Does REVAssurance require an internet connection to work?
A: While REVAssurance is a browser based program, most of its functionality works offline, including the letter template system. However, you will need an internet connection in order to access the law dictionaries and regulatory agency resources.
What kind of providers would REVAssurance benefit?
A: The tools and resources on REVAssurance can help any Fee-For-Service medical provider and is used by physicians, hospital and healthcare provider CFOs, VPs of reimbursement, VPs of finance, directors and/or managers of patient accounts, admissions, managed care, health information systems and operations professionals responsible for managing the front and back end process.
What happens when laws change?
A: The REVAssurance team works to update the program as our healthcare system evolves. In order to stay on the cutting edge of these changes, we recommend purchasing the “REVAssurance Support” package which comes with free updates to the software. If you already purchased the basic package, you are welcome to upgrade at anytime.
What payor jurisdictions does REVAssurance cover?
A: REVAssurance covers:

  • CA Knox-Keene Licensed Plans
  • CA PPO Plans
  • Medi-Cal Plans
  • Medi-Cal HMOs
  • CA Workers Compensation Claims
  • Medicare Advantage Plans
  • ERISA Plans
  • Department of Veteran Affairs Fee Basis (non-VA) Care claims
What kind of denials does REVAssurance address?
A: REVAssurance holds letter templates for 152 different scenarios, including:

  • Medicare Advantage: Cease and Desist from conducting retrospective review
  • Medi-Cal: 30 Day Untimely Demand
  • Managed Care Organization: 100% Billed Charges Due
  • ERISA: Medical Necessity Appeal
  • Preferred Provider Organization: Medical Necessity Appeal
  • Veterans Affairs: Affidavit of Compliance for Poststabilization Services
  • Managed Care Organization: Affidavit of Compliance for Disagreement of Care
  • Preferred Provider Organization: Affidavit of Compliance for Untimely Filing
How do I know which letter to use?
A: To find the applicable letter, you just need to know the payor type and which current phase of your claim in the appeals process (review the tutorial to find out its phase). With this information, navigate to the letter you need, scroll down to the payor type and scroll through the drop-down list to select the scenario that matches your situation.

Remember that you must copy and paste your letter into a word processor (e.g. Microsoft Word) and customize it before sending it off (see tutorial).

What are the installation requirements?
A: REVAssurance functions on any computer with a javascript-enabled web browser. For further details, see the demo about page.