PayerWatch is the nation’s leading clinical revenue cycle and process improvement solution.

Is your hospital or health system equipped with the strongest tools and denial expert partners to effectively defend yourselves from payer denials and audits? PayerWatch is proven in over 500 hospitals nationwide. 

Provider Claims Denial, Audit & Appeal Software Solutions

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 500+ 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. 


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. AHDAM offers extensive training and education in denial and appeal management. 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 500 hospital clients feel the same.

Webinar: Appealing Chemotherapy and Biologicals Denials

Wednesday, March 29, 2023

2 PM Eastern Time

Successfully overturning chemotherapy and biologicals denials goes beyond writing a great medical necessity appeal. Appeal specialists must understand medical necessity requirements, but also need to understand documentation requirements, billing of these drugs, where to find the information they need, and how to apply that information in an appeal. Join us as we discuss successful strategies for overturning these often high dollar denials.

CEU’s for AHDAM Members Only

Click Here to Register »


Karla Hiravi, RN, BSN

Vice President | PayerWatch – AppealMasters

Karla is a registered nurse and holds a BSN from the University of Pittsburgh, Johnstown. She has over thirty years of varied experiences in healthcare, including Clinical Documentation Improvement (CDI), development of a hospital-based denial and appeal program, development of an oncology research program, nurse and physician education, appeal writing, presentations at the Administrative Law Judge (ALJ) level, and direct management of appeals at every level, up to post ALJ appeals.

She has extensive experience developing material for continuing education. She was a frequent guest speaker at the University of Pittsburgh, Johnstown for many years, and served as a preceptor for nurse practitioner and Pharm D. students. Karla has been with PayerWatch – AppealMasters since 2016 and continues to educate clinicians and coders.

CEU’s for AHDAM Members Only

Click Here to Register »

PayerWatch AppealMasters 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 AppealMasters teams build close working relationships with your staff, who share in the service mission to improve processes and payment outcomes together.

Brian McGraw | Founder & Chief Product Officer
Brian is a fierce advocate for hospitals and health systems. He consults with and educates revenue cycle and utilization management leaders throughout the U.S.
rick scott
Rick Scott | President & 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.