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Average Ratings 0 Ratings

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ease
features
design
support

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Write a Review

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 No 

API Access

Has API No 

Screenshots View All

Screenshots View All

Integrations

Avalon Laboratory System No 
Axys Yes 

Integrations

Avalon Laboratory System Yes 
Axys No 

Pricing Details

No price information available.
Free Trial No 
Free Version No 

Pricing Details

No price information available.
Free Trial No 
Free Version No 

Deployment

Web-Based Yes 
On-Premises No 
iPhone App No 
iPad App No 
Android App No 
Windows No 
Mac No 
Linux No 
Chromebook No 

Deployment

Web-Based No 
On-Premises No 
iPhone App No 
iPad App No 
Android App No 
Windows No 
Mac No 
Linux No 
Chromebook No 

Customer Support

Business Hours Yes 
Live Rep (24/7) Yes 
Online Support Yes 

Customer Support

Business Hours No 
Live Rep (24/7) No 
Online Support No 

Types of Training

Training Docs Yes 
Webinars Yes 
Live Training (Online) No 
In Person Yes 

Types of Training

Training Docs No 
Webinars No 
Live Training (Online) No 
In Person No 

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 Yes 
Claims Scrubbing No 
Code & Charge Entry No 
Compliance Tracking Yes 
Customizable Dashboard Yes 
Dunning Management Yes 
Invoice History Yes 
Patient Eligibility Checks Yes 
Practice Management No 
Quotes/Estimates Yes 
Remittance Advice No 

Product Features

Electronic Medical Records (EMR)

Appointment Management No 
Charting No 
Compliance Tracking Yes 
E-Prescribing No 
E/M Coding No 
HIPAA Compliant No 
Handwriting Recognition No 
Integrated Telehealth No 
MIPS Certified No 
Meaningful Use Certified No 
ONC-ATCB Certified No 
Patient Portal No 
Self Service Portal Yes 
Voice Recognition No 

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