Case Study: ApolloMD uncovers hidden downcoded revenue with Adonis

ApolloMD uncovers $46.6M in downcoded payments with Adonis

The customer, ApolloMD, faced the challenge of systematic downcoding, a form of revenue leakage where claims were paid but at a lower-than-expected rate, making it difficult to detect and address within their athenahealth environment. This hidden payer behavior was eroding revenue without triggering traditional denial workflows. Partnering with Adonis, ApolloMD sought better visibility into these underpayments and reimbursement patterns.

Adonis provided a solution that delivered greater visibility into payer behavior by integrating with ApolloMD's existing athenahealth workflows. This enabled the organization to identify and measure downcoding as a systematic issue. As a result, ApolloMD uncovered $46.6 million in downcoded payments, achieved a 67% reduction in specific denials, and saved over 2,000 staff hours through AI-supported processes, allowing them to focus resources on high-value recovery efforts.

ApolloMD