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Recapturing $2.8M in Denied Revenue with Predictive Pre-Bill Adjudication
82.4%
Denial Overturn Rate
Compared to 44% historical baseline
$2.8M
Cash Recaptured
In first 8 months of deployment
38%
Fewer Upstream Denials
Root-cause physician feedback
22 Days
Days in A/R Reduction
Accelerating operating cash flow
The Clinical & RCM Challenge
A surge in commercial payer denials for medical necessity and missing documentation eroded hospital operating margins to 0.4%. The manual appeals team could only address 35% of actionable denials before filing deadlines expired.
The Nousvia Autonomous Solution
Integrated Nousvia Intelligent Denial Management with Oracle Cerner. The predictive engine flagged at-risk claims prior to 837 drop, while the automated appeal generator created customized, literature-backed appeal packets for historical denials.
“Nousvia paid for itself in the first 45 days. The appeal letters it produces are better researched and faster than anything an overburdened human team could draft manually.”
David L., CPAChief Financial Officer • Coastal Memorial Hospital