Denials Management

Medicare and Medicaid Medical Necessity Denials Management

Commercial Payor Denials Management

Coding Error Review and DRG Validation

  • Accretive PAS™ physician ownership of entire process allows us to be extremely successful in appeals.
  • Accretive PAS™ physician advisors with RAC Demonstration success have industry leading win rates at the reconsideration level and at the ALJ level.
  • Accretive PAS™ physicians conduct detailed reviews of medical records to identify medical necessity for hospital services, coding error reviews, and DRG validations. 
  • Accretive PAS™ physicians author appeal letters to support the complexity and unpredictability of hospitalization with literature from proprietary resource library.
  • Web-based outcomes data tracking enables measurement of success. 
  • Accretive PAS™ physicians identify root causes of overpayments and educate to prevent future claim errors.
  • Focus on compliance and timeliness-
    • Accretive PAS™ appeal is formated in accordance with the specific payor's appeals process.
    • Accretive PAS™ physicians work with clients to determine an appropriate response schedule.
    • The timeliness and impact of appeals are measured via web-based portal.