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Make your work worthwhile
A way to prove if your denial follow-up is effective
Our custom Appeal Efficacy reporting capabilities
equip your denial follow-up managers with the tool they need.
Focus your work on the payers that actually pay.
Recovering reimbursement?
How much?
How quickly?
Are follow-up staff spending time on the top priorities?
Are you implementing the right prevention measures?
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Let us show you.
Appeal Ef
f
icacy
How does it work?
Our system analyzes appealed claims to identify which scenarios are most likely to be successfully appealed. This information is broken down by payers and denial categories, for both dollar amounts and claim counts, to paint a full picture of your appeal outcomes.
The Value
Our Appeal Efficacy dashboards allow you to prioritize between payer, procedure, and denial code to focus follow-up team efforts to maximize value.
For denials that you recover reimbursement reliably, we’ll help you implement denial prevention measures.
Where you don’t, we’ll help you implement automation, workflow improvements, & resource assignments to improve.
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