Product Overview
Compliance PT
We monitor every insurance payer's policies and bulletins for important changes that affect providers, hospitals, and billing companies. Because most policies are long and difficult to decipher, we send specialty-specific policy change notifications (with plain-English digests) directly to the people in your organization who need them.
Many payers send exhaustively lengthy documents, covering every specialty to every director and specialist in provider organizations; this creates a high noise-to-signal ratio and effectively makes policy updates useless. If you employ our software for policy monitoring, no longer will your biller-coders, directors, and specialists receive erroneous notifications about policies that don't affect them, and the changes that are important to them will become immediately actionable and trackable.
Our approach combines intricate algorithmic monitoring and detection with real human analysis–our specialty-specific expert biller-coders. This makes our tools very difficult to fool or replicate, and keeps us highly aligned with your revenue cycle management needs.
Specifications
Get Notified
when payors change policies.
Get Timely Notifications
Receive notifications when Payors make policies changes. Staying informed makes all the difference.
Actionable, Professional Notes
Instead of reading through hundreds of pages of insurance-speak, our software detects policy changes and writes easy-to-digest notes for your billing and coding staff to implement.
Fight Denials More Intelligently
Quickly find policy specifics for a given claim date. Use our data as evidence to win more cases.
Hospitals
Implement Policy Changes Fast
Monitor all payor policies
Determine action plans
Easy to read change notes
Crowdsourced policy advice
Rev Cycle Companies
Combine Policy Data with EDI data
Inform your scrubbers
Update rules with policy data
Outperform competitors
Develop medical necessity rules
API Integration
Policies, Changes, & Intel On-Call
Policy docs on demand
Differential docs on demand
Time & Date Stamped policies
Isolate policy billing codes
Product Reference
