Data drives results.

DENIED CLAIM
WE RESOLVE
YOU GET PAID

Advicare resolves the most complex, problematic and costly clinical denials, such as No Authorization, Medical Necessity, Experimental / Investigational, and Readmissions. These types of denials present unique challenges for organizations because they require specialized medical or clinical clarification for payment and interdepartmental input.

As a result, clinical denials pose the highest risk of affecting net revenue. Multiple market studies have concluded that two of the top five denial categories – No Auth/Precert and Medical Necessity – happen to be the two most significant areas of cash leakage in the healthcare market.

This is why we are singularly focused on clinical denials - and we’re really good at it!
+90%
OVERTURN RATE
FOR CLINICAL
DENIALS
100%
CLIENT
RETENTION
RATE

Advicare resolves the most complex issues using clinical findings and has recovered over a billion dollars in denied revenue for healthcare providers across the United States.

Our denial management solution takes a multidimensional approach to denial resolution and denial prevention.

ADVICARE® OFFERS THE FOLLOWING PROGRAMS:
  • DAY 1 CLINICAL DENIALS
  • SAFETY NET DENIALS
  • DISCRETIONARY DENIALS
  • WORK QUEUE REPLACEMENT
  • CLEAN-UP PROGRAMS
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