The Nation’s Number-One Denials Management Solution
Claim WRX is a cost containment SaaS application built on the Salesforce Platform that is a force multiplier, a work-management tool used to recover dollars, contain costs, and analyze your entire medical billing denials management process and outcomes.
Three critical lanes in your revenue cycle need daily attention.
Customize. Recover. Capture.
Coding/Modifiers/ DRG & APC Validation
Military Grade Security
- HIPAA-HITECH Compliant
- Cloud-based salesforce platform with full business logic shield and event monitoring.
No IT Integration
Synchronizes seamlessly with Outlook and Gmail.
Web based NO IT INTEGRATION REQUIRED
Smooth Onboarding
Up and running within 7 to 17 days, including remediation and onboarding.
Data Capture As It Occurred Within Claim WRX
Show up to your meetings (or bring us), and we will show your C-suite, directors, and managers this simple truth: Root Cause. Of course, by payer, denial, audit, codes or whatever, our data capture is the best in the medical billing and cost containment industry, easily!
Interpretive medical decision appeals
Clinical Appeals, Readmissions, Medical Decision Denial
Interpretive medical decision appeals is a tricky business. Forget about the multiple degrees and certifications needed.
Appeals Are Hard Work
Interpretive medical decision appeals is a tricky business.
Appeals Are Expensive
Employee costs, benefits, PTO, appeal tracking, and loss of expected reimbursement are just some of the factors working against you.
Appeals Require Skills
- “Real” bedside experience. Flexible thinking and decision making. A comprehensive understanding of the revenue cycle, especially the denial processes in the revenue cycle.
We Capture The "Story" Of Your Appeal
To win or lose, along our workflow, we are capturing “the story” of your appeals (levels, financials, root causes) to level the future playing field.
Defend Your Medical Billing Claims
Claim Review or Audits
LOI to Adjudication
(LOI) through adjudication, track all aspects of medical coding audit stages from pending to closed and every stage in between
No IT Integration
Synchronizes seamlessly with Outlook and Gmail.
Web based NO IT INTEGRATION REQUIRED
Rich Reporting
- Tracks medical billing and coding error rates by department or even by single line item
- Track RAC and other government compliance audits including attaching the entire medical record
We Capture The "Story" Of Your Audit
To win or lose, along our workflow, we are capturing “the story” of your audit (levels, financials, root causes) to drive cost containment in healthcare and level the future playing field.
