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DRG downgrades and medical necessity denials are skyrocketing, and the teams fighting those denials need a way to combat the rising tides. SmarterDenials™ helps hospitals fight back faster with clinical AI that turns complex case evidence into targeted, high-impact appeal letters, so teams can recover more revenue with less friction.
average overturn rate for medical necessity and DRG downgrade denials
recovered per appeal
denials processed
estimated at-risk dollars processed
Quickly identifies discrepancies between the denial and the documented care.
Automatically generates letters backed by the clinical evidence and coding references needed to win, even for the most complex cases.
Our generative AI creates appeal letters in just minutes.
SmarterDenials drastically reduces time and paperwork, but your team has full control — reviewing, refining, and sending the final letter.
Crafting appeals the traditional way means hours spent sifting through patient charts, clinical notes, and coding rules — just to make your case.
SmarterDenials flips the script. In minutes, it creates comprehensive, compelling appeals for even the most complex cases, helping your hospital get paid more and paid faster. As payers tighten their criteria, you need a tool that fights back with speed, precision, and results.
Empower your team to win more appeals, slash administrative headaches, and recover more revenue, all while freeing your staff to focus on what really matters: patient care.
With SmarterDenials, your team has all of the clinical evidence and coding backup at their fingertips to overturn more denials, faster. Trade manual appeal busywork for sharper cases, stronger evidence, and faster recoveries.
Even if it’s a fax or pixelated scan, SmarterDenials extracts key data to build effective appeal arguments.
Analyzes the denial and the complete patient record, including provider notes, labs, meds, orders, vitals, and more.
Identifies key clinical evidence to help your team quickly understand how the patient record supports the claim(s).
Creates a comprehensive clinical appeal letter in minutes that the team can view, edit in the SmarterDx web app, and copy or download to send.
Ready to learn more? Get in touch with us today and we’ll set you on the path to revenue integrity.
