working alongside Dartmouth Health, RealActivity replaced periodic manual time studies with a continuous activity record that is accepted by CMS as an alternative methodology. The result is a single, provider-verified dataset that has supported successful third-party audits and powers planning across the institution.
One dataset, working across the institution.
Defensible where it counts
- Medicare Cost Report (Schedule J) built on defensible physician time data
- 340B drug program eligibility documentation maintained automatically
- Successful third-party audit preparation with HHS and CMS
- 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
- New affiliates onboarded within 2 months
What leaders ask first.
Is RealActivity's methodology accepted by CMS?
Yes. It was developed in direct discussions with CMS as an alternative to traditional time studies, and has supported successful third-party audits with HHS and CMS.
How long has it been in production?
More than 15 years of continuous production at Dartmouth Health System.
What does the activity record support?
The Medicare Cost Report (Schedule J), 340B eligibility documentation, third-party audit preparation, RVU-matched compensation benchmarking, and workforce planning - all from one provider-verified dataset.
How long does provider attestation take?
Under 30 seconds per month, with about 60% completed within four hours.
See whether the same approach fits your institution.
We can walk your CMO and Compliance leadership through how a continuous, attested record would work in your environment - and what a 90-day pilot looks like.