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How the Technology Works

5 Steps for How Apello’s Appeal Technology Works

Across the Continuum of Care

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Your benefits: Creates searchable medical record data – including images.

Our technology: Apello intakes structured and unstructured data from your EMR. Our medical appeal review solution creates a central, cloud-based repository of searchable data to streamline medical record reviews.

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Your benefits: Increases total appeal reviews by leveraging clinical and coding resources.

Our technology: Hospital appeal review teams instantaneously use advanced search capabilities on large data sets and receive relevance-ranked results, helping them efficiently locate information needed to make a clinical or coding determination. Reviewers may also utilize 100+ pre-defined, high-frequency searches or create and save custom organizational searches.

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Your benefits: Reduces administrative costs.

Our technology: Apello enables hospital and health system reviewers to create appeal packets utilizing select, highlight, and annotate tools to pinpoint decision data. Reviewers leverage customizable letter templates and send appeals, all from one platform.

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Your benefits: Interfaces with internal and external systems.

Our technology: Open API enables provider enterprise-level analytics reporting on both structured and unstructured data – including images.

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Your benefits: Apello facilitates machine learning.

Our technology: Leverage Apello to automate an audit segment based on predefined rules or established queries. Create and enhance NLP or machine learning to increase revenue cycle management efficiencies.

Development of Apello

  • Purpose-built enterprise denial appeals solution for hospitals and health systems.
  • Built to HITRUST specifications.
  • Utilizes Advent’s health plan and healthcare provider expertise.
  • Creates efficiencies throughout appeal process.
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Apello Hospital Denial Appeals Solution - Aggregates

Enterprise platform

Scalable architecture promotes stability, strong SLAs, and adoption

Apello Hospital Denial Appeals Solution - Answers

Advanced search

Full text search functionality and pre-defined queries

Apello Hospital Denial Appeals Solution - Accepts

Open API

RESTful API endpoints allow real-time system interactions with Apello

Apello Hospital Denial Appeals Solution - Assembles

Designed for end users

Friendly user interface, optional functionality for multitude of use cases

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