A computer-assisted surgical planning and coding tool that aids surgeons in planning, coding and getting paid correctly for complex surgical procedures. Using Incisive MD’s unique surgical planning and coding tools along with an automated payment review and dispute resolution module, orthopaedic, spine and neurosurgeons are enjoying a 10-30% increase in their surgical revenue.
Using INCISIVE MD™ is extremely simple and straightforward. Physicians utilizing the computer-assisted coding interface do not need to be coding experts, nor do they need to know specific codes associated with each procedure.
Automatically imports electronic remittance information from the practice management system and compares amounts calculated by INCISIVE MD’s contract engine. Differences are flagged at the procedure code level for easy identification.
Payment disparities can be selected within the Payment Dispute Wizard for dispute letter inclusion. Using a linguistics engine and natural language generation, INCISIVE MD is able to automate letter creation by extracting necessary data from the system.
The Payment Dispute Wizard and Dispute Letter Generator work in harmony to result in a significant time savings for the physician and billing staff. What used to take a physician an hour or more to complete can now be done in seconds.
INCISIVE MD’s rules-based algorithms and extensive contract engine continually assess the best way to sort individual procedures, and position multiple modifiers for maximum reimbursement. INCISIVE MD uses contract details to optimize the sorting of the primary procedures on the Fee Ticket to ensure billing optimization. With every payer contract different, it takes INCISIVE to ensure proper and complete payment.