Overview of Consulting Solution for Hospitals

Overview of
Appeals Management Consulting

TogetherMD’s Denial Management Services offer hospitals comprehensive support in reclaiming lost revenue by managing denial and appeal processes. Through the innovative use of GapAI™ intelligence, we pinpoint cases with genuine clinical merit, crafting robust appeals for effective revenue recovery. Our expertise extends to handling the most challenging denials, and we leverage our technology to provide consultative insights to your team, shaping future denial management strategies. We not only address current denials but also empower your team with retrospective findings to enhance future approaches.

Key workflow actions

  • Prioritize: GapAI™ assigns scores to all denied claims, enabling our experts to focus their appeal efforts on high-value patient accounts.

  • Assess: TMD experts analyze denied accounts, identifying support for diagnoses, and crafting appeals for revenue optimization.

  • Perform: TMD experts adeptly secure payments, while ensuring accurate patient acuity with precision and diligence.
Primary Results for Hospitals

Key Results of
Appeals Management Consulting

Bid farewell to write-offs and case backlogs—enjoy streamlined efficiency and significantly reduce denial rates.

250%

Improved
Productivity

68%

Reduced
Denial Rate

3 – 5X

Faster
Resolution Time

Key Benefits for Hospitals

Key Benefits of
Appeals Management Consulting

Utilizing GapAI™ technology, our appeals team eliminates backlogs and write-offs, markedly decreasing denial rates, thus enhancing operational efficiencies.

More
Revenue Capture

Reduce denial rates by an average of 41% and watch your revenue soar

Reduced
DNFB

Enhance cash flow by expediting the resolution process by up to 56%

Eliminated
Write-Offs and Backlog

Completely eliminate write-offs and backlogs, boosting productivity by approximately 250%

AI Technology for Hospitals

Built-In Intelligence for
Appeals Management Consulting

Our consultative approach, fueled by GapAI™ technology, identifies denials with the highest probability of successful appeal. This flags priority cases for expert review, accelerating cash flow and increasing revenue capture.