TSI’s AI-enabled Denial Management Solution represents a paradigm shift in RCM, leveraging state-of-the-art technologies to streamline denial analysis and expedite appeals processes. At its core, the platform integrates:

1. Advanced Automation: Through robotic process automation (RPA), intelligent document processing (IDP), and generative artificial intelligence, TSI’s platform accelerates the analysis of denial patterns, swiftly generates appeal drafts, and ensures precise and effective responses to claim denials. This automation drastically reduces manual efforts, minimizes errors, and accelerates claims resolution timelines.
2. Predictive Insights: Powered by intelligent algorithms, TSI’s proprietary platform analyzes vast datasets to identify patterns, trends, and payer behaviors. This predictive capability equips providers with actionable insights, anticipating payer arguments and optimizing appeal strategies for higher success rates.
3. Proven Results: TSI’s Denial Management Service has yielded impressive outcomes, including an 86% denial overturn rate, a 42% increase in payment per appeal, a 50% reduction in time to appeal, and a 53% decrease in days to pay. These metrics not only underscore the efficiency gains but also translate into substantial financial savings and improved revenue cycle performance.
4. Comprehensive Support: Beyond technology, TSI offers healthcare providers ongoing guidance and expert support. This ensures providers have the necessary resources to navigate the complexities of denial management effectively, make informed decisions, and optimize their revenue recovery strategies over the long term.