The Medicare Hard Stop
There are dozens of ways not to get paid when billing Medicare.
In-service training and “cheat sheets” help, but they don’t fix the problem. Your staff’s hearts and minds are on the patients (not on dozens of rules), and to make matters worse, every January 1st, Medicare drops some rules and adds others.
There’s only one way to maximize Medicare compliance: The Medicare Hard Stop.
Systems 4PT integrates payer rules into our front desk, admin, and therapist documentation modules. Its technology monitors Medicare patients in real-time. When an admin, front desk employee, or therapist conflicts with a known Medicare rule, Systems4PT’s Hard Stop™ alerts employees to what’s wrong