See how physician time is actually spent.
The Provider Activity Platform is the system of record for how physician effort is allocated across clinical, research, teaching, and administrative work. It replaces manual time studies with a continuous, CMS-accepted methodology - and delivers 100% accurate, provider-verified data by the 15th of every month.
A two-week sample, stretched across a year.
The traditional physician time study asks a clinician to reconstruct, weeks after the fact, how their time was spent - then stretches a two-week sample across the entire cost-reporting period. It was a reasonable compromise in a world without instrumentation. It is no longer the strongest evidence a hospital can bring to an audit.
RealActivity replaces the sample with a record. Activity is captured as it happens, across the full period, and the provider confirms it. The shift is from "we sampled and estimated" to "we recorded and can show you."
RealActivity's continuous activity record was developed in direct discussions with CMS and is accepted by CMS as an alternative methodology to manual time studies. It has supported successful third-party audits.
Periodic manual time study
- A two-week sample asked to represent the whole year
- Self-reported after the fact - recall and round-number bias
- Sampling error multiplied across every untracked week
- Under audit, it rests on attestation about a fortnight
Continuous activity record
- The full population of activity across the whole period
- Captured as it happens - nothing reconstructed from memory
- No extrapolation - the record already covers every week
- Under audit, it presents a validatable lineage
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 30 seconds
Each month, providers review their own AI-curated record and attest to their 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 data. One master dataset powers compliance, compensation, workforce planning, benchmarking, and audit preparation.
Providers do this work in Provider Activity Studio - the secure workspace that manages each Activity Verification Form, with the system of record kept in sync across your environment.
Meet Ava. Governed by design.
Ava is the agentic assistant inside Provider Activity Studio, built on the same OpenClaw runtime that powers Tula. Providers ask questions about their activity data and complete the monthly attestation conversationally - in under thirty seconds.
Grounded in the attested record
Ava answers from the provenance-rich activity record - not from guesswork. No confabulation.
Human in the loop
The provider attests. Ava assists - it never decides the allocation.
Aligned with the NIST AI RMF
Designed to align with the NIST AI Risk Management Framework and its Generative AI Profile.
HIPAA, with a BAA
Operates under HIPAA with a Business Associate Agreement for deployments that touch PHI.
Compliance, finance, and workforce - from one master dataset.
The same provider-verified record powers 55+ operational use cases. Two of the biggest:
Defensible where the dollars are.
Physician compensation is split, in proportion to time, across the provider component, patient services, and non-payable work. Without a validated allocation, that split can collapse to patient services - and the provider component the hospital can claim disappears.
- Medicare Cost Report (Schedule J) built on defensible time data
- 340B drug program eligibility documentation maintained automatically
- Audit-ready lineage for third-party review with HHS and CMS
Capacity you can see and act on.
True cFTE visibility turns physician effort from a once-a-year compliance chore into a live planning instrument for leadership - and surfaces the invisible work that returns wRVU credit to the clinician.
- Workforce committees make hiring decisions backed by FTE data
- Surplus capacity identified and redeployed across affiliates
- Grant expiration planning with 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."
Provider enablement, not surveillance
Bring a defensible record to your next audit.
We offer a structured 90-day pilot on your data, with your providers, in your environment. The best first conversation connects your CMO and Compliance leadership.