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.
- HIPAA Compliant
- TX-RAMP Certified
- SOC 2 Certified
- AI-Powered
72F · CHF exacerbation · admitted via ED
- IV loop diuretics, q12h
- BNP 1,840 pg/mL, worsening dyspnea
- Expected stay past 2 midnights
Appeal-ready letter drafted
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.
Trusted by hospitals nationwide. Since 2009.
Every Day Without Action Costs You Money
Denials, documentation gaps, and manual processes are bleeding your hospital dry
US hospitals lose to denials and underpayments each year
Of Medicare claims are denied on first submission
Manual appeals drain staff time and delay revenue
Of denials stem from insufficient clinical documentation
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.
Module 1 of 9: Aerolib 1-Click UR App
1-Click AccessModule 1Aerolib 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
50+ Training ModulesModule 2Aerolib 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
94% Prediction AccuracyModule 3Capacity 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
3x Faster AppealsModule 4AI 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
100% CompliantModule 5Compliant 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
42% Denial ReductionModule 6Documentation 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
94 ConditionsModule 7Medical 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 CertifiedModule 8EPAS 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
$120M+ Tracked FindingsModule 9OIG 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
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
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.
Our Revolutionary Process
Aerolib.ai's proprietary AI technology streamlines the entire appeals workflow with a simple 3-step process
- 1
Upload Your Medical Records
Simply upload your medical records in Word or PDF format to Aerolib.ai's secure HIPAA-compliant platform.
- 2
Aerolib AI Processes Your Case
Our AI technology extracts key clinical details, identifies relevant information, and structures the appeal using proprietary algorithms.
- 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
Our clients recover millions in previously denied claims through our AI-powered appeals process, directly impacting your bottom line.
Streamlined workflows and automation reduce the labor costs associated with appeals management, improving operational efficiency.
Our AI-driven approach significantly outperforms industry averages, turning more denials into approved claims and recovered revenue.
For every dollar invested in Aerolib.ai, our clients see nearly 7x-10x return through recovered revenue and operational savings.
FAQ
Physician advisor questions, answered
Straight answers about utilization review, denials, and how Aerolib works.
What is a physician advisor?
A physician advisor is a licensed physician who reviews hospital cases for medical necessity and the correct level of care (inpatient vs. observation), supports peer-to-peer discussions with insurers, educates providers on documentation, and helps appeal denied claims. Aerolib supplies experienced physician advisors as a service, so hospitals get this expertise without hiring full-time staff.
What does Aerolib do?
Aerolib combines physician advisor services with AI-driven software for hospital revenue cycle teams. Services include concurrent and retrospective utilization review, peer-to-peer support, clinical documentation training, and denial appeal writing and submission.
How does Aerolib help hospitals reduce claim denials?
Aerolib reviews cases while the patient is still admitted to catch documentation and level-of-care issues before discharge, then fights the denials that still occur through peer-to-peer calls and evidence-based appeal letters. Hospitals using Aerolib have reported a 42% reduction in denials.
How does Aerolib's AI write denial appeal letters?
You upload medical records in Word or PDF format to Aerolib's HIPAA-compliant platform. The AI extracts the key clinical details, structures the appeal with clinical citations, scores its strength in real time, and produces a payer-ready letter you can download and submit. This cuts appeal creation from days to minutes.
Does Aerolib help with the CMS Two-Midnight Rule?
Yes. Aerolib's physician advisors provide same-day status reviews and two-midnight guidance so admissions are correctly classified as inpatient or observation and documented in line with CMS requirements.
Is Aerolib HIPAA compliant?
Yes. Aerolib's systems and processes follow HIPAA requirements for protected health information. Aerolib is TX-RAMP certified for Texas state security compliance and SOC 2 certified, with controls for security, availability, and confidentiality independently audited.
Which types of facilities does Aerolib support?
Aerolib supports acute care hospitals and health systems of every size, from small and critical access hospitals to multi-facility systems. It also covers ambulatory surgery, imaging, skilled nursing, home health, dialysis, therapy, rehab, DME, lab, and other facility types.
What return on investment can hospitals expect?
Aerolib clients report roughly a 7x to 10x return on every dollar invested, through recovered revenue from overturned denials and lower labor costs for appeals management.
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.