|
|
Power of Appeals
-
Version
5.65
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.
|