Medical Necessity Compliance

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

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

Iatric Systems' MNC software solution helps significantly reduce write-offs, AR days and re-work associated with medical necessity compliance and claims submission. 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 prorate charges, saving your staff time, and add any necessary modifiers, occurrence codes, etc, automatically.

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

Why wait until after a patient is seen to address medical necessity compliance? Help "front-end" patient access departments (scheduling, registration, admissions, etc.) find a system that enables quick and easy medical necessity evaluation, produces ABNs when appropriate, and completely integrates with MEDITECH. Medical Necessity Ordermate (MNO) from Iatric Systems is that system. 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 ICD-9 codes. MNO reminds staff to check for medical necessity at the appropriate point, it allows staff to evaluate medical necessity with minimal keystrokes, and it is completely integrated with MEDITECH.