Average Ratings 0 Ratings
Average Ratings 0 Ratings
Description
AppealsPlus™ is an innovative cloud solution designed to automatically assess ERAs, apply specific rules for categorizing questionable payments and denials into relevant work queues, and leverage dashboards alongside key performance indicators for effective quantitative management that aids in decision-making. As the regulatory landscape evolves swiftly, it often changes course unexpectedly, which can leave healthcare providers and their patients with minimal time to adapt. Uncertainty looms over whether patients will be financially prepared or willing to settle their bills post-procedure. A critical oversight in many studies, vendor offerings, and software solutions is the subjective nature of denial definitions, which can vary significantly among physicians, billers, and healthcare institutions. To address these challenges, we offer you and your team a tailored, four-week implementation phase aimed at customizing the solution to meet your unique needs. Following the completion of this initial phase, we invite you to reach out with any queries or issues that may arise, ensuring continued support and optimization of your experience. This ongoing relationship reinforces our commitment to your satisfaction and enables you to navigate the complexities of billing and denials with confidence.
Description
Optum360 provides expert physician advisory services, incorporates evidence-based medical research, and utilizes advanced artificial intelligence (AI) technology to enhance proper reimbursement and ensure precise documentation. We collaborate with your medical professionals to identify areas for improvement. You can select from our array of services or technology, or even combine both, to best meet your specific requirements. Our offerings include both on-site and remote services that leverage AI for timely assessments of patient statuses. We strive to enhance the efficiency, accuracy, and integrity of your utilization review process and its results. Through our Physician Advisor Services and the Case Advisor™ technology, we assist in lowering denial rates, enhancing suitable reimbursement, and reducing the risk of audits. Furthermore, our technology empowers your in-house physician advisors, making them more productive and effective in their roles. By integrating these resources, we aim to create a seamless experience that ultimately benefits patient care and administrative workflows.
API Access
Has API
API Access
Has API
Pricing Details
No price information available.
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
Etactics
Country
United States
Website
etactics.com/appealsplus
Vendor Details
Company Name
Optum
Country
United States
Website
www.optum360.com/solutions/coding-and-documentation/physician-advisor-solutions.html
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
Product Features
Electronic Medical Records (EMR)
Appointment Management
Charting
Compliance Tracking
E-Prescribing
E/M Coding
HIPAA Compliant
Handwriting Recognition
Integrated Telehealth
MIPS Certified
Meaningful Use Certified
ONC-ATCB Certified
Patient Portal
Self Service Portal
Voice Recognition