AerolibPhysician Advisors
Introducing the Future of Healthcare Revenue Cycle

The Most Comprehensive Physician Advisor Ecosystem

Empowering hospitals with AI-driven solutions for denials management, utilization review, and revenue recovery. The complete platform every hospital operations team needs.

Reviewed by board-certified physician advisors
  • HIPAA Compliant
  • TX-RAMP Certified
  • SOC 2 Certified
  • AI-Powered
Admission reviewCase A-2187
Reviewing

72F · CHF exacerbation · admitted via ED

  • IV loop diuretics, q12h
  • BNP 1,840 pg/mL, worsening dyspnea
  • Expected stay past 2 midnights
DeterminationInpatient: criteria met
4 min

Appeal-ready letter drafted

Illustrative sample. No real patient data.
25,000+
Case Reviews
Nationwide
100+
Education Hours
Regulatory & Disease Specific
10+
Decision Trees
Clinical Pathways
10+
UR App Features
Utilization Review Tools
$3.2M+
Annual Revenue Recovered
Average per client
9.8x
Return on Investment
On appeal program implementation
90%
Overturn Rate
On targeted denials
30%
Reduction
In peer-to-peer escalations
Expert Clinical Leadership

Physician Advisor Services

Our experienced, board-certified physician advisors provide comprehensive support for healthcare facilities of all sizes. Available 24/7 to protect your revenue.

Board-Certified Physicians
HIPAA Compliant
Same-Day Response
Proven ROI
24/7
Coverage
Concurrent & Retrospective Reviews
Timely evaluation of cases to ensure appropriate level of care and documentation. Real-time intervention to prevent denials before discharge.
90%
Overturn Rate
Peer-to-Peer Support
Expert assistance for discussions with payer medical directors to overturn denials. Board-certified physicians advocating for your patients.
35%
Improvement
Documentation Training
Guidance for providers on improving clinical documentation for better outcomes. CDI education that drives sustainable improvement.
65%
Success Rate
Appeals Writing & Submission
Professional preparation and management of appeals to maximize success rates. Evidence-based letters with clinical citations.

Trusted by hospitals nationwide. Since 2009.

The Hospital Revenue Crisis

Every Day Without Action Costs You Money

Denials, documentation gaps, and manual processes are bleeding your hospital dry

$262B
Annual Revenue Lost

US hospitals lose to denials and underpayments each year

90%
Initial Denial Rate

Of Medicare claims are denied on first submission

45+ Days
Average Appeal Time

Manual appeals drain staff time and delay revenue

65%
Documentation Gaps

Of denials stem from insufficient clinical documentation

The Complete Physician Advisor Platform

The Aerolib Ecosystem

Specialists in Appeals, Denials & Clinical Documentation Integrity

The complete Physician Advisor Program designed to augment your existing workflows, help you launch a new PA program, or optimize and maintain your current operations. Nine integrated modules powering the most successful physician advisor programs nationwide.

Appeals Management
Denial Prevention
CDI Excellence
Utilization Review

Module 1 of 9: Aerolib 1-Click UR App

  • Aerolib Mobile App Suite1-Click Access
    Module 1

    Aerolib 1-Click UR App

    Medical Necessity Experts in Your Pocket

    Native iOS and Android app providing instant access to the entire Aerolib ecosystem. Features risk calculators, LMS modules, EPAS decision tools, Cerebral AI, and direct physician advisor contact - all with push notifications for urgent reviews.

    See key features
    • Risk calculators and clinical tools
    • Aerolib LMS learning modules
    • EPAS decision support on-the-go
    • Push notifications for urgent reviews
  • AppealWise Learning Platform50+ Training Modules
    Module 2

    Aerolib AppealWise

    Appeals & Documentation Mastery

    Comprehensive learning platform with video modules on appeals strategies, Medicare rules, reimbursement, and CDI best practices. Features EPAS streaming content, AI writing tips, watchlist tracking, and expert blogs from industry leaders.

    See key features
    • Appeals & Documentation video modules
    • Medicare Rules & Reimbursement training
    • EPAS streaming with clinical scenarios
    • Expert blogs and industry insights
  • Executive Dashboard94% Prediction Accuracy
    Module 3

    Capacity Intelligence Center

    Real-time Bed Management & Patient Flow

    AI-powered hospital operations platform that predicts patient flow, optimizes bed utilization, and provides executive-level analytics for data-driven decisions.

