Clinics & Systems
Let’s recoup some revenue.
Every year, over 450 million insurance claims are denied, costing health systems billions in lost revenue. On average, 15-20% of all claims face denials, with each denied inpatient claim averaging $14,000 in lost reimbursement. Worse yet, less than 0.2% of denials are ever appealed, leaving hospitals to absorb the financial hit. The administrative burden is just as costly—$19 billion is spent annually on managing denials, with clinical staff drowning in manual paperwork instead of focusing on patient care. Authsnap changes that. Our AI-powered solution reduces denial handling time by 95%, recovers up to 70% of denied claims, and lightens the load for your team. Let’s get your revenue back—call us today.
Interested in getting help at your practice or health system with your denials?
Fill out the form below and we will be in touch in the next business day.
How it works.
Step 1: Book a discovery call and receive a free Denials Analysis Report with key findings, suggestions and recommendations.
Step 2: Denials Analysis Deck Presentation with Key Stakeholder showing the >6,000% ROI.
Step 3: Implementation Roadmap Meeting.
Step 4: Engagement.
Step 5: Weekly Status Update Meeting with your team.
Our Services
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Large Volume Medical Necessity Denials Management
Authsnap specializes in appealing medical necessity denials for Medicare, Medicaid, managed care, and commercial payors. Our expert team crafts compelling appeal letters supported by evidence-based guidelines and reimbursement policies. Empowered by data science, our process captures all necessary data elements to support each appeal, ensuring thorough and accurate submissions. By combining advanced analytics with top expert human talent, we help healthcare providers recover lost revenue, prevent future denials, and improve overall financial performance.
Large Volume Denials Management is best for:
Channel partners
Large health systems
Clinics with no dedicated staff for denials
Centralized UM systems
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Physician Advisory Services
We offer a comprehensive Physician Advisory Service to support utilization management teams. Our expert physicians concentrate on two key areas:
Admission Status Determination: We provide timely and accurate assessments to ensure patients are placed in the appropriate level of care, helping to prevent future status denials and ensuring compliance.
Peer-to-Peer Reviews for Concurrent Denials: Our experienced advisors engage directly with insurance medical directors to address concurrent denials effectively, advocating for reimbursement and compensation that accurately reflects the acuity of patients and minimizing financial risks.
**Our Physician Advisors follow all of our individual appeal cases, including peer review needs and all the way to the last step in the appeal process, Administrative Law Judge.
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Utilization Management Services
Our Utilization Management (UM) Consultation helps hospitals enhance their UM programs for better resource allocation, care quality, and operational efficiency.
Key Benefits:
Streamline UM Processes: We assess your workflows to recommend improvements that cut administrative burdens and boost productivity.
Enhance Clinical Decision-Making: Our evidence-based guidelines aid clinical teams in making timely and appropriate care decisions.
Optimize Resource Utilization: We identify ways to reduce unnecessary services and admissions while maintaining high-quality patient care.
Improve Regulatory Compliance: We ensure your UM program meets the latest regulatory requirements and industry standards.
Boost Financial Performance: By improving efficiency and appropriate utilization, we help maximize reimbursements and minimize denials.