AppRev Releases Cloud Based Denials Intelligence Solution

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AppRev announced the release of Denials Intelligence, a revolutionary, cloud based solution that aids hospitals in analyzing and understanding payer remits to improve their reimbursements.

Denials Intelligence: Work the denials that matter.

AppRev's Denials Intelligence solution gives hospitals and physicians an intelligent workflow and the full picture as it relates to payer responses and activity. Denials Intelligence uniquely identifies the claims that need to be reworked and prioritizes them via automated workflow. Operational challenges and inconsistent use of standardized remittance remark codes cause hospitals to struggle with management of these issues.

Most existing solutions give hospitals information about their denials but do not give a comprehensive overview of provider performance and opportunities. AppRev's Denials Intelligence uses both the claims actually submitted to payers and the corresponding remittances. All results are available through individual and enterprise-wide work queues. Features of this cloud based solution include: an all-payer dashboard, payer scorecard and detailed work queue with rules-driven methodology.

Cape Fear Valley, a current Charge Accuracy client, is excited about partnering with AppRev in this new venture to further grow their revenue cycle support. “The ability to have a one stop data shop where we can aggregate and quickly report on denial trends will create the ability to make systemic changes as well as engage personnel and the service delivery level in order to improve revenue processes," said Bart Fiser, Executive Director of Corporate Revenue Cycle for Cape Fear Valley. "The newest venture brings us together with extremely powerful data reporting that AppRev has consistently delivered in other engagements. Through this newest engagement, we are expecting to bring together several divisions for significant process improvement as we will be able to report denials and trends at department levels."

AppRev is a privately held Healthcare Business Intelligence company based in Temple, Texas, that provides services and technology to more than 80 hospitals throughout the United States and internationally. AppRev delivers results through services and technology that allow hospitals and clinics to improve revenue cycle performance. The company’s solutions are provided via web delivered Service Supported Software™ and include Charge Accuracy, Denials Intelligence, ICD-10 Analytics, Pricing Analytics, Pricing Transparency using the Market Advantage Price Lookup Tool, CDM and DSH services. All AppRev solutions employ ongoing measurement of revenue cycle improvements and can be crafted to meet customer-specific requirements.

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