What is it?
An automated tool that enables the user to quickly and easily determine if a patient requires pre-certification before a clinical procedure is performed.
Why do I want it?
- Reduce denials due to lack of pre-cert
- Interface to any Registration system
- No re-keying of data
- Eliminate need to route face sheets to pre-cert area
- Eliminate errors due to misapplication of pre-cert requirements
- Alert user of uncovered services
- Alert user that patient should have physician generated preauthorization form
- Easy to use web-based interface
- Audit reports to assure authorization is received
- Automate using X12 278 transaction where available
- No hardware to purchase
- Easy implementation
How does it work?
At the time of registration, insurance and service information is compared to pre-cert rules. If a pre-cert is required, the record is logged automatically on a worklist. If additional information is required to determine pre-cert requirements, the registration clerk is presented with a dialog box. The worklist is populated in real-time as pre-cert requirements are evaluated. The worklist is then used to facilitate documentation of the pre-cert.
How do I get more information?
Send an email to info@nebo.com
Call Carolyn Nottingham at 817-346-1193
