Systems4PT will dramatically increase efficiencies, compliance and cash flow while eliminating paper.

 

No issue is more challenging than coding.

Coding directly affects your:

• Cash flow
• And your compliance

As government healthcare reform settles in, payors are required to cover pre existing conditions, at regulated policy rates. Payors’ prime opportunity to save cash is by ever increasing the complexity of your authorization and coding processes. Practices who try to respond to shifting payor coding trends with an in-service or cheat sheet don’t stand a chance.

You’re not going to succeed against sophisticated payor computers with a 1980’s approach. Success requires technology.

The wrong approach:

Rely on your ‘billing expert’ to check and update coding before submitting claims.

One of three things happen:

• The biller changes coding, which is then not supported in the plan of care.
  • This is audit bait.
• The biller notifies the therapist, who updates the plan of care and coding.
  • This is a lot of wasted time.
• And the biller is quickly outdated. No human can possibly keep up with each of your payor’s computers.
  • This is futile.

Submit claims to your outsourced billing company:

This scenario is even worse:

• The billing company changes coding, which is then not supported in the plan of care.
• They’re too busy to notify you of the change.
• Once again, your plan of care and treatment plan are apples and oranges.

There is only one ‘best way’ to address these realities:

Build the plan of care and treatment plan around coding that is both medically necessary as well as paid by that payor, in your region.

And do this once, at point of care, without any expensive ‘experts’ (who’s rules are outdated anyway).

PayTrend™ Automated Coding Prompts

Many millions of patients have been treated using Systems4PT. These encounters have resulted in a vast database of payor activity. PayTrend™ automated coding prompts are a clinical decision support system, (you will be hearing more about these as clinical decision support systems are required by new health care reform legislation).

Systems4PT has adapted search concepts from companies such as Google, and has innovated unique programmatic capabilities that ‘crawl’ through our ever expanding database of payor activity, identifying payor trends by diagnosis, by CPT code, by region. These database crawlers regularly monitor payor trends and automatically update the rules algorithm, resulting in ‘PayTrend™ automated coding prompts’ for your staff.

PayTrend™ automated coding prompts are regularly updated, simplifying the need for expensive billing experts, in-service education and cheat sheets … all of which quickly become obsolete.

PayTrend™ does not automate coding for the therapist. Your staff are free to document any codes that they consider to be medically necessary.

PayTrend™ automated coding prompts intuitively guide your staff toward coding that maximizes payment on the first claim submission. Likewise compliance is enhanced as therapists are naturally guided toward each payor’s unique definition of ‘best practices’ for a given diagnosis.

PayTrend™ Automated Coding Prompts
‘It just makes sense’