Eliminate Lost Billing & Improve Reimbursement Recovery
Clinicians should not have to keep track of the myriad policies that affect Medicare reimbursement, which in turn affects claims to private insurers. Our team of coders and physicians review monthly updates to provide you with the most current and detailed level of coverage.
The ideal workflow is to start earlier in the process and employ automatic checking on each clinical order to reconcile if the ICD-9-CM coded diagnosis justifies the CPT® or HCPCS-coded order. If the documented diagnosis does not amply support the patient's care, the workflow can warn the clinician to reassess accuracy, or print an Advance Beneficiary Notice (ABN). IMO® Medical Necessity provides organizations and systems with the tools to integrate reimbursement checking into any software application quickly and easily. Our monthly data updates of Local Coverage Determinations (LCDs), National Coverage Determinations (NCDs) and ICD/CPT® code sets are provided in several formats to fit with your solutions. IMO will also provide expert implementation and support services for those who need assistance.
IMO Medical Necessity
works seamlessly with IMO® Procedure (
and IMO® Problem (
packages, which adds easier searching while linking to payable codes for appropriate billing.
Three Technology Versions to Fit Every Implementation Need
Pick the programming environment best for you by choosing from one of several IMO® Medical Necessity modules available:
- Microsoft's .NET web services
- A compiled list of code pairings in TAB- or CSV- delimited text format, which you may choose to have include links of the complete text for the associated policy
- A dynamic link library (.DLL) with a compressed binary index file, which allows developers of computerized patient records or clinical systems to easily utilize the full power of IMO® Medical Necessity
Check Out the Medical Necessity Demo Now! Click Here
CPT® is a registered trademark of the American Medical Association.
National Correct Coding Initiative policies are a product of the Centers for Medicare and Medicaid Services.