How the Apello Technology Works

5 Steps for How Apello’s Appeal Technology Works Across the Continuum of Care

The Apello platform streamlines the medical record review process, helping healthcare organizations more quickly determine appropriate reimbursement. Learn more by reading about our 5 A’s – including Apello Answers, which utilizes our proprietary OCR to deliver smart search capabilities within the medical record.

1

Aggregates

Benefits: Creates searchable medical record data—including images.

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.

2

Answers

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

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.

3

Assembles

Benefits: Reduces administrative costs.

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.

4

Accepts

Benefits: Interfaces with internal and external systems.

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

5

Automates

Benefits: Apello facilitates machine learning.

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

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.

Client Benefits

Enterprise Platform

Scalable architecture promotes stability, strong SLAs, and adoption.

Advanced Search

Full text search functionality and pre-defined queries.

Open API

RESTful API endpoints allow real-time system interactions with Apello.

Designed for End Users

Friendly user interface, optional functionality for multitude of use cases.

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