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FRANKLIN, Tenn. – In a move to emphasize and support its focus on clinical
orders, health care information technology and services company
Passport Health
Communications, Inc. has formed a Clinical Orders Business Unit.
“We can have a big impact in this area for our clients by making sure they are
compliant with every clinical order so they get paid,” said Passport CEO Scott
MacKenzie. “Passport already has a great reputation for
medical necessity compliance services, and we
have the capability to do so many other things to deliver accuracy and
intelligence to clinical orders in any provider environment.”
Passport’s 2005 acquisition of King of Prussia, Pa.-based Healthworks Alliance
gave it a foray into the clinical orders business. More than 500 hospitals and
other providers across the U.S. already use Passport’s clinical orders tools.
The Clinical Orders Business Unit will develop products and services to help
providers ensure physician-ordered clinical tests, procedures and other
transactions are correct and pass multiple payer compliance edits from
scheduling to claims coding.
“Passport is the leader in next generation compliance protection because we
understand that clinical orders are more than just screening for medical
necessity and Advance Beneficiary Notices,” said MacKenzie.
Passport is introducing an improved clinical orders product – OrderChecker
– with expanded capabilities. OrderChecker processes real-time and/or batch
transactions and can be automated to run on an array of rules defined by a
provider. It is capable of creating any user-defined documents from Advance
Beneficiary Notices to campus maps, linking to Web sites, running public or
commercial insurance-based rules, routing orders between physicians, hospitals
and commercial laboratories, checking clinical guidelines, making coding edits,
identifying modifiers and performing insurance eligibility verification.
OrderChecker is available as a pre-claim tool used across the outpatient
clinical encounter with a compliance edit history available in an
enterprise-accessible Work Center. This capability allows a provider to quickly
identify and correct pre-claim edit failures prior to coding, billing and claim
submission.
The Clinical Orders Business Unit also has a clearinghouse for clinical orders,
similar to Passport’s operations for
patient insurance eligibility verification and
claims management
from Nebo Systems,
a member of the Passport family of companies. The clearinghouse, called the
Clinical Transaction Engine, is an automated, Web-based platform that can be
integrated with any other Passport product, any HIS, PMS or other third party
vendor systems. It processes transactions by applying appropriate rules and
creates a response with results and documents that can be assimilated by other
systems.
About Passport Health Communications, Inc.
Passport is a health care information technology and services organization
headquartered in Franklin, Tenn. The Passport family of companies sells
administrative, clinical and financial tools to help health care providers
determine eligibility and payment and get paid faster. Its products and services
are used by approximately one-third of all U.S. hospitals and more than 5,000
other health care provider facilities in all 50 states. For more information,
visit
www.passporthealth.com. |
