Notes — not a blog farm
Written for COO / VP Ops at outsourced US RCM firms. Industry language only. No invented AppealIQ win-rates.
01
Triage can tell you a denial is worth the fight. The work still dies on a blank page: medical necessity language, modifiers, auth history, what the biller already knows about this payer. Mid-value cases wait while the same person clears other clients. That is a labour problem, not a missing dashboard.
02
AppealIQ drafts. The biller reviews and exports. Send stays outside the product. Autopilot / auto-submit is on the roadmap — not shipped. We will not market a live autonomous submit we do not demo.
03
Waystar-class platforms already ship GenAI appeal drafting. Keep the suite when you need full platform breadth. AppealIQ is a multi-client RCM co-pilot — time-to-value for boutique and mid outsourced firms, not a rip-and-replace. Akasa’s beachhead is the health system. We sit inside the RCM firm.
04
One stalling denial-letter workflow from a multi-client queue. Not a live 835. Not production PHI. A paid US RCM pilot, if it fits, looks like 1–2 billers + a supervisor, fixture or 835-shaped input, PDF/DOCX out, human send, roughly weeks 1–4. Terms are scoped on the call. There is no public price list.
05
On the ops board, dollars at risk means denied dollars still open on the book — the pile that has not yet been written, reviewed, or closed. It is a workload and aging signal for supervisors. It is not recovered dollars, not overturn revenue, and not a promise of cash collected. We will not put a recovered-$ counter on this site.
06
AppealIQ drafts from clinical documents the biller imports, plus notes and policy context they add. That is deliberate. We do not claim live EHR chart-pull or “the system already has everything.” Outsourced RCM firms often work across clients with uneven access. Imported docs keep the loop honest: what you put in is what the draft can see. No EHR-magic theatre.
Kodiak’s $48.4B hospital denial-leakage figure (2025, +25% YoY) is industry context if you need a number in the room. It is not an AppealIQ result.