    See key features
    • 94%+ prediction accuracy for patient flow
    • Real-time bed status tracking across units
    • Discharge readiness scoring
    • Critical alerts with potential savings
  • Appeal Generation Platform3x Faster Appeals
    Module 4

    AI Appeals Engine

    Payer-Ready Appeals in Minutes, Not Days

    Transform denial management with AI-powered appeal letter generation, clinical evidence extraction, and real-time appeal strength scoring. Reduce appeal creation time from days to minutes.

    See key features
    • AI-assisted letter generation with citations
    • 18+ denial types supported
    • Real-time appeal strength scoring (0-99%)
    • Complete audit trail and case history
  • Query Generation Interface100% Compliant
    Module 5

    Compliant Query Generator

    CDI-Compliant Physician Queries

    Generate compliant physician queries that meet CMS and Joint Commission standards. Improve Clinical Documentation Integrity with structured templates that capture medical necessity.

    See key features
    • CMS & Joint Commission compliant templates
    • Condition-specific query suggestions
    • Auto-population from clinical data
    • Response tracking and analytics
  • Documentation Analysis42% Denial Reduction
    Module 6

    Documentation Studio

    Clinical Documentation Excellence

    Comprehensive CDI workbench with real-time documentation analysis, DRG impact assessment, and provider education modules. Ensure every record supports medical necessity.

    See key features
    • Real-time documentation gap analysis
    • DRG impact assessment
    • Provider education modules
    • Quality metrics dashboard
  • MedNecessity Research Assistant94 Conditions
    Module 7

    Medical Necessity Library

    Evidence-Based Clinical Reference

    Comprehensive documentation library covering 94 conditions across 13 categories with KPIs, admission rationale, and specific clinical criteria aligned with InterQual and CMS guidelines.

    See key features
    • Research chat with AI assistance
    • Denial codes reference library
    • State and payer-specific guidance
    • CMS and InterQual aligned criteria
  • EPAS Decision Tree PostersEPAS Certified
    Module 8

    EPAS Decision Trees

    Visual Clinical Decision Support

    Professional-grade decision tree posters designed by physician advisors for quick reference during level-of-care determinations and peer-to-peer calls. Print-ready for nursing stations.

    See key features
    • Visual clinical pathways
    • Peer-to-peer call support
    • CMS compliance mapping
    • 2ft x 3ft printable posters
  • OIG Work Plan Dashboard$120M+ Tracked Findings
    Module 9

    OIG Work Plan Tracker

    Federal Audit Intelligence

    Stay ahead of federal audits with real-time tracking of OIG Work Plans, improper payment findings, and compliance recommendations. Proactive guidance for hospital compliance teams.

    See key features
    • Real-time OIG Work Plan monitoring
    • State-by-state audit analysis
    • Improper payment alerts
    • Compliance action recommendations

Ready to Transform Your Revenue Cycle?

Join leading health systems recovering millions in lost revenue with the Aerolib ecosystem

What Sets Aerolib Apart?

At Aerolib Physician Advisors, we are reimagining the intersection of clinical expertise, technology, and regulatory strategy to enhance healthcare delivery and operational excellence.

Our story & mission

Since our inception in 2009, we've remained committed to improving patient outcomes, increasing hospital revenue integrity, and providing unmatched support in utilization management, compliance, and medical necessity.

Our mission is to provide Patient Centered Total Quality Management solutions to healthcare organizations. We empower organizations to perform needs analysis and provide Medicare and Medicaid Medical Necessity Compliance, Managed Care and Commercial Admission Reviews and Denials Management.

Our Vision

To be the gold standard in healthcare process improvement, empowering providers with intelligent tools and expert insights.

  • Physician-Led Innovation

    All our services are crafted by seasoned physician advisors who understand the complexities of inpatient care, observation service, and CMS compliance.

  • Real-World Results

    Hospitals using Aerolib's services have achieved a 42% reduction in denials, millions in recovered revenue, and improved throughput and documentation accuracy.

