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| Physician Solutions |
ImpactMD offers physicians cost-effective, user-friendly solutions that can eliminate eligibility losses, minimize claims resubmissions and allow electronic routing to most payors.
Eligibility
Physician Solutions
ImpactMD offers physicians cost-effective, user-friendly solutions that can eliminate eligibility losses, minimize claims resubmissions and allow electronic routing to most payors.
Eligibility
Approximately 6% of all healthcare claims are denied due to ineligibility. Most of these are impossible to recover and result in financial loss. ImpactMD's online eligibility product, provides these features:
- Determine a patient’s eligibility before service is provided
- Obtain results within seconds over a secure web browser, eliminating wasted staff time on 1-800 calls
- Single or multiple patient requests - an entire patient schedule can be processed within minutes
- Decodes and organizes payor information into plain English
The result is a significant reduction in unrecoverable claims denials and losses.
Claim Editing
Approximately 25% of all healthcare claims are denied due to claim preparation errors. There is no value to a claim that is accepted for adjudication and ultimately denied. Competitors determine success based on claims a payor accepts for review. At ImpactMD we understand that your revenue is based on claims a payor not only accepts for review but pays.
Our ImpactMD claim editor increases payment rates as never before. The ImpactMD ClaimEditor uses payor-specific edits to make sure that the claim is paid on first presentation, nearly eliminating resubmissions. Within seconds, the ImpactMD ClaimEditor identifies every reason that a claims file may not be paid based on all CCI/LMRP/medical necessity edits as well as published and unpublished payor-specific criteria which are updated weekly.
ImpactMD’s all-payor rules engine delivers unprecedented performance, allowing providers to:
- Achieve 100% payment rate for reimbursements on first submission.
- Slash receivables and days outstanding by up to 20%
- Accelerate revenue collection
- Reduce denial management costs
Claim Submission
ImpactMD provides a service available to the users of our ImpactMD claim editor that allows error-free claims to be submitted through our all-payor clearinghouse with the click of a mouse from the ImpactMD ClaimEditor window.
Advantages include:
- Clean claims are automatically submitted
- Secure, electronic claims submission over an internet connection
- Automatic data formatting for every supported payor
- Seamless connectivity to commercial and government payors throughout the U.S.
- # Bundled pricing offers cost effective alternative to other clearing services
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Hospital Solutions |
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Improve revenue collection and predictability; reduce receivables and days outstanding ...
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Physician Solutions |
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ImpactMD offers physicians cost-effective, user-friendly solutions that can eliminate eligibility losses, minimize claims resubmissions and allow electronic routing to most payors.
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