Apprio Announces Smart Solution To Proactively Reduce Claims Denials

Healthcare Automation and AI Company Extends Expertise in Revenue Cycle Management to Reduce Claims Denials and Improve Patient Care
Apprio Intelligent Denial Prevention (IDP)

Washington, D.C., October 15, 2024 – Apprio, a leading provider of specialized healthcare technology and automation solutions, announces its latest offering to help healthcare providers minimize claims denials.

Apprio Intelligent Denial Prevention (Apprio IDP™) leverages the company’s suite of automation and AI tools to streamline the claims lifecycle. The solution helps identify, analyze, and eliminate or reduce denials, solving one of toughest challenges for providers and payers today and improving their financial wellbeing.  

“The healthcare financial ecosystem faces too many challenges. Providers, payers and patients are mired in delays, denials and cumbersome claims processes,” said Kali Durgampudi, Apprio’s CEO and president. “Applying our advanced technology and solutions to enhance the claims process and minimize denials helps reduce that burden and those costs.”

From 2022 to 2023, commercial care denials climbed 20.2 percent and Medicare Advantage denials grew 55.7 percent, according to a recent McKinsey study. Healthcare providers spend hundreds of thousands of hours and more than $40B annually fighting those denials, many of which result from inaccurate codes, missed deadlines, and other minor administrative errors.

Apprio IDP™ builds on Apprio’s 20 years of proven success delivering end-to-end revenue cycle management automation solutions to hospitals and healthcare providers. It combines sophisticated automation and machine learning to optimize the claims process, ensure authorizations and accuracy, and reduce denials. The advanced tools even analyze current and past denials to identify gaps, understand deep patterns, and apply evidence-based models and automation.

“By modernizing and automating claims processes, healthcare providers save time and money, allowing them to focus more on patient care,” said Durgampudi.

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