Health Universe for Revenue cycle
Denial Avoidance
Close the clinical context gap.
We bring the medical necessity documentation you can't reach, delivered exactly when and where you work.
Care network
Of patients' records located across the care network
Reach
Connected EHRs the evidence is reachable across
Go-live
Setup, no integration to start
A National Reference Laboratory
“Health Universe helps us protect revenue while keeping the clinical story behind each case front and center.”
— President & Chief Medical Officer
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The problem
Denied for context that exists
When a specimen arrives with a code and no clinical context, the claim gets denied for missing medical necessity, even when the diagnosis that justifies it is already documented at another site of care. Health Universe finds that record, pinpoints what's missing, and drafts the appeal for your team to approve.
Revenue lost
of lab revenue is lost monthly to avoidable denials.
Improper payments
in improper Medicare payments annually.
In Action
How it works
01
Retrieve the record across the care network
02
Pinpoint the evidence for medical necessity
03
Draft the appeal your team approves
Outcome
Claims documented right — before the specimen ships
The difference
Why Health Universe
Only Health Universe reaches the diagnosis recorded somewhere else, across the patient's care network, and moves the fix to the point of order, so the claim is documented correctly before the specimen is even collected. That's the difference between working denials and preventing them.
Case study
A National Reference Laboratory
See how they put $2.89M in denied revenue back in reach.
Read the case study
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Learn how Health Universe can unify your patients’ full clinical picture with highly configurable summaries, outputs and agents, to move your most important work forward.