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| Hospital Solutions |
Our revenue management solutions for hospitals and other healthcare facilities focus on three important concepts:
- Determine eligibility before service is provided
- Submit error-free claims that will be paid when presented
- Simplify clean claim submission with a “one-click” electronic solution
Eligibility
Approximately 6% of all healthcare claims are denied due to ineligibility. More than half are impossible to recover and result in financial loss. Our online eligibility product allows providers to determine a patient’s eligibility before service is provided, within seconds over any web browser. We support single or multiple patient requests in real time or batch. Payor information is decoded into plain English. An entire patient schedule can be processed within minutes. The result is a significant reduction in unrecoverable claims denials and write-offs.
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every reason that a claims file may not be paid based on all CCI/LMRP/medical necessity edits as well as published and unpublished payor-specific criteria which are updated weekly.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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