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Provider Claims Denial, Audit & Appeal Software Solutions

Veracity
Revenue Protection Engine
Denials | Audits | Appeals

Dramatically increase your revenue protection and plug the payer leaks with our Veracity enterprise platform. Guaranteed. 

  • Denial prevention now
  • Rapidly identify and fix broken processes
  • Recover more revenue faster with fewer steps
Veracity Revenue Protection Engine Denials | Audits | Appeals
  • Clinical Validation Challenges
  • Medical Necessity Denials
  • Clinical/Legal Unit Approach
  • Supporting 200+ Hospitals

PayerWatch Appeal Support Services

Supplement your internal resources with PayerWatch’s AppealMasters team of revenue recovery experts and complex payer appeal services. We’ll continuously train, educate and transfer knowledge as we help you win more appeals faster. Because performance improvement matters. 

 

PayerWatch Webinar

Medicare Advantage:
A Call to Arms

Tuesday, August 23, 2022

1PM Eastern Time

Recently CMS requested that all interested healthcare providers make comments on the Part C Medicare Advantage program by Wednesday, August 31st.  A 2022 report from the OIG shows just how much our patients are suffering as a result of the “big business” that are Medicare Advantage plans. By literally privatizing Medicare, CMS has let the proverbial foxes into the henhouse, and they have no incentive to leave. This needs to change.

Join Medicare Advantage denial and appeal experts Dr. Brian Moore and Dr. Kendall Smith as they discuss the top 5-10 major issues that should be brought to the immediate attention of CMS program administrators and congressional leaders. Denise Wilson will moderate the discussion and provide additional step-by-step instruction on how to easily make your voices heard from every corner of the country.

Click Here to Register »

Presenters

  • Kendall Smith, MD
    Chief Physician Advisor, PayerWatch/AppealMasters
    Dr. Kendall Smith is a Senior Fellow in Hospital Medicine (SFHM) and currently acts as Chief Medical Officer for PayerWatch – AppealMasters. He is a board-certified hospitalist with 25 years experience in EMR technology, medical coding, ICD-10, HIPAA, and revenue cycle. He is a fierce advocate for providers across the country in defending their right to be paid.
  • Dr. Brian Moore FACEP CHCQM-PHYADV
    Chief Medical Officer – Physician Advisor Services at Atrium Health
    Dr. Brian Moore is a national leader and advocate on Medicare and Medicare Advantage issues that directly affect patient quality of care and the unfair denials of patients necessary level of care. Dr. Moore is board-certified in Emergency Medicine and a member of the American College of Physician Advisors.

Click Here to Register »

Professional Training & Support Provider Claims Denial, Audit & Appeal
Webinars for Denial and Appeal Management

Advocacy, Training and Support

The Association of Healthcare Denial and Appeal Management (AHDAM) provides ongoing training and resources for all health care providers nationwide. Extensive denial and appeal management resources, training and education led by an expert team of denial and appeal management physicians, nurses, coders and attorneys.

About PayerWatch Provider Claims Denial Audit Software Services Healthcare Billing

PayerWatch is a fierce advocate for healthcare providers.

We empower you with the most efficient and effective tools to manage abusive payer practices, payer denials, payer audits and a winning appeal process.

Whether you’re leveraging the technological advancements of our Veracity revenue protection engine or supporting your internal teams with our expert AppealMasters support, PayerWatch is your trusted partner for revenue protection and defense. Over six hundred hospital clients feel the same.

Webinar: Best Practices in the Appeals Process

Wednesday, September 21, 2022

2 PM Eastern Time

Successfully overturning denials goes beyond writing a great appeal. Appeal specialists must employ best practices at every level of both the internal and external appeals process starting with peer-to-peer. Many AHDAM members are asking how best to manage various levels of appeal from a process as well as an appeal argument standpoint. In this session, we will present best practices for government and commercial payers’ appeal processes.

CEU’s for AHDAM Members Only

Click Here to Register »

Presenters

Kendall Smith, MD
Chief Physician Advisor, PayerWatch/AppealMasters

Dr. Kendall Smith is a Senior Fellow in Hospital Medicine (SFHM) and currently acts as Chief Physician Advisor for AppealMasters, a leading appeal educator and appeal services firm for hospitals and health systems. He’s been deeply involved in denial and appeals management throughout his hospitalist career, working collaboratively with UR/Case Management departments as well as Managed Care and Hospital C-Suite executives.

Denise Wilson, MS, RN, RRT
Senior Vice President, PayerWatch/AppealMasters, President, AHDAM

Denise has over thirty years of experience in healthcare, including clinical management, education, compliance, and appeal writing.

CEU’s for AHDAM Members Only

Click Here to Register »

PayerWatch Denial | Audit | Appeal Experts are Passionate About Making the Payers Pay

Our industry‐leading customer service is available to help and support everything you need to succeed in this incredibly challenging payer-provider environment. The PayerWatch staff are experts in medical necessity, clinical validation/CDI, coding, contracts, and legal protections who deeply understand the issues at hand and can help solve your denial, audit, and payer challenges. You get a serious, educated collaborative, and expert partner. Our Veracity and AppealMaster teams build close working relationships with your staff, who share in the service mission to improve processes and payment outcomes together.

Brian McGraw | President & CEO
Brian is fierce advocate for hospitals and physicians. He consults with and educates revenue cycle and compliance leaders throughout the U.S.
Rick Scott headshot
Rick Scott | CEO
Rick is dedicated to building and maintaining long-term relationships with hospitals, health systems, and physicians.
Denise Wilson, MS, RN, RRT | Senior Vice President, Clinical Appeal Services
Denise Wilson | Senior Vice President, Clinical Appeal Services
Denise leads appeals with thirty years of experience in healthcare, including clinical management, education, compliance, and appeal writing.

Trusted Partners

PayerWatch has increased revenue for over 500 hospitals.

PayerWatch Partner: Mercy Health System
PayerWatch Partner: Christus Health
PayerWatch Partner: ProMedica
PayerWatch Partner: Valley Health System
PayerWatch Partner: Adventist Health System
PayerWatch Partner: Dignity Health

PayerWatch's industry-leading Veracity software and AppealMasters’ infrastructure is HITRUST CSF Certified.