Description
Crosby Health offers a turnkey solution for automated clinical appeals, designed to alleviate the significant burden placed on healthcare providers by clinical denials. The platform leverages an advanced clinical LLM named Apollo, specifically engineered for Revenue Cycle Management (RCM) automation. Apollo possesses deep medical knowledge, enabling it to meticulously identify medical necessity within documentation and craft compelling appeal letters with precise arguments aimed at maximizing financial recovery.
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Apollo's capabilities extend beyond just understanding medical documentation. It has been fine-tuned to handle complex billing tasks with high precision, including auditing, charge capture, and denial management. This dual expertise in both clinical and billing aspects allows Crosby Health to address a wide spectrum of denial reasons effectively. The system is built for speed and scale, generating outputs at an average of 60 words per second and capable of processing up to 300 pages of documentation at a time.
One of the key value propositions of Crosby Health is its ability to appeal every denial, regardless of the balance amount. By automating the appeal generation process, providers can reclaim lost revenue and improve their financial health. The platform integrates legal and clinical guidelines to ensure appeals are robust and compliant. Furthermore, Crosby Health streamlines the submission process by offering a unified submission system to every payor, eliminating the need to navigate multiple payor portals or fax machines. The company acts as a single point of contact for submitting and tracking all appeals, providing one-click submission and automating the confirmation of receipt, with immediate notifications of payor decisions.
Crosby Health is an ideal solution for hospitals, health systems, private practices, and revenue cycle management providers who are struggling with the administrative overhead and financial impact of clinical denials. By automating this critical but time-consuming process, healthcare organizations can redirect their resources towards patient care and core operational efficiencies, while simultaneously improving their revenue cycle performance.
- CategoryMedical & Clinical AI
- DeploymentCloud
Crosby Health's Core Features
Automated clinical appeal generation
AI-powered medical necessity identification
Automated appeal submission to payors
Automated tracking and confirmation of receipt
Immediate notifications of payor decisions
LLM trained for RCM tasks
Handles billing tasks like auditing and charge capture
Processes up to 300 pages per intake
Generates outputs at 60 words per second
Appeals all denial amounts
Unified submission across payors
How to use Crosby Health?
Configure Apollo: Set up your specific RCM parameters and integrate necessary documentation sources.
Submit Denials: Upload or connect denial information and supporting clinical documentation.
Generate Appeals: Apollo crafts detailed appeal letters based on identified medical necessity and guidelines.
Submit Appeals: Utilize the unified submission system for one-click dispatch to payors.
Track Appeals: Monitor the status of all submitted appeals through automated tracking and notifications.
Crosby Health's Use Cases
- Automated Appeal Generation
- Denial Management
- Revenue Cycle Optimization
- Medical Necessity Verification
- Payor Submission
- Administrative Burden Reduction
