Win back the denials payers count on you to drop
Payers count on volume to keep your team from appealing every denial. AppealAssist takes that advantage away by automating the whole appeal inside your EMR. Your team can appeal every denial and increase reimbursement up to 20% depending on denial type.
Every write-off is revenue nobody had time to defend.
A strong appeal takes time your team doesn't have, so they pick their battles and the rest get written off. AppealAssist gives all your denials a high-quality appeal in a fraction of the time.
With AppealAssist, every denial gets defended.
A low cost per appeal makes it practical to fight the low-dollar denials that usually get written off. AppealAssist applies adjustable logic to each denial type, draws on a payer policy library Long Tail keeps current, and works with your EMR and denial systems.
Low-dollar denials, worth fighting
A strategy for each denial type
Payer policy, kept current
Works with your systems
From denial to submitted appeal, without the manual work.
Upload and organize
AppealAssist sorts each denial by payer, denial service category, and reason for denial.
Evaluate
Each case is assessed against the payer's published medical necessity criteria and the clinical record.
Prioritize and draft
Cases are ranked by likelihood of overturn, with the payer requirements met or not, and a customized appeal is drafted for each.
Assemble and send
Packets are generated to each payer's requirements and submitted.
Overturn more of the denials you appeal.
At one cancer center, AppealAssist raised the overturn rate on medical necessity denials from 42% to 56%. Across AppealAssist partners, it cuts the average time per appeal from 40 minutes to 5, an 8x productivity gain, and lifts overturn rates by 10 or more percentage points. We'll work with your current processes and payer mix to build a detailed impact estimate.
See AppealAssist on your own denials.
Send a batch of recent denials. We run them through AppealAssist and show you which ones you should have won.