Preventing Denials. Winning Appeals.
PayerWatch delivers efficient and affordable solutions to more effectively defend healthcare providers from government and commercial payer denials and audits. Over 500 client hospitals coast-to-coast recognize PayerWatch as a valued partner to protect and defend their revenue. Dramatically improve your revenue protection and plug payer leaks with PayerWatch’s Veracity enterprise platform. This interdepartmental denial/audit workflow engine drives performance improvements in denial prevention, DRG downgrade overturns, peer‐to‐peer intervention and other medical necessity appeals.
Deny This! with Brian McGraw
Inside ERISA Denials: Why Employers May Be the Real Decision-Makers Behind Your Insurance Card
Insurance denials aren’t new, but they’re hitting a breaking point right now. As prior authorizations surge and patients face longer delays for everything from imaging to specialty drugs, more providers are realizing that the “payer” on the card often isn’t the one truly holding the reins. A growing share of Americans are covered…