Apprise MD

11/25/2025

Several healthcare insurance companies were penalized for improper claim denials, slow reimbursements, and mental health parity violations this year, according to a recent report by Becker's Healthcare. Learn how AppriseMD addresses improper claim denials with their peer-to-peer payer review and written appeal services. https://apprisemd.com/

11/20/2025

228 healthcare providers cite revenue cycle management as their highest investment priority, highlighting the value of physician advisors in maximizing a hospital’s reimbursement.
https://www.bain.com/insights/healthcare-it-investment-ai-moves-from-pilot-to-production/"

Revenue cycle management and clinical workflow return as providers' key priorities while payers emphasize utilization and network management.

11/18/2025

A patient experiencing painful swelling and an abscess spent three days in the hospital for diagnosed cellulitis that required IV antibiotics and pain medication. The hospital admission was denied by the Medicaid Managed Care plan but reversed after an AppriseMD physician advisor completed a peer-to-peer payer review with the Managed Medicaid plan medical director. The criteria for inpatient hospital care due to cellulitis are quite strict; however, the experienced AppriseMD physician advisor reasoned that the denial should be rescinded based on the high intensity of pain management, leading to the payer medical director approving the higher level of care.

Read the full case study at

Short stay case study from AppriseMD involving a patient with Lennox-Gastaut syndrome highlights the need for a peer-to-peer, resulting in denial overturned.

11/13/2025

Medical necessity determinations made by physicians experienced in utilization review improve efficiency and optimize the revenue cycle. Read more about AppriseMD physician advisory solutions at

AppriseMD partners with utilization management teams to provide physician advisory service to reduce denials, increase compliance and optimize reimbursement.

11/11/2025

Thank you to all veterans. We are grateful for your dedication and service.

11/11/2025

An AppriseMD second-level physician utilization review recommended moving a patient from observation status to inpatient level of care based on available documentation for an acute case of hidradenitis suppurativa. The patient’s Managed Medicaid plan denied the inpatient admission, but AppriseMD was able to overturn the denial after an engaging peer-to-peer payer review.

Read the full case study at:
https://apprisemd.com/case-study-secondary-review-recommendation-holds/

11/06/2025

AppriseMD applauds the American Medical Association for the launch of the Center for Digital Health and AI, "a new endeavor created to put physicians at the center of shaping, guiding, and implementing technologies transforming medicine."

New endeavor puts physicians at the heart of health care innovation.

11/04/2025

AppriseMD is proud to recognize Dr. Erum Anwar as a featured case preparation physician. Dr. Anwar goes above and beyond in her role, demonstrating exceptional dedication, reliability and team spirit. Her outstanding performance and positive attitude make a significant impact, and she proves to be an asset to the team. Her hard work and professionalism benefit everyone at AppriseMD as well as our hospital partners.

10/29/2025

The latest and best solutions for improving revenue cycle and denial management include:
• Enhancing reimbursement through timely utilization reviews by physician advisors.
• Reducing denials with medical necessity determinations facilitated by physician advisors with experience in both clinical practice and utilization management.
• Improving overall revenue integrity with physician-driven discernment and analytics.

https://apprisemd.com/rising-healthcare-costs-denial-rates-impact-hospital-revenue/

10/23/2025

AppriseMD is proud to partner with RAC Monitor Mondays. Visit apprisemd.com/RAC or click our ad on the RAC Monitor homepage to learn about partnering with AppriseMD to achieve a focused approach to utilization and peer-to-peer payer reviews that increases reimbursement and holds payers accountable.

10/21/2025

Hospital expense growth outpaced hospital revenue growth according to July data that was published by KaufmanHall in their National Hospital Flash Report in September.

Hospital performance is generally stable but has softened in recent months. Expense growth is outpacing revenue growth—as non-labor expenses in particular continue to put pressure on hospitals.

10/16/2025

AppriseMD was instrumental in overturning a partial denial from a Medicaid Managed Care Organization. After an AppriseMD physician advisor argued that the patient’s new onset of a neurologic condition on the fifth day of admission counted as a new diagnosis warranting inpatient level of care, the denial was overruled. Full reimbursement is possible with physician advisory expertise and a detailed peer-to-peer discussion.

Read more in our new case study found at

Short stay case study from AppriseMD involving a patient with Lennox-Gastaut syndrome highlights the need for a peer-to-peer, resulting in denial overturned.