Problems that RealMed Solves

Problem: Payers are slow to pay and Patient portion is hard to collect.

RealMed Solution:

• Better edits for cleaner, more accurate claims.
• Direct connections to payers mean fewer hops.
• Fewer denials and less to collect from patients.

Problem: Eligibility is too hard to check and takes too long.

RealMed Solution:

• Check eligibility for all payers from a single portal.
• Batch and real-time eligibility checks prior to patient appointment.
• Automated eligibility check for major payers during claim submission.

Problem: Too many denials.

RealMed Solution:

• Up-front edits prevent denials.
• Identify eligibility problems prior to claim submission for immediate repair and avoid paper denials 30-40 days later.
• Custom rules to identify and/or fix specific issues.

Problem: We don't have an opportunity to check eligibility before service.

RealMed Solution:

• Automated eligibility check for major payers during claim submission.
• Identify eligibility problems prior to claim submission for immediate repair and avoid paper denials 30-40 days later.

Problem: Hard to track claims - can't determine current status and/or which claims really need follow-up.

RealMed Solution:

• Real-time transaction tracking of all claims throughout the process.
• Automated status updates from major payers with routine status refreshes.
• Exception management shows you which claims need attention.

Problem: Can't understand what errors are on claims , and it takes too long to fix them.

RealMed Solution:

• RealMed finds the problems, translates cryptic codes and takes you to the field(s) that need to be changed.
• Automated eligibility check for major payers during claim submission.
• Review and correct errors in real-time – no paper denials 30-40 days later.
• Custom edits can be created to identify claims with errors, or we can fix errors for you.

Problem: Don't know what recurring problems have not yet been identified.

RealMed Solution:

• Identify practice trends to find problem areas and increase user productivity.
• Detailed reports ready for you to customize and schedule to run automatically.

Problem: Paper remits are painful and going to payer websites is time consuming.

RealMed Solution:

• One portal for all payer remits.
• Automated file generation and ability to combine multiple files – fewer files to auto-post.
• Receive electronic files for posting along with Adobe^® PDF files to view and print
• Track adjustments and denials.

Problem: My clearinghouse doesn’t integrate with my practice management system.

RealMed Solution:

• Standard services work with any practice management system and any file format. RealMed integrates with hundreds of systems.
• Premier services offer deeper integration with a growing number of practice management systems.

Problem: Poor service.

RealMed Solution:

• For practices of 10 or more providers, RealMed provides ongoing, onsite consultation.
• U.S.-based technical team and business analysts.
• Direct and immediate access to an expert Help Desk.