Iodine Software, a leader in healthcare AI and pioneer in mid-revenue cycle optimization, launches its Appeals Management Workspace within its AwareUM solution. This upgrade revolutionizes concurrent pre-claim denials management through automated appeal letter generation, centralized denial tracking, and intuitive customizable nurse-physician collaboration tools. The expansion of these tools builds on the momentum of an incredibly successful rollout of Iodine Software’s existing Generative AI (GenAI) tools, AwareCDI and AwareUM; Users report dramatic efficiency gains, with time spent on initial reviews reducing by 63 percent from an average of fifteen minutes to as little as five minutes to complete. The new Appeals Management Workspace will continue leveraging this technology to further solve problems in the pre-claim denials management space, remedying inefficient processes and scaling clinical intelligence in the revenue cycle.
Claims denials are steadily rising across the healthcare sector, making revenue collection more complicated and increasing administrative burden and financial strain as healthcare organizations must allocate more resources to appealing and resubmitting claims. According to a 2024 survey from Premier, over half (54.3 percent) of denials were ultimately overturned and the claims paid, but only after multiple, costly and time-consuming rounds of provider appeals. These inefficiencies cause distress to patients and health systems alike – especially crucial clinical staff like utilization management teams – and mounting issues like staffing shortages, missed revenue opportunities, and pressure to increase quality metrics have created an urgency for innovative solutions.
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