AppriseMD

Early 2024 data published by AppriseMD in its paper “Medicare Advantage and the Two-Midnight Rule: 2024 Findings” suggested that Medicare Advantage Organizations posed a significant challenge to a hospital's ability to collect reimbursement for medical services provided. These findings are consistent with Becker's findings shared in a recent article which states "hospitals find themselves caught in a taxing and costly battle to provide high-quality care while navigating excessive administrative hurdles" built by the payers. Read more MAOs and the Two-Midnight Rule at https://lnkd.in/ep64EwKR

Is your utilization management team aware of, and addressing, the invisible barriers to revenue reimbursement such as silent or self denials? Read more about these hidden obstacles that you may not be tracking in our new paper "Addressing Healthcare Reimbursement: A Focus on Denial Management and Medical Necessity," at https://lnkd.in/ehJkfQfi

Healthcare organizations can no longer afford to take a hit on reimbursement, therefore medical necessity determinations and denial management must become a priority. In our latest paper, AppriseMD looks at how hospitals can tackle barriers to reimbursement, increase the focus on medical necessity and uncover hidden factors that contribute to revenue loss. Download, "Addressing Healthcare Reimbursement: A Focus on Denial Management and Medical Necessity," https://lnkd.in/ehJkfQfi #reimbursement #utilizationreview #utilizationmanagement #medicalnecessity #denialmanagement #healthcare

AppriseMD after-hours coverage ensures appropriate level of care placement every day, including nights, weekends and holidays. AppriseMD partners with hospitals and health systems to provide denial management and physician advisor services to increase reimbursement. https://lnkd.in/eFRjbSf7

Experian Health published a survey based on 210 healthcare employees responsible for claims management, and the results indicate that denials continue to increase. #denialmanagement #revenuecycle apprisemd.com

According to the American Hospital Association, hospitals continue to encounter obstacles from insurer policies, negatively impacting patient care and costs. Learn how AppriseMD can help hospitals achieve excellence in utlilization review to improve revenue cycle here at apprisemd.com

AppriseMD overflow coverage can help hospitals mitigate risk and optimize revenue even when teams are short-staffed or patient load is high. AppriseMD partners with?hospitals and health systems to provide denial management and physician advisor services to increase reimbursement. Read more at https://lnkd.in/e-WVFnq2

Denial management, utilization review (UR) and utilization management (UM) are an investment priority for health system chief financial officers over the next 12 months according to an article published by Becker's Healthcare Read more about how AppriseMD helps reduce denials at apprisemd.com #utilizationmanagement #revenuecycle

AppriseMD welcomes Mr. Jason Klein to its Advisory Board. Mr. Jason Klein is an Executive Vice President and the Chief Financial Officer at HSA Commercial, Inc., a Chicago-based, privately held business. His experience as a CPA, as well as his work with financial policy and tax compliance will be an asset to the AppriseMD Advisory Board.? https://lnkd.in/eHdrtuiy ?

AppriseMD salutes the essential role case managers play in utilization review during this National Case Management Week. #CMWeek2024