Palladium
Improving Patient Care while Maximizing Revenue Recovery
Palladium delivers two critical outcomes: ensuring patients receive timely access to medically necessary care and helping health systems recover millions in previously denied reimbursements through automated PA workflows and AI-powered denial appeals.
How Palladium Works
EHR Intercept
Automation begins the instant a clinician places an order. PAs no longer have to wait in a queue to be serviced.
Automatic Submission
Automate computer-based tasks like payer portal form filling, finding relevant clinical notes, and entering data into the EHR.
Case Tracking
Stay on top of every PA through proactive tracking and alerts. A PA's status won't change without clinicians knowing.
Dispute Engine
Improves outcomes by drafting appeal letters, pulling in published research, and creating P2P scripts.
Integration Architecture
Technical Requirements
• FHIR R4 API access enabled • OAuth 2.0 authentication configured • Task resource support for workflow management • CDS Hooks (optional) for proactive complex case detection
FHIR Resources Utilized
**Patient** → Demographics and identifiers **Coverage** → Insurance details and authorization history **Condition** → Diagnoses, problem list, medical history **MedicationRequest** → Medication orders requiring PA **ServiceRequest** → Procedures/services requiring PA **DocumentReference** → Clinical notes, prior auth letters **DiagnosticReport** → Lab results, imaging reports **Observation** → Vital signs, lab values **Procedure** → Surgical history, treatment history **Task** → PA workflow status and assignments
Key Capabilities
### 1. Complex Appeal Generation • AI analysis of denial reasons with clinical counterarguments • Medical literature integration (PubMed, clinical guidelines) • Payer-specific policy mapping and precedent tracking • Multi-level appeal strategy optimization ### 2. Peer-to-Peer Support • Automated briefing document generation • Anticipated questions and recommended responses • Clinical evidence summaries with supporting documentation • Real-time coaching notes during P2P calls ### 3. Specialty Expertise • **Oncology** - NCCN guidelines, off-label use justification • **Rare Diseases** - Orphan drug protocols, limited evidence strategies • **Advanced Imaging** - Appropriateness criteria, alternative failure documentation • **Specialty Medications** - Step therapy exceptions, formulary appeals