Denial Management
& Physician Advisor Services

 to Optimize Reimbursement

Our sole focus is medical case review for hospitals and health systems.

Physician Advisory Services

Reduce denials, optimize reimbursement and shorten your revenue cycle with our team of licensed, board-certified denial management physician advisors experienced in payer and clinical settings.

Denial Management

Positively impact your revenue by aligning care status level to mitigate denials and optimize reimbursement by ensuring medical necessity appropriateness.

Utilization Case Review

  • Second-Level Utilization Reviews
  • Payer Peer-to-Peer Reconsideration Reviews
  • Medicare Short Stay Chart Audit Reviews
  • Discharge Reviews
  • Utilization Review Education
  • Appeal Reviews

AppriseMD physician advisors provide essential utilization review and denial management services to hospitals

Physician Driven

AppriseMD physician advisors are licensed and board certified, with multiple years of both clinical and payer experience. We are available 7 days a week, 365 days a year.

AppriseMD physician advisors provide essential utilization review and denial management services to hospitals

Data Focused

Our customized reporting metrics provide insight into a hospital’s utilization practices to help clients uncover strategies to achieve optimal reimbursement.

Revenue Integrity

Using qualitative data to understand why you are losing money so it can be addressed.

Revenue Recovery

Using the data to identify issues that impact revenue cycle so it can be mitigated.

Revenue Optimization

Using the data to analyze the operational, financial & clinical functions that influence reimbursement.

AppriseMD logo mark in brand orange.

Quotation marksPartnering with AppriseMD for our utilization management needs has been a great decision. Their team is very easy to work with, they are responsive to our needs, and have formed a true partnership with us as we work through system realignment for our utilization management functions.”

Angela Wilson Reis, BSN, RN

Director of Utilization Management for UnityPoint Health

Denial Management
Revenue Integrity Insights

Ready to find out more?
Contact us to set up an initial call.

Discuss your hospital’s utilization and denial management needs with our team.

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