Executive summary
This academic health system had a growing backlog of post-payment audits and clinical validation denials and a lean team that couldn't keep pace without adding costly clinical headcount. SmarterDenials changed the math, resulting in a 91% win rate and 61% more appeals submitted without adding clinical headcount.
Facing an aging backlog of post-payment audits and rising denial volume, this health system needed a way to scale appeal writing without expanding their expert clinical staff. They put SmarterDenials to the test against their existing manual process and EHR-native tools. After a rigorous, data-driven evaluation, SmarterDenials became the clear choice for inpatient workflows. Check out the case study to:
- See how the health system structured a head-to-head evaluation across overturn rate, appeal quality, speed, and payer-specific trends
- Discover how SmarterDenials drove a 91% win rate, up from 74% with manual processes, while increasing appeal submissions by 61% — without adding clinical headcount
- Learn why the team turned to SmarterDenials for complex DRG downgrade appeals — a capability they couldn't find elsewhere
- See the broader financial impact: $50M+ in net new revenue from SmarterPrebill and $7.4M+ in annualized incremental revenue from SmarterDenials
What changed operationally
Result methodology and context
