REIMBURSEMENT CRISIS
Healthcare costs are increasing and payors are responding with increased
restrictions, exclusions & limitations. Payors are constantly
finding new reasons to deny and underpay claims and delay payment.
As a result, healthcare providers aren't collecting a large percentage
of the revenue they are entitled to.
DENIAL MANAGEMENT SOLUTION
Power of Appeals is a denial management software application that
improves cash flow through denial avoidance and resolution improvements
applicable throughout the revenue cycle. Effective denial management
requires both proactive denial avoidance and effective appeal generation
and resolution-aimed templates, tracking, and follow-up features.
Power of Appeals can
assist in:
Analyzing Denials. Collecting and interpreting denial patterns
to quantify denial causes and their financial impact. Includes the
ability to improve front-end processes by developing measurable,
departmental-specific performance targets which can be tracked with
Power of Appeals and reports to assist with performance evaluation.
Appealing Denials. Ease-of-use generation of appeal letters on
a case-by-case or volume basis. An expandable appeal letter template
database feature letters citing federal and state claim processing
statutes favoring the medical provider's appeal and request letters for
seeking more specific denial information on ambiguous denials.
Tracking Denials. Collecting information on denial appeals,
including status, escalation, correspondence with payors, and the
disposition of denial appeals to increase claim recovery.
Preventing Denials. Providing management analysis reports and
other actionable information to improve revenue cycle performance.
Order Power of Appeals
Download Power of Appeals Brochure
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Your Power of Appeals software has helped our
appeals process quite a bit and has generated a good source of
additional income for our practice. Rose Mary Pena
"From what I have seen in this software, 75
to 80 percent of the over 90 day accounts with insurance,
third-party-pay accounts, could be resolved using Power
of Appeals." Linda Cagle
To read what other users have to say,
click here |
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1. Knowledge
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Reporting identifies denial causes having the greatest financial impact,
facilitating performance review and improvement in various departments.
• Tracking and reporting monitors the appeal process, ensuring
prompt carrier response to submitted appeals and denial oversight
prevention.
• Prioritized claim status ensures the timely submission and
follow-up of appeals.
2.
Improved Cash Flow
•
Reduce denials by putting insurers on notice that delays, underpayments,
and noncompliance with state and federal claim processing guidelines and
contractual obligations will not be tolerated.
• 1500 professionally written appeal letter templates result in
payors overturning more denials and responding more thoroughly to review
requests.
3.
Reduced write-offs
•
Analysis reports quantify avoidable denial causes and their financial
impact.
• Tracking ensures that appeals are handled in a timely efficient
manner.
• Management reporting identifies upstream problems that cause
denials.
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Request FREE sample letters from our database of 1500
appeal letters.
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