Quantum Appeals® is a comprehensive software tool designed by experienced industry experts to track and manage RAC and other Medicare denials. In addition, this software will allow management of other audit programs or denial types—all on one platform. This includes, but is not limited to: MAC post-payment reviews, MAC prepayment review, CERT, Program Safeguard Contractors, MUEs, and managed care denials. This system can greatly increase denial management success and overturn rates with all denial types. It combines the medical, legal and business office expertise of its creators, attorneys Linda Fotheringill and Tracy Wade, to provide Hospitals with a proven best practice methodology and tools to:

• Overturn RAC and other Medicare denials
• Prevent RAC denials through improved compliance
• Overturn managed care denials
• Provide root-cause analysis for denial prevention
• Create detailed and meaningful reporting
• Enable multiple user access for coordinated response to appeal processes

Quantum Appeals® is assembled with distinguishable features that are not available in any other denial recovery software. These tools assist the RAC response team to navigate the appeals process from the day the notice of denial is received until the day the overturn or cash recoupment occurs. Among many other features, the robust reporting, tracking and security features of Quantum Appeals® allows for seamless integration of all data from multiple sites for the health care system executive, while also segregating data between individual hospitals. Data access is user defined and customized according to the needs of the hospital system.

The System