Medical Necessity Compliance

Medical Necessity Ordermate (MNO) - Pre-Service

Medical Necessity Ordermate (MNO) helps hospitals significantly reduce write offs 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. Your staff can easily convert narrative procedures and diagnoses to CPT and ICD-9 codes. It allows staff to evaluate medical necessity with minimal keystrokes and it is completely integrated with MEDITECH.

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Medical Necessity Checkmate (MNC)- Post-Service

By automating the medical necessity requirements of claim processing, your billing staff will spend less time moving charges and more time on collections. Our Medical Necessity Checkmate (MNC) software is a completely integrated solution that provides automated processing of accounts in B/AR based on final coded procedures, final coded diagnoses and medical necessity requirements. MNC assists in CMS Compliance to avoid possible penalties and reduces HIPAA concerns by eliminating the transfer of information to a third party vendor.

Learn more about Medical Necessity Checkmate.

Click here to contact us about MNC via e-mail.