Apprise MD

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.

10/03/2025

Exploring effective denial management strategies makes a significant difference for a hospital’s bottom line. One key component that hospitals and health systems should no longer be overlooking is specialized physician advisors who can transform revenue cycles and ensure higher quality care while safeguarding revenue streams. Read our latest blog at

Exploring effective denial management strategies makes a significant difference for a hospital’s revenue. Specialized physician advisors can help.