Denial management and resolution services
Recover lost revenue with outsourced professional denial management and recovery services for hospitals.
Recover lost revenue with outsourced professional denial management and recovery services for hospitals.
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.
Xsolis applies powerful Machine Learning algorithms to identify and prioritize denial resolution cases with strong clinical merit and most appropriate for appeal.
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.
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).
No two cases or corresponding appeal letters are the same, so our analytics-based approach identifies denial resolution cases with demonstrated clinical merit.
Through our proprietary data management platform, complex denials are reviewed 3–5 times more efficiently than typical methods.
We offer actionable denial management analytics for key case metrics, including admitting or discharge diagnosis, procedure, length-of-stay, or downgrade and denial outcomes.
Xsolis applies powerful Machine Learning algorithms to identify and prioritize denial resolution cases with strong clinical merit and most appropriate for appeal.
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.
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).
No two cases or corresponding appeal letters are the same, so our analytics-based approach identifies denial resolution cases with demonstrated clinical merit.
Through our proprietary data management platform, complex denials are reviewed 3–5 times more efficiently than typical methods.
We offer actionable denial management analytics for key case metrics, including admitting or discharge diagnosis, procedure, length-of-stay, or downgrade and denial outcomes.
West Tennessee Healthcare
UMC Healthsystem
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.