On the bottom portion of the home screen managers will be able to view a detailed summary of their employees and their productivity level. This makes it easier to help improve the weekly, monthly, and yearly goals of your workforce with an easy to understand chart. 

AppealsPlus™ lives up to its expectation and automates your denial management processes. It's a SaaS-based solution that provides the ability to manage your denials from anywhere and at anytime. From within the denials portion of the solution can view your important accounts from three different views - Table, Appeals KANBAN board, and Denial Queue KANBAN board.

If you are a more visual person and would like to physically see the workflow of your appeals, you can click on the Appeals KANBAN Board from within the solution. From here you can see the status of your appeals, categorized into six different workflow queues; Information Gathering, Medical Review, Write Appeal, Send Appeal, Awaiting Payer Response, Resolution

Our KANBAN board workflow capabilities make the appeal and denial process much easier. On the next tab within the Denial Management section you can view the Denial KANBAN board. Each of the "cards" within this window are interactive and can be viewed in separate windows. This board is similar to the Appeals KANBAN Board and also has six different workflow queues; Unreviewed, In review, Coding, Patient  Access, Rebill, Appeal

Once one of the cards from within the Denial or Appeal KANBAN Boards is clicked an expanded, detailed view will appear. From within this window you can view all of the data that is pertinent to that particular appeal or denial. The data you can expect to see from this view includes check information, appeals information, claim information, any scheduled activities, and all of the logged activities for a particular denial or appeal.

If you click on a document you would like to view on the bottom section of the Denial Card Viewer, another window will pop-up on your screen that gives you a detailed, interactive form where you can physically go into each section and fill out the information. These interactive PDF forms decrease the probability of an error and increase the productivity level of your employees.

The first category of interactive graphs built within the solution is the Denials by Code graph. This graph displays your denial amount versus the total denial count. The denial amount is on the bar graph where the denial count is on the line graph. This gives you a great overall glimpse into the health of your organization.

The third graph on the list is the Denials by Group graph. This is a great graph for looking at your total number of denials broken down into different categories based on their status. There are multiple different categories that are instantly displayed on this chart to help you analyze your biggest problem areas.

Users within the solution can select navigate between the different interactive charts by clicking the top left drop down bar. The second graph on the list is the KPI Trends Chart. This chart compares your total number of claims, both approved and denied. This chart quickly gives you an idea your conversion ratio.

The Denials by User interactive chart built within AppealsPlus™ gives you stacked overview of your denials by denied dollars and denials by count. You can quickly and easily go through each year, simply click on the year category drop box. We took it one step further by allowing users to also sort through this chart by specific facility.

We understand how inconvenient it can be to manually input and create your own reports. AppealsPlus™ offers more than ten different ways you can automatically create reports that show different aspects of your appeal and denial process. Simply click on a category of report that you would like to see and it will automatically generate and download the related information as a Microsoft Excel file. 

We've implemented a CARC & RARC Library into AppealsPlus™ to give you the ability to use whatever terminology you want. We understand that different providers, insurance agencies, and hospital groups communicate with different terminology so we've made it easy to adjust between them.

Within AppealsPlus™ you have the capability to generate Microsoft Word documents, similar to the Forms capability. Simply put in the information that you would like to be generated and AppealsPlus™ can auto generate cover sheets in the most common .doc format.