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Becker's IT + Revenue Cycle Conference, ChicagoView event

Denial Autonomy Suite

AI denial management, prevention first.

Two stations prevent the denial before submission. Two recover the dollars when one slips through. All four converge at Revenue Recovery Central, and every payer decision feeds the next claim.
Human-in-the-loopAudit-ready trailsHIPAA-aligned

Denial autonomy

Claim #8842 · Commercial PPO

Protected

Denial risk

Low

risk reduced
Medical necessity gapPrevented
DRG mismatch caughtCorrected
Auth missing on claimResolved

Appeal letter auto-drafted with cited evidence, ready for human review.

typical

11 days

remittance signal to drift alert

up to

80%

overturn on the cases we pursue

up to

10x

faster appeal review cycles

Station 01 · Risk Prediction

It flags the fixable defect before the claim files.

Risk Prediction scores every claim while it is still editable. The point is not a risk number; it is the specific defect you can still fix.

Scored pre-bill

Denial risk is scored before submission, against learned payer behavior for that payer, plan, and claim shape, not discovered on the remittance.

The defect, named

Missing modifier, absent prior authorization, medical-necessity gap: the flag names the fixable defect, so the fix is specific.

Intervene while it's editable

Teams correct claims pre-bill instead of appealing them post-denial. That is the cheapest denial you will ever work.

Risk Prediction

Scored pre-bill · claim still editable

pre-bill

Denial risk

4%

was 31% at intake

Modifier 25 missingfixed pre-bill
Prior auth not on filetask created
Medical necessity support thinquery drafted

Learned payer behavior · payer × plan × claim shape

Station 02 · CDI & Coding Integrity

Defensible coding, with the evidence attached.

Documentation and coding gaps surface upstream, each with its clinical evidence, so denials driven by the chart stop at the chart.

Verified against the note

ICD-10, CPT, HCPCS, and HCC assignment checked against the documentation itself, not around it.

Evidence on every suggestion

Each recommendation links to the note, flowsheet, or report that supports it, so coders defend decisions instead of reconstructing them.

Human-in-the-loop

Reviewers approve consequential changes, and audit-ready trails record every step.

CDI & Coding Integrity

Verified against the documentation

evidence linked
ICD-10J96.01Acute respiratory failure w/ hypoxia
evidence: note · flowsheet
CPT99233Subsequent hospital care, high
evidence: note · A/P
HCC85Congestive heart failure
evidence: echo report
human review · audit-ready trail
Station 03 · Payer Insights & Pattern Detection

See the payer change before the bulletin lands.

Neurex reads your own remittance data for behavior shifts. A rules engine finds out when the payer publishes; you find out when the pattern starts.

Payer drift detection

Detected from your own remittance data, with a documented detection-to-alert window of about 11 days from the first inbound signal.

Outcome tracker

30, 60, and 90-day rolling baselines per payer and claim shape. A statistically significant deviation triggers an alert carrying dollars at risk and a suggested action.

Policy intelligence

NCD, LCD, and payer bulletins summarized with a severity score, tied to the impacted claims, codes, and service lines.

Plan-level tracking

Behavior tracked per Medicare Advantage plan and claim category, because an average can hide a concentrated problem.

Payer Insights & Pattern Detection

Watching your own remittance data

two detection paths

Day 0

First inbound remittance signal

~Day 11

Neurex drift alert: dollars at risk + suggested action

typically ~6 days later

Payer publishes the bulletin

Documented deployment observations, not an SLA. In one documented pattern, the alert fired 17 days before the bulletin.

MA denial rate by planillustrative · avg 12%
9%12%8%22%11%10%

A 12% average can hide a 22% problem on one plan’s cardiac claims.

Station 04 · Appeal Generation

Appeals that are cited, approved, and getting smarter.

When a denial does land, the packet that answers it is payer-specific, evidence-backed, and reviewer-approved. And it teaches the engine something.

Cited and evidence-backed

NCD and LCD citations, InterQual and MCG references, documentation excerpts, and deadline tracking in every packet.

Approval before filing

An approval workflow gates every appeal. Nothing files without reviewer sign-off.

The Appeal Intelligence Flywheel

Patent-pending. Every outcome and reviewer edit feeds back, so the argument patterns that win propagate to the next appeal.

Ask Neurex Copilot

Reviewers validate complex appeals in minutes with healthcare-native search across clinical evidence, payer rules, prior outcomes, and case context: up to 10x faster review cycles.

Appeal Generation

Appeal packet · CO-97 · medical necessity

deadline tracked

Per NCD 220.6, the service meets medical-necessity criteria for this presentation[1]. Documentation supports the level of care under InterQual[2] and MCG[3]; the operative note excerpt is attached[4].

[1] NCD 220.6[2] InterQual[3] MCG[4] Op note p.2
DraftReviewFile

awaiting reviewer sign-off · nothing files without approval

Every outcome and reviewer edit feeds the Appeal Intelligence Flywheel (patent-pending), so the argument patterns that win propagate to the next appeal.

Where it converges

All four stations converge at Revenue Recovery Central.

Recovered dollars, prevented denials, and open work in one operational view, built for the people who answer to the board.

Explore Revenue Recovery Central

up to

80%

appeal overturn rate on the cases we pursue

$4.5Bin A/R under active management
11production healthcare organizations
typical11days from remittance signal to drift alert

HIPAA-aligned · SOC 2 Type II readiness · Security at Neurex

Questions

AI denial management, answered

Straight answers to the questions revenue cycle teams ask first.

Start

See it on your own denials.

A pilot with success criteria you set, and an outcome-based engagement: Neurex is paid on the revenue it recovers.

Human-in-the-loop on consequential actions · Audit-ready trails

    Denial Autonomy Suite: AI Denial Management | Neurex AI