Audience
Companies requiring a workflow and business intelligence solution to improve the process of identifying underpaid and denied claims
About AppealsPlus
AppealsPlus™ is a cloud-based solution that automatically analyzes ERAs, applies rules to place suspect payments and denials into appropriate work queues, and utilizes dashboards and key performance indicators to provide quantitative management and used to help drive decisions. The regulatory climate moves quickly and can change directions rapidly, leaving little time for providers and their patients to adjust. Providers don’t know if their patients will be able or willing to pay the bills after a procedure is performed. What most studies, vendors, and software companies fail to take into account is that the definition of denial is subjective. This definition differs by physician, biller, and institution. We'll take you and your team through a personalized four-week-long implementation phase to ensure that the solution is customized to your liking. After the initial four-week implementation phase you can continue to contact us with any questions or concerns you have.
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For providers, medical necessity denials cost thousands to millions of dollars every year in write-offs, plus costly staff time researching and appealing denials and responding to patient concerns. For payers, the same is true on the other end of the claim management spectrum: Paying for medically unnecessary procedures and treatments – and time spent working on denial appeals – raises costs without improving outcomes. And of course, for the patient, there can be unnecessary copays and other out-of-pocket costs, not to mention a poor patient experience involving costs and moments of care they did not need. ABN Assistant™ from Vālenz® Assurance delivers the prior authorization tools providers need to validate medical necessity, print Medicare-compliant ABNs with estimated cost, and stop over 90 percent of medical necessity denials by verifying necessity before care is delivered to the patient.
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InvisaClaim
InvisaClaim is the most advanced all in one revenue platform. An AI-powered Revenue Cycle Management platform that automates denial management, appeals, prior authorizations, and No Surprises Act compliance for billing companies and RCM teams.
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Integrations
Company Information
Etactics
United States
etactics.com/appealsplus
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Product Details
Platforms Supported
Cloud
Training
Documentation
Webinars
In Person
Support
Phone Support
24/7 Live Support
Online
AppealsPlus Frequently Asked Questions
AppealsPlus Product Features
Medical Billing
Claims Processing
Compliance Tracking
Customizable Dashboard
Dunning Management
Invoice History
Patient Eligibility Checks
Quotes/Estimates
Claims Scrubbing
Code & Charge Entry
Practice Management
Remittance Advice