  • Technology-Driven Support

    With cloud-based applications, AI-supported appeal tools, and real-time teleconsulting, Aerolib ensures fast, compliant, and scalable solutions.

Faces of Aerolib

Our Clinical Leadership Team

Physicians, attorneys, and operators who have spent their careers inside hospital utilization review, compliance, and revenue integrity.

Swipe to meet all 4 leaders

AI-Powered

Aerolib.AI – The Ultimate Appeals Machine

Aerolib AI is engineered to tackle the most complex and high-impact payer denials with intelligent automation, precision templating, and expert clinical logic.

Supported Denial Types

Medical Necessity Denials
DRG Downgrade Denials
Length of Stay Denials
Level of Care Denials
Observation vs. Inpatient Status Denials
Prior Authorization Denials
Workers' Compensation Denials
Skilled Nursing Facility Admission Denials
Psychiatric/Behavioral Health Denials
Retrospective Audit Denials
Post-Payment Review Denials
Coverage Policy Exclusion Denials
Service Not Matching Authorization Denials
Medical Necessity for Readmission Denials
Veterans Administration Denials
Medicaid Audits and Denials
Orthopedic Denials – TKA and THA
NICU Coverage Denials

Security & Compliance

Our commitment to protecting your data and maintaining regulatory compliance

  • TX-RAMP Certified

    Meeting the highest standards for Texas state security compliance requirements.

  • HIPAA Compliant

    All systems and processes adhere to HIPAA regulations for protected health information.

  • SOC 2 Certified

    Independently audited controls for security, availability, and confidentiality of your data.

  • Microsoft Azure

    Built on Microsoft Azure with integrated Sentinel SIEM and Defender for Cloud.

Our Revolutionary Process

Aerolib.ai's proprietary AI technology streamlines the entire appeals workflow with a simple 3-step process

  1. 1

    Upload Your Medical Records

    Simply upload your medical records in Word or PDF format to Aerolib.ai's secure HIPAA-compliant platform.

  2. 2

    Aerolib AI Processes Your Case

    Our AI technology extracts key clinical details, identifies relevant information, and structures the appeal using proprietary algorithms.

  3. 3

    Download Payer-Ready Appeal Letters

    Receive your perfectly formatted appeal letter, backed by clinical evidence and ready for submission with just a few clicks!

Tailored Analysis for Every Facility Type

Denial Defense applies specialized denial risk rules for each healthcare setting, ensuring accurate and relevant analysis for your specific facility type.

Hospital Inpatient

DRG validation, LOS analysis, admission criteria

Ambulatory Surgery Center

Procedure appropriateness, site-of-service rules

Physician - Orthopedics

Imaging documentation, surgical necessity

Physician - Cardiology

Test indications, device implant criteria

Physician - Primary Care

Wellness visit documentation, CCM time

SNF / LTACH

Qualifying stays, skilled service requirements

Urgent Care

E/M level support, site appropriateness

Home Health Agency

Homebound status, skilled care requirements

Dialysis Center

ESRD certification, treatment adequacy

Behavioral Health

Therapy authorization, time documentation

Radiology / Imaging

Advanced imaging auth, clinical indications

More Coming Soon

Rehab, DME, Lab, and more facility types

Each facility type has specialized rules covering authorization requirements, documentation standards, and coding accuracy.

The Financial Impact of Appeal Velocity

Aerolib.ai delivers measurable ROI by transforming denials into revenue while reducing operational costs

$2.6-$3.2 M/year
Average Revenue Recovery

Our clients recover millions in previously denied claims through our AI-powered appeals process, directly impacting your bottom line.

~35%-42%
Reduction in Appeal Costs

Streamlined workflows and automation reduce the labor costs associated with appeals management, improving operational efficiency.

~60%-65%
Higher Appeal Success Rate

Our AI-driven approach significantly outperforms industry averages, turning more denials into approved claims and recovered revenue.

~7x-9.8x
Return on Investment

For every dollar invested in Aerolib.ai, our clients see nearly 7x-10x return through recovered revenue and operational savings.

Ready to Transform Your Revenue Cycle?

Join hundreds of healthcare facilities that have already improved their denial management and recovered millions in revenue with Aerolib Physician Advisors.