Overview of Revenue Recovery

Mission: reduce denied claims due to coding errors. High-level workflow and key personas.

Overview of Revenue Recovery

Welcome to the Ailevate Revenue Recovery Support Documentation. This resource is designed for teams who have implementing Ailevate and need guidance on configuration, integration, and ongoing optimization.

What You’ll Find Here

  • Deployment & Configuration
    Instructions for installing and managing Ailevate Revenue Recovery.

  • Integration Guides
    Steps for securely connecting to EHR systems.

  • Workflow Optimization
    Best practices for maximizing recovery efficiency.

  • Troubleshooting
    Common issues and their resolutions.

  • Resources
    Guidance on maintaining system uptime, monitoring performance, support contacts.

How Ailevate Revenue Recovery Fits Your Workflow

Ailevate Revenue Recovery enhances your existing workflows through an intuitive, structured three-step process:

Identify → Correct → Resubmit

  1. Identify

    • Automatically analyzes incoming denied claims using 835 remittance advices and 837 claim files.
    • Uses advanced AI algorithms to parse CARC/RARC denial codes and detect coding mismatches at the service-line level.
  2. Correct

    • Provides precise, AI-driven recommendations for corrections including ICD/CPT codes, modifiers, and essential documentation cues.
    • Enables billing staff to validate recommendations within familiar EHR or RCM systems, ensuring compliance and trust.
  3. Resubmit

    • Enables easy, deliberate resubmission of corrected claims using familiar tools.

Visual Workflow

flowchart LR
    A[Denied claim detected 835/837] --> B[AI parses CARC/RARC & service lines]
    B --> C[AI suggests corrections ICD/CPT, modifiers]
    C --> D[Human reviews & edits in EHR/RCM]
    D --> E[User Resubmit 837]
    E --> F[Track outcomes & ROI]

Setting Up Ailevate Revenue Recovery for Your Organization

Getting started with Ailevate Revenue Recovery is straightforward. We provide tailored onboarding resources for both administrators and end-users to ensure a smooth implementation and adoption process.

Onboarding for Admins

Admins manage the initial setup, user management, and integrations with your existing EHR or PM systems:

Onboarding for Team Members

Using Ailevate Revenue Recovery to streamline your denial corrections. Visit our guide for clear steps and best practices on how to efficiently get started: