Apollo by Crosby Health: Streamlining Clinical Appeals

Apollo is an advanced AI-powered clinical appeal tool designed to automate and simplify the complex process of managing healthcare denials. It's used by hospitals, health systems, private practices, and revenue cycle management providers to recover maximum revenue.

Features

• Automated Appeal Generation: Apollo crafts meticulously detailed appeal letters for every denial, eliminating manual effort.
• Comprehensive Understanding: Trained on a vast dataset of clinical encounters, Apollo expertly handles clinical language, billing tasks (auditing, charge capture, denial management), and integrates legal and clinical guidelines.
• Medical Necessity Identification: The tool intelligently identifies medical necessity within patient documentation.
• Unified Submission & Tracking: Apollo facilitates one-click submission to any insurance company, tracks submissions, and provides immediate notifications of payor decisions, eliminating the need for multiple payor portals.

Benefits

• Reduced Administrative Burden: Automate the entire appeals process, freeing up valuable staff time.
• Increased Revenue Recovery: Maximize reimbursements through well-crafted, data-driven appeal letters.
• Improved Efficiency: Centralized platform for managing all denial appeals, improving workflow and reducing errors.
• Enhanced Compliance: Ensures adherence to legal and clinical guidelines.

Use Cases

• Hospitals and Health Systems: Manage high volumes of denials efficiently.
• Private Practices: Streamline appeals management for improved revenue cycle.
• Revenue Cycle Management Providers: Enhance services and improve client outcomes.

Apollo by Crosby Health is a powerful solution for automating clinical appeals, ultimately leading to improved efficiency and increased revenue recovery for healthcare providers.