Optimize Reimbursement.

It all begins with superior denial management and physician advisory services 

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

Our physician-driven solution, designed by physicians with payer and clinical experience, focuses soley on medical case review. As a physician-owned and operated organization, we can help you balance care and costs.

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

Data Focused

 Data creates value for our hospital and health system partners. Our customized reporting metrics provide insight into utilization management data to help increase revenue, discover root causes and decrease denials.

Insights

Customized reporting provides payer and clinical insights, statistics and internal peer-to-peer metrics.

UM Data

Understanding root causes through UM data improves your denial management and revenue cycle.

 Turnaround

Time services available 7 days a week, 365 days a year with 2 hour turnaround times.

MD Support

Licensed, board certified physicians with payer and hospital-based clinical experience support your in-house team.

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

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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