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What is AppealsPlus?

AppealsPlus™ is a cutting-edge cloud-based solution that automatically evaluates ERAs by applying targeted rules to sort ambiguous payments and denials into specific work queues, while also utilizing dashboards and key performance indicators for effective quantitative oversight that informs strategic choices. The regulatory environment is continuously changing and can alter unexpectedly, providing minimal time for both providers and their patients to adjust accordingly. Many providers grapple with uncertainty about their patients' ability or willingness to pay bills after procedures. A common misstep among research, vendors, and software developers is the realization that the term denial is interpreted differently by various physicians, billers, and institutions. To ensure that our solution aligns perfectly with your team's unique requirements, we will facilitate a customized implementation process that spans four weeks. After this initial setup, feel free to contact us anytime with questions or concerns, as we are dedicated to supporting you throughout your entire experience. This ongoing partnership allows for timely adjustments to be made, ultimately improving your overall satisfaction with our service. Additionally, we believe that consistent communication is key to a successful collaboration, ensuring that your needs are always met.

What is ABN Assistant?

Denials of medical necessity pose a substantial financial strain on healthcare providers, leading to potential losses that can soar into the millions each year due to write-offs, coupled with the costly labor required to investigate and challenge these denials while also managing patient inquiries. On the other hand, payers encounter similar difficulties within the claims management framework, facing costs associated with unnecessary medical treatments and the resources allocated to address denial appeals, none of which enhance patient outcomes. Moreover, patients endure high copays and out-of-pocket costs, alongside a stressful healthcare journey filled with unjustified charges and services. In response to these challenges, the ABN Assistant™ from Vālenz® Assurance provides providers with vital tools for prior authorization that confirm medical necessity, create Medicare-compliant Advanced Beneficiary Notices (ABNs) with estimated costs, and effectively mitigate over 90 percent of medical necessity denials by validating necessity prior to patient care. By implementing this innovative system, healthcare providers not only bolster their financial stability but also elevate patient satisfaction and streamline the efficiency of care. Thus, the comprehensive approach offered by Vālenz® has the potential to reshape the landscape of healthcare delivery by minimizing unnecessary costs for all parties involved.

Media

Media

Integrations Supported

Axys

Integrations Supported

Axys

API Availability

Has API

API Availability

Has API

Pricing Information

Pricing not provided.
Free Trial Offered?
Free Version

Pricing Information

$1039.00/one-time/user
Free Trial Offered?
Free Version

Supported Platforms

SaaS
Android
iPhone
iPad
Windows
Mac
On-Prem
Chromebook
Linux

Supported Platforms

SaaS
Android
iPhone
iPad
Windows
Mac
On-Prem
Chromebook
Linux

Customer Service / Support

Standard Support
24 Hour Support
Web-Based Support

Customer Service / Support

Standard Support
24 Hour Support
Web-Based Support

Training Options

Documentation Hub
Webinars
Online Training
On-Site Training

Training Options

Documentation Hub
Webinars
Online Training
On-Site Training

Company Facts

Organization Name

Etactics

Company Location

United States

Company Website

etactics.com/appealsplus

Company Facts

Organization Name

Vālenz

Date Founded

2004

Company Location

United States

Company Website

www.valenzhealth.com/valenz-assurance/abn-assistant/

Categories and 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

Categories and 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

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