Reduce denials, write-offs, and the cost of correcting rejected claims while maintaining compliance resulting in improved financial performance with ABN Manager

• Validates proposed medical services against local and national policies and generates CMS compliant Advance Beneficiary Notification (ABN) reports when needed
• Maintains and updates medical necessity rules on a frequent basis ensuring consistency with Medicare rules
• Creates and maintains CPT and ICD-9 codes, descriptions and charges from the hospital chargemaster to improve data integrity
• Provides search functionality for easy access to CPT and ICD-9 codes, as well as LCD and NCD policies, used to generate accurate customized ordering screens by department
• Offers report tracking to accurately evaluate ordering patterns by tracking the number of ABNs generated by department, ordering provider, or by total dollar amount from procedures requiring ABNs
• Allows for medical necessity determination to occur at physician order or at hospital department

*HFMA staff and volunteers determined that this product
has met specific criteria developed under the HFMA Peer
Review Process. HFMA does not endorse or guaranty the
use of this product