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Physician Solutions
ImpactMD offers physicians cost-effective,
user-friendly solutions that can eliminate
eligibility losses, minimize claims resubmissions
and allow electronic routing to most payors.
Approximately 6% of all healthcare claims are denied
due to ineligibility. Most of these are impossible
to recover and result in financial loss.
ImpactMD's online eligibility product,
provides these features:
Determine a patient’s eligibility before service is
provided
Obtain results within seconds over a secure web
browser, eliminating wasted staff time on 1-800
calls
Single or multiple patient requests - an entire patient
schedule can be processed within minutes
Decodes and organizes payor information into plain
English
The result is a significant reduction in
unrecoverable claims denials and losses.
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.
The ImpactMD ClaimEditor increases
payment rates as never before. Our ClaimEditor uses payor-specific
edits to make sure that the claim is paid on first
presentation, nearly eliminating resubmissions. Within
seconds, the 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necessity edits as well as published and unpublished payor-specific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-payer 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
Improve work processes by identifying needed data
collection improvements
ImpactMD provides a service available to
users of our ClaimEditor that allows error-free claims to be
submitted through our all-payor clearinghouse with the click
of a mouse from the ClaimEditor window.
Advantages include:
Clean claims automatically submitted
Secure, electronic claims submission over an internet
connection
Automatic data formatting for every supported payor
Seamless connectivity to commercial and government
payors
Bundled pricing offers cost effective alternative to
other clearing services
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