Top 10 Problems that RealMed Solves

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

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

2. Eligibility is too hard to check and takes too long.

• 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.

3. Too many denials.

• Up-front edits prevent denials.
• Identify eligibility problems prior to claim submission for immediate repair – no paper denials 30-40 days later.
• Custom rules to identify and/or fix specific issues.

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

• Automated eligibility check for major payers during claim submission.
• Identify eligibility problems prior to claim submission for immediate repair – no paper denials 30-40 days later.

5. Hard to track claims - can't determine current status and or which claims really need to be followed up on.

• FedEx® like 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.

6. Can't understand what errors are on claims – takes too long to fix them.

• We find the problems, translate cryptic codes and take 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.

7. Don't know what recurring problems have not yet been identified - want better trend reporting in order to be more proactive.

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

8. Paper remits are painful – and going to payer websites is time consuming.

• 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.

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

• Standard services work with any practice management system and any file format – we interface with over 200 systems.
• Premier services offer deeper integration with a growing number of practice management systems – provides more automation of transactions.

10. Poor service – I can’t reach a real person and my issues never get resolved.

• Dedicated Client Account Managers assigned to every client.
• Onsite sales and support as needed.
• U.S. based technical team and call center.