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Description
Medical necessity denials represent a significant financial burden for healthcare providers, incurring costs that can reach into the millions annually due to write-offs, along with the expensive labor involved in investigating and contesting these denials while addressing patient inquiries. Conversely, payers also face similar challenges in the claims management process, as they incur expenses from covering unnecessary medical procedures and treatments, as well as the resources dedicated to handling denial appeals, all of which do not contribute to better patient outcomes. Additionally, patients may suffer from excessive copays and other out-of-pocket expenses, coupled with a frustrating healthcare experience due to charges and services that are not warranted. To combat these issues, the ABN Assistant™ from Vālenz® Assurance equips providers with essential prior authorization tools to confirm medical necessity, generate Medicare-compliant Advanced Beneficiary Notices (ABNs) that include estimated costs, and effectively prevent over 90 percent of medical necessity denials by ensuring that the necessity is validated before any care is administered to the patient. By utilizing this system, providers can enhance their financial stability while improving patient satisfaction and care efficiency.
Description
Our reliable and cost-effective Practice Management solution ensures that your reimbursements are consistent while simplifying intricate workflows. CGM MEDISOFT is user-friendly and designed to assist you in delivering personalized and compassionate care to your patients while maintaining a contemporary and thriving practice. It features financial and patient KPI dashboards, compliance with the 21st Century Cures Act, improved password security, a new patient reminder system, productivity enhancements in search and AR Tracker, and much more. Responding to your feedback, we've introduced a significant productivity boost in CGM MEDISOFT V26, allowing you to search by a patient's date of birth (DOB) for quicker and more efficient results. Additionally, if there's an adjustment you need to write off, this can now be accomplished directly from the AR tracker. For rapid adjustments or write-offs of patient balances, simply right-click, and a convenient adjustment window will pop up for swift entry, making your administrative tasks even easier. This enhancement is part of our continuous commitment to adapting our services to meet your needs effectively.
API Access
Has API
API Access
Has API
Integrations
Service Center
Pricing Details
$1039.00/one-time/user
Free Trial
Free Version
Pricing Details
Free
Free Trial
Free Version
Deployment
Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook
Deployment
Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook
Customer Support
Business Hours
Live Rep (24/7)
Online Support
Customer Support
Business Hours
Live Rep (24/7)
Online Support
Types of Training
Training Docs
Webinars
Live Training (Online)
In Person
Types of Training
Training Docs
Webinars
Live Training (Online)
In Person
Vendor Details
Company Name
Vālenz
Founded
2004
Country
United States
Website
www.valenzhealth.com/valenz-assurance/abn-assistant/
Vendor Details
Company Name
eMDs
Founded
1996
Country
United States
Website
emds.com/cgm-medisoft/
Product Features
Medical Billing
Claims Processing
Claims Scrubbing
Code & Charge Entry
Compliance Tracking
Customizable Dashboard
Dunning Management
Invoice History
Patient Eligibility Checks
Practice Management
Quotes/Estimates
Remittance Advice
Product Features
Medical Practice Management
Claims Management
E-Prescribing
EMR / EHR
HIPAA Compliant
Insurance Eligibility Verification
Inventory Management
Multi-Office
Multi-Physician
Patient Billing
Patient Portal
Patient Records
Patient Registration
Patient Scheduling
Physician Scheduling