Denial Resolution Services

To maximize your appropriately recovered revenue, XSOLIS deploys dedicated recovery and clinical documentation specialists to navigate the cumbersome payer appeal channels, working with the payer on the demonstrated clinical merit of each case.

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

Our 360° Approach

Target the Right Cases

XSOLIS applies highly sophisticated Machine Learning algorithms to identify and prioritize cases with strong clinical merit, most appropriate for appeal.

Staff to Support

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

Defensible Decisions

Our 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

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

Timely Resolution

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

Analyze the Root Causes

We offer actionable insight into key case metrics, including admitting or discharge diagnosis, procedure, length-of-stay, or down-grade and denial outcomes.

CASE STUDY

Learn How XSOLIS & Colquitt Regional Recouped 700% on a Single Written-Off Claim

The intersection between payer, providers, and vendors is a junction fraught with uncertainty. Differences in regulation, variations in services provided, claim age, hospital, and systems in place pose barriers to this process, hampering successful resolution and reimbursement.

Learn More →

Colquitt
“XSOLIS has proven that they can take our most challenging denials and turn them into recoveries.”

Mike Wyche
Revenue Management Supervisor, CRMC