InDefend: Your Time, Your Money
InDefend was created to manage the substantive and procedural complexity that a hospital has when defending a retrospective inpatient payment audit. Our software accomplishes two things. We completely eliminate the logistical difficulty attached to an appeal. And we offer the best chance for the hospital to actually win the appeal and retain payment. Our solution requires just one employee hour from the moment of audit notification until the hospital is ready to comprehensively respond. And our proprietary IP greatly improves your chances of winning the appeal.
Teams of physicians, attorneys, and software engineers jointly developed applications that collect patient-specific information in a structured way to meet both the clinical necessity documentation and CMS program participation requirements. Our software is the result of proprietary IP, including specialty-specific physician-writing teams, thorough medical literature research for best-evidence standards, and innovative programming.
To support the documented clinical care, each of our individualized appeal letters typically includes 25-40 references from peer-reviewed journals and textbooks, such as JAMA, Lancet, NEJM, Annals of Internal Medicine, Am J of Cardiology, etc. Each appeal letter focuses on both the medical complexity of the individual case (improved outcomes, decreased complications, decreases in M&M etc.) and compliance with CMS documentation requirements. Building upon extensive nationwide experience with hospital audits, the founders have created software that levels the playing field between hospital and auditor.
We were where you are. Most hospitals do not have a reliable plan/process for a sporadic negative event that may or may not occur at a random future time. When faced with an audit, the process costs are so high to win that hospitals often don't even try. But not defending against an audit has proven very costly: in 2016 hospitals collectively lost $400 million per month in forfeited payments, just to Medicare. Once audited, hospitals are at an enormous financial and logistics disadvantage against the auditor. That is why we leveled the playing field: we were where you and now we want you to be where we are.
We encourage all hospitals to sign up with InDefend immediately for free. InDefend software enables hospitals to have their nurse rapidly and comprehensively respond to an audit in an efficient 60 minute process. This in turn makes it possible to respond within the 30 day discussion period when you do get audited. As soon as you sign up, we will quickly train your staff (about an hour) and then we encourage you to do a head to head comparison between your current solution and ours. You will find InDefend is vastly superior to your current solution, as the research and detail is cost-prohibitive to achieve on a per case basis. Why not be InDefend-ed, for free, before an audit, so you can respond immediately when the audit arrives?
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