Medical Necessity Compliance
Medical Necessity Checkmate (MNC)
Iatric Systems' Medical Necessity Checkmate (MNC) software solution helps significantly reduce write-offs, AR days and re-work associated with medical necessity compliance and claims submission. MNC works in the background, during the day end close, screening unbilled accounts for medical necessity before claims are dropped. The software identifies all accounts that fail. Here is just one of the remarkable features of MNC. If an account fails the evaluation and there is a signed ABN on file, MNC can script modifiers, occurrence and value codes on to the account prior to the bill being posted.
Medical Necessity Ordermate (MNO)
Medical Necessity Ordermate (MNO) has helped hospitals significantly reduce write offs previously caused by procedures deemed medically unnecessary by third party payors. With MNO, failing procedures are identified before patient services are rendered. Physician office phone numbers are presented automatically so staff can obtain appropriate diagnoses easily.
MNO is a pre-service medical necessity evaluation tool. Your staff do not have to be trained coders. They can easily convert narrative procedures and diagnoses to CPT and ICD-9 codes. MNO reminds staff to check for medical necessity at the appropriate point. It allows staff to evaluate medical necessity with minimal keystrokes and it is completely integrated with MEDITECH.
