Denial & Appeals Management

Transform Denials Into Revenue Recovery

When appeals take hours to write, most denials become write-offs. When AI generates compelling appeals in minutes, every denial becomes a profitable recovery opportunity. Turn your biggest revenue drain into your most systematic profit center.

Helping O&P practices recover previously written-off revenue through efficient appeals

Denial & Appeals Management Dashboard

The Economics of AI-Powered Appeal Generation

Traditional appeal writing creates an impossible choice: spend 3+ hours per appeal and lose money, or write off denied claims and lose revenue. AI changes the economics entirely—professional appeals in minutes make fighting every denial profitable.

3+ hours
Manual Appeal Writing
Per claim, making most appeals unprofitable
Minutes
AI-Powered Appeals
Same quality, fraction of the time

When appeals take hours to write, practices often write off denied claims rather than invest the time. When they take minutes, fighting every denial becomes economically viable.

The Revenue Recovery Revolution

Every denied claim represents revenue you've already earned through excellent patient care. Our AI doesn't just speed up appeals—it makes fighting every denial economically viable and strategically smart:

  • Traditional appeal writing costs more in staff time than most denied claims are worth
  • Billing teams overwhelmed by denials abandon appeals to focus on new claims processing
  • Missed appeal deadlines permanently forfeit revenue that was rightfully earned through patient care
  • No systematic way to identify which denials have winning potential before investing appeal effort
  • Thousands in earned revenue written off monthly because appeals seem economically impossible
  • Manual appeals lack persuasive medical necessity arguments that AI can craft systematically
See Our Solution

Revenue Recovery Process

  1. 1

    AI analyzes denial reasons

    Identifies patterns and root causes

  2. 2

    Generate compelling appeals

    AI-crafted arguments with documentation

  3. 3

    Track and optimize

    Monitor success and improve processes

  4. 4

    Recover revenue

    Maximize rightfully earned reimbursements

Our Solution

Systematic Revenue Recovery at Scale

Transform appeals from manual burden to automated revenue engine. When AI handles the heavy lifting of appeal generation, your team can focus on high-value strategy while recovering revenue that would otherwise be permanently lost.

Intelligent Appeal Crafting

AI analyzes denial patterns and crafts persuasive medical necessity arguments with proper regulatory citations

Smart Revenue Prioritization

Identify highest-value appeals with winning documentation before investing time and effort

Systematic Denial Prevention

Learn from successful appeals to strengthen future claims and reduce denial rates permanently

Scalable Recovery Operations

Process unlimited denials with AI efficiency while maintaining appeal quality and success rates

Revenue Recovery Benefits

  • Generate compelling prosthetic appeals in minutes using AI that understands K-level justifications
  • Systematically recover previously written-off revenue with improved appeal success rates
  • Smart prioritization identifies highest-value appeals with strongest documentation evidence
  • Automated deadline tracking ensures no appeal opportunities expire unexploited
  • Scale appeal volume without expanding billing teams through intelligent automation
  • Convert appeal processes from profit drain to systematic revenue engine

Revenue Recovery Intelligence

Purpose-built for O&P denial patterns with deep understanding of K-level classifications, functional assessments, and Medicare policies. Maximizes recovery while learning from every outcome.

  • AI-Powered Appeal Generation with O&P Medical Necessity Arguments
  • Smart Prioritization Based on Documentation Strength and Claim Value
  • Systematic Learning from Outcomes to Prevent Future Denials
Contact Sales

What Our Customers Say

I love everything about this program! I can not tell you how much pressure it has taken from us as admin, and how much quicker it makes our job. As far as I'm concerned, this is a Godsend :-)
DA
Dianna Austin
Orthotic & Prosthetic Coordinator
Integrity Orthotics & Prosthetics
O&P assist is a game-changer for our practice and support has been outstanding!
FV
Francois J. Van Der Watt
Owner, CPO
Van Der Watt Prosthetics & Orthotics
THANK YOU!! What a fantastic tool this is for the orthotic and prosthetic field!
SS
Stacey Smith
Business Manager
Mid-Florida Prosthetics & Orthotics
I absolutely am obsessed with O&P Assist. I have been using for audits which has been amazing, we have received no findings from insurances requesting audits on our Practitioner notes. O&P Assist give...
LB
Leatha Bennett
Billing Manager
Floyd Brace Company
I love everything about this program! I can not tell you how much pressure it has taken from us as admin, and how much quicker it makes our job. As far as I'm concerned, this is a Godsend :-)
DA
Dianna Austin
Orthotic & Prosthetic Coordinator
Integrity Orthotics & Prosthetics
O&P assist is a game-changer for our practice and support has been outstanding!
FV
Francois J. Van Der Watt
Owner, CPO
Van Der Watt Prosthetics & Orthotics
THANK YOU!! What a fantastic tool this is for the orthotic and prosthetic field!
SS
Stacey Smith
Business Manager
Mid-Florida Prosthetics & Orthotics
I absolutely am obsessed with O&P Assist. I have been using for audits which has been amazing, we have received no findings from insurances requesting audits on our Practitioner notes. O&P Assist give...
LB
Leatha Bennett
Billing Manager
Floyd Brace Company
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