The road to clean claims starts with mapping a strong medical necessity course. And staying on course means following the rules of the road, starting with payer rules and including evidence-based clinical standards of care.
The ultimate destination—financial gains and improved efficiencies.
Passport Medical Necessity is the best road to clinical revenue protection. Interfacing with multiple information systems, it seamlessly and automatically checks patient orders against payer rules for medical necessity, frequency, duplication, modifiers and more.
The solution validates an order throughout the process to produce a clean claim billed without fear of denial.
Passport Medical Necessity integrates seamlessly with all EMR, scheduling, and registration systems. Updates are performed automatically and continuously from the charge master file.
This advanced tool identifies claims that may be denied, prior to submission, giving the chance to make corrections—and saving you the cost and time to rework the claim. Since clean claims are submitted earlier in the billing process, days in AR are reduced.
Passport Medical Necessity triggers issues and alerts based on Medicare and commercial payer rules, eliminating reliance on manual and paper processes. It also provides extensive management reporting to better educate clinicians on coding practices. Integrating seamlessly within existing workflow practices, the solution interfaces directly with registration and order entry systems, and updates automatically and continuously from your charge master.
Passport Medical Necessity seamlessly and automatically checks patient orders against payer rules for medical necessity, frequency limitations, duplication, modifiers and more. The solution works to protect your ability to realize revenue throughout the clinical order process, producing clean claims billed without fear of denial.