Denial Management
Physician Advisor Services
to Optimize Reimbursement
A unique approach focused on preventing denials and determining root causes.
Optimize reimbursement, reduce denials and shorten your revenue cycle with our team of licensed, board-certified physician advisors experienced in payer and clinical settings.
Improving Patient Care Through UR
We focus on denial prevention and appeal management so hospitals
can focus on caring for patients.
Immediate ROI
No software glitches & no annual maintenance fees
Reimbursement Resolution
Compliments existing workflow allowing for a seamless adoption
Payer and Clinical Experience
Licensed & board-certified denial management physician advisors
Customized Reporting
Physician-driven documentation aimed at identifying denial root causes
Physician Owned & Operated with Physician-Driven Solutions that:
- Increase reimbursement revenue through timely utilization review turnaround times
- Reduce denials with medical necessity determinations facilitated by physicians with payer expertise
- Reinforce revenue integrity with physician-directed discernment and healthcare analytics
- Improve patient safety and length of stay with physicians skilled in exercising complex medical judgement
Ensure appropriate level of care with our revenue integrity physician advisory solutions and optimize your revenue cycle.
Hospital Utilization Management Services
Second Level Case Reviews
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Payer Peer-to-Peer Reconsideration
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Medicare Short Stay Chart Audit
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Discharge Reviews
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Internal Peer-to-Peer Conference
Appeal Reviews
Physician Advisory
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Remote Support
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Full-Time Support
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Night, Weekend & Holiday Support
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Interim Support
More from AppriseMD
News
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Healthcare Insights
Blog
HHS OIG Report Shows Code Adjustments May Indicate Denials
In a report released March 2 by OIG, investigators found “that most 2019 MA (Medicare Advantage) encounter records contained at least one adjustment code and […]
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