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Medical necessity validation

Medical necessity validation

  View online medical necessity validation demonstration.

This easy-to-use solution empowers your facility to increase up-front collections, reduce denials before they enter your system, and avoid unnecessary write-offs.

Benefits

  • Triggers questions and messages based on Medicare and commercial payer rules, eliminating reliance on manual and paper processes
  • Automatically and continuously updates from your chargemaster
  • Provides extensive management reporting to better educate clinicians on coding practices
  • Integrates with registration and order entry system to eliminate need for duplicate data entry
  • Ambulatory CPOE generates electronic requisitions/orders and transmits with patient financial information from ancillary facilities (outpatient clinics and physician offices) to hospital clinical departments
  • Automatically produces required forms and other documents for patients in advance of service
    (ABNs, APC estimated co-pay statements, etc.) and allows for electronic signature capture
     

Download medical necessity validation PDF
 

Passport Vice President Contributes to Industry Publication on ABN Compliance
Patrick Harkins, VP of Content Development, served as Technical Editor for the 2006 MedLearn® publication, “Advanced Beneficiary Compliance Essentials.” Created to help hospital managers comply with Medicare’s ABN requirement, it explains how the ABN process fits into provider billing and reimbursement systems. Click here to learn more.


 

 

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