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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
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.
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published and unpublished payor-specific criteria which are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
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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