Xsolis Denial Services

Xsolis Denial Services

Denial management and resolution services

Recover lost revenue with outsourced professional denial management and recovery services for hospitals.

 

Download the Factsheet

 

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Revenue recovery based on clinical merit

To maximize your appropriately recovered revenue, Xsolis deploys dedicated denial management, recovery, and clinical documentation specialists to navigate inefficient payer appeal channels and work with the payer on the demonstrated clinical merit of each case.

Our team undertakes your denial and appeal management backlog on your behalf, identifying cases with justified clinical merit and building the case for appropriate appeal and revenue recovery.

Our 360° denial management approach

Target The Right Cases

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Xsolis applies powerful Machine Learning algorithms to identify and prioritize denial resolution cases with strong clinical merit and most appropriate for appeal.

Staff To Support

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We deploy industry experts and denial resolution specialists with a combination of clinical, legal, and revenue cycle experience, including Auditors, CDI Specialists, and Case Managers.

Defensible Decisions

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Our denial management services technology defends admissions decisions to payers concurrently (while the patient is still in the hospital) and retrospectively (in the event of a denial).

Balancing The Scales

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No two cases or corresponding appeal letters are the same, so our analytics-based approach identifies denial resolution cases with demonstrated clinical merit.

Timely Resolution

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Through our proprietary data management platform, complex denials are reviewed 3–5 times more efficiently than typical methods.

Analyze The Root Causes

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We offer actionable denial management analytics for key case metrics, including admitting or discharge diagnosis, procedure, length-of-stay, or downgrade and denial outcomes.

Target The Right Cases Staff To Support Defensible Decisions Balancing The Scales Timely Resolution Analyze The Root Causes

magnifying glass

Xsolis applies powerful Machine Learning algorithms to identify and prioritize denial resolution cases with strong clinical merit and most appropriate for appeal.

doctor illustration

We deploy industry experts and denial resolution specialists with a combination of clinical, legal, and revenue cycle experience, including Auditors, CDI Specialists, and Case Managers.

medical alert shield illustration

Our denial management services technology defends admissions decisions to payers concurrently (while the patient is still in the hospital) and retrospectively (in the event of a denial).

scales illustration

No two cases or corresponding appeal letters are the same, so our analytics-based approach identifies denial resolution cases with demonstrated clinical merit.

stop watch illustration

Through our proprietary data management platform, complex denials are reviewed 3–5 times more efficiently than typical methods.

line chart illustration

We offer actionable denial management analytics for key case metrics, including admitting or discharge diagnosis, procedure, length-of-stay, or downgrade and denial outcomes.

Resources

Improve your A/R days

Our professional services are tailored to your individual needs and supportive of your processes. Learn more about our approach with the resources below, then schedule a demo with us to put our team to work for you.