Medical Necessity Compliance

CHALLENGE — Pre-Service Medical Necessity Evaluation & Producing ABNs
CHALLENGE — Rejected Claims due to Medical Necessity Failure

CHALLENGE — Pre-Service Medical Necessity Evaluation & Producing ABNs
SOLUTION — Medical Necessity Ordermate (MNO)

Why wait until after a patient is seen to address medical necessity compliance? Enable patient access staff to perform quick and easy medical necessity evaluations and produce ABNs when appropriate with Medical Necessity Ordermate (MNO) from Iatric Systems. MNO is a pre-service medical necessity evaluation tool that helps staff who are not trained coders quickly and easily convert narrative procedures and diagnoses into CPT and ICD-9 codes. MNO reminds staff to check for medical necessity whenever appropriate, it allows staff to evaluate medical necessity with minimal keystrokes, and it is completely integrated with MEDITECH.

CHALLENGE — Rejected Claims due to Medical Necessity Failure
SOLUTION — Medical Necessity Checkmate (MNC)

Help the business office significantly reduce write-offs, AR days and re-work associated with medical necessity compliance and claims submission with Medical Necessity Checkmate (MNC) from Iatric Systems. 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 will automatically drop the appropriate charges into the Self-Pay bucket, saving your staff time, and add any necessity modifiers, occurrence codes, etc, automatically.

Find out more about MNC (MAGIC version)
C/S version of MNC coming soon!
Click here to contact us about MNC via e-mail