AppriseMD provides denial management and physician advisor services to help hospitals and health systems achieve excellence in utilization review through optimizing reimbursement to enhance revenue cycle.
We are a physician-owned and operated company with physician-driven solutions that focus on clinical medical necessity determinations to mitigate denials and increase revenue. AppriseMD physician advisors utilize their medical judgement and clinical expertise to accurately align care status and length of stay with aims of advancing the utilization review process by identifying the root cause of denials so hospitals and health systems can appropriately capture reimbursement that reflects superior patient care. Our mission is to create a utilization review process that reflects a focus on care and the collaborative nature of medicine, and our vision is to enable hospitals and health systems to better care for their communities through superior utilization review.