Average Ratings 0 Ratings
Average Ratings 0 Ratings
Description
Medical necessity denials represent a significant financial burden for healthcare providers, incurring costs that can reach into the millions annually due to write-offs, along with the expensive labor involved in investigating and contesting these denials while addressing patient inquiries. Conversely, payers also face similar challenges in the claims management process, as they incur expenses from covering unnecessary medical procedures and treatments, as well as the resources dedicated to handling denial appeals, all of which do not contribute to better patient outcomes. Additionally, patients may suffer from excessive copays and other out-of-pocket expenses, coupled with a frustrating healthcare experience due to charges and services that are not warranted. To combat these issues, the ABN Assistant™ from Vālenz® Assurance equips providers with essential prior authorization tools to confirm medical necessity, generate Medicare-compliant Advanced Beneficiary Notices (ABNs) that include estimated costs, and effectively prevent over 90 percent of medical necessity denials by ensuring that the necessity is validated before any care is administered to the patient. By utilizing this system, providers can enhance their financial stability while improving patient satisfaction and care efficiency.
Description
Numerous healthcare providers rely on Apollo by Crosby Health to create, submit, and monitor appeals, significantly alleviating the strain caused by clinical denials. With an advanced understanding of clinical contexts, Apollo outperforms all other medical language models on essential metrics. Its specialized training equips it to manage various billing tasks with exceptional accuracy, including auditing, charge capture, and denial management. As the fastest clinical language model available, it boasts the largest context length, generating outputs at an impressive rate of 60 words per second while processing documents of up to 300 pages. Our AI meticulously composes compelling appeal letters for every denial, maximizing the chances for recovery through well-structured arguments. By consolidating multiple payor portals and fax numbers into a single platform, Apollo simplifies the submission and tracking of every appeal. Furthermore, it effectively reduces the burden on providers by automating the appeal generation process and is adept at pinpointing medical necessity within documentation. With just one click, providers can submit appeals to any insurance company seamlessly. This innovative solution not only streamlines the process but also enhances the overall efficiency of healthcare administration.
API Access
Has API
API Access
Has API
Integrations
EPIC HRMS
MEDITECH Expanse
Net Health Employee Health
Oracle Health Population Health Management
Integrations
EPIC HRMS
MEDITECH Expanse
Net Health Employee Health
Oracle Health Population Health Management
Pricing Details
$1039.00/one-time/user
Free Trial
Free Version
Pricing Details
No price information available.
Free Trial
Free Version
Deployment
Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook
Deployment
Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook
Customer Support
Business Hours
Live Rep (24/7)
Online Support
Customer Support
Business Hours
Live Rep (24/7)
Online Support
Types of Training
Training Docs
Webinars
Live Training (Online)
In Person
Types of Training
Training Docs
Webinars
Live Training (Online)
In Person
Vendor Details
Company Name
Vālenz
Founded
2004
Country
United States
Website
www.valenzhealth.com/valenz-assurance/abn-assistant/
Vendor Details
Company Name
Crosby Health
Country
United States
Website
www.crosbyhealth.com
Product Features
Medical Billing
Claims Processing
Claims Scrubbing
Code & Charge Entry
Compliance Tracking
Customizable Dashboard
Dunning Management
Invoice History
Patient Eligibility Checks
Practice Management
Quotes/Estimates
Remittance Advice