Program: Power of Appeals - Power of Appeals Insurance Denial Management

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More Info. Program: Power of Appeals

DENIAL MANAGEMENT SOLUTION Power of Appeals is a denial management program 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: analysing 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 info on ambiguous denials. Tracking Denials. Collecting info 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 info to improve revenue cycle performance.

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