Inside Smarter’s Fourth Acquisition: What Made Pieces the Perfect Fit?
Slice of Healthcare Team
09/30/2025
Guests
Episode details
- Smarter Technologies completes fourth acquisition of 2025 by acquiring Pieces Technologies.
- SmarterNotes bridges clinical documentation with billing accuracy to ease physician burden.
- Combined technologies optimize inpatient and outpatient note creation and revenue capture.
- Led by clinicians, the teams align in mission to improve hospital workflows and outcomes.
- New advancements in AI and data science now make documentation and billing integration possible.
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Smarter Technologies Expands with Strategic Acquisition of Pieces
In a move signaling rapid growth and technical ambition, Smarter Technologies has completed its fourth acquisition of the year, welcoming Pieces Technologies into its portfolio. Dr. Mike Gao, President of Smarter Technologies, joined forces with Dr. Ruben Amarasingham, Founder & CEO of Pieces Technologies, to explain why this partnership is more than just another milestone—it’s a pivotal alignment in the future of healthcare automation.
Why Pieces Was the Right Fit
Dr. Gao emphasized that healthcare revenue cycles hinge on two key components: getting the invoice right and getting paid. By merging Smarter Technologies’ pre-bill analysis with Pieces’ intelligent note generation, the company can now deliver seamless accuracy in documentation without increasing physician workload or burnout.
This collaboration allows Smarter to enhance both clinical and administrative performance—a fusion Dr. Gao describes as "a one-two combination" of reducing physician cognitive load while boosting documentation accuracy for billing and compliance.
Introducing SmarterNotes: A Clinician-Centric Innovation
SmarterNotes is the centerpiece of this integration, designed to simplify and optimize note creation. On the outpatient side, it reduces time spent on documentation. In the inpatient setting, where over 30,000 data points may inform a single note, SmarterNotes draws from complex datasets to produce both clinically meaningful and billing-compliant narratives.
Dr. Amarasingham highlighted that this dual-purpose design of SmarterNotes makes it revolutionary: easing the physician’s task while ensuring financial capture without requiring additional input from clinicians.
Perfect Alignment: Culture, Mission, and Capability
For Dr. Amarasingham, Smarter Technologies was a natural partner—not just because of its results in revenue optimization, but due to its clinician-led culture. He praised the camaraderie and aligned vision, calling the merger "a mirroring of soulmates of companies." Their union brings together Pieces’ front-end strengths with Smarter’s back-end execution in what both leaders describe as a complementary puzzle perfectly fitting together.
A Convergence Driven by Technological Maturity
According to Dr. Gao, it’s only now—thanks to significant advancements in data science—that ambient documentation technologies can truly support and integrate with the revenue cycle. With a 70+ person data science team, including experts from Stanford, Google, and Apple, Smarter Technologies is uniquely equipped to deliver AI-powered solutions that are practical, scalable, and immediately impactful in hospital settings.
