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Appeals Manager allows providers to easily create and manage appeals for all their denied Medicare claims. This product is utilized by facilities including:
  • Hospitals
  • Home health
  • Hospice
  • Long-term care
  • Dialysis units


We receive timely information on patients' coverage. If a carrier requires pre-certs and prior authorizations we find out prior to the patient being discharged or the claim transmitting to the incorrect carrier.
Sharry Hebert
Supervisor
Accute Business Services

Automated Denial Management
eSolutions’ Appeals Manager is a revolutionary denial-management system that provides analysis reporting while creating and managing appeals. Appeals Manager was designed to simplify the appeals process and dramatically increase its effectiveness so you can start recovering your money quickly and without the typical hassle of manually tracking and filing appeals.

Product Benefits
  • Improved management reporting
    Appeals Manager makes it easy to track the status of your claims through every step of the appeals process. Stay on top of deadlines and boost your chances of a successful appeal.

  • Reduced and prevented denials
    It’s simple: the more claims you can create appeals for, the more claims will be approved.

  • Reduced labor costs
    With such an efficient appeals management system in place, you will be able to do more work with fewer staff members.

  • Improved appeals management process
    With Appeals Manager, your entire process is improved with:
    • Integrated appeal notes to host system
    • Support for workflow and individual or group assignments
    • Prioritization of follow-up tasks
    • Unlimited users

  • ADR tracking
    The ADR Request Page provides you with patient and claim information from MedicareSAM. This integration provides a full audit trail while also showing you the claim’s exact status and location in the Medicare FISS system.

  • Post pay review management
    Appeals Manager can help you manage the entire audit trail of a post-pay review. You can keep track of your contacts with the payer and within your organization, including generating and attaching documents, routing the claim, and requesting follow-up.



What features does it provide?

eSolutions’ Appeals Manager is the simplest and most efficient way to manage your appeals process. Claims that need to be appealed are automatically loaded in to work queues, making followup procedures simple. With Appeals Manager, you get indepth outcome analysis, auditing and productivity reporting. It also offers integrated appeal notes to your host system and its comprehensive reporting and notes tools, will always give you updated claims’ status. Appeals Manager is easily integrated with your current business processes and allows for unlimited users so you can complete individual and group assignments in the most efficient way possible.


How does it work?

Appeals Manager shows status of your denied or partially paid claims and lets you quickly file your appeal. Based on the result, you can choose to appeal the claim again or easily write it off. Appeals Manager’s claim reporting feature reveals the exact causes of denials so you can easily avoid them in the future.


What’s the advantage?

An effective appeal process is crucial to any organization wanting to recover payment from denied claims. Often, health care providers are forced to write off denied claims when the appeals process becomes too time-consuming or because they lack the required staff resources to dedicate to the task.


What are the requirements?

While your specific computer hardware and type of Internet connection play a significant role in how fast or slow any Web application works, Appeals Manager can be used on virtually any system, regardless of the type of Internet connection you have.


How much does it cost?

Appeals Manager is a completely Web-based service that is billed on a flat monthly rate. eSolutions establishes the rate based on the size of your organization, making our solutions cost effective for all providers. Contact eSolutions for a cost of service estimate for your facility.


Request more information on Appeals Manager and start your free trial today!


Subscribers of Appeals Manager also commonly utilize:
  • Claims Management: ERA Analyzer is our Web-based revenue cycle management tool designed to reduce denials, and increase staff efficiencies for all payers.


  • Part A Claims Management: MedicareSAM is our Medicare Part A claims management and revenue cycle management tool. It provides workflow automation as well as trending and analysis reporting.