Outpatient Appeal Management at Northeast Health System

Modern building facade with Hospital word signage against blue sky.

The Challenges An extensive Northeast health system, consisting of 30+ hospitals and more than 7,000 beds, found it challenging to manage their outpatient appeal managements. While the business operations were largely centralized, the limited clinical resources tasked with defending denied claims were navigating multiple EMRs and systems, as well as having to write persuasive appeals […]