Power of Appeals

Power of Appeals is a denial management software application that is designed to improve cash flow through denial avoidance and resolution improvements useful throughout the entire revenue cycle. The software solves the problem of effective denial management, which requires a proactive denial avoidance and appeal generation and resolution-aimed templates, tracking and follow-up features. The software assists in analyzing denials, collecting denial patterns to quantify denial causes and their financial impact. It includes the ability to improve front-end processes by developing measurable, department-specific performance targets that can be tracked with Power of Appeals and reports to assist with performance evaluation.

One of the key functionalities of Power of Appeals is appealing denials, which it does by generating appeal letters with ease on a case-by-case or volume basis. Additionally, 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. The software also assists in tracking denials by collecting information on denial appeals, including status, escalation, correspondence with payors, and the disposition of denial appeals to increase claim recovery.

Finally, Power of Appeals helps in preventing denials by providing management analysis reports and other actionable information to improve revenue cycle performance. This software is an excellent option for those looking for a way to optimize revenue cycle management by improving denial management, minimizing write-offs and increasing revenue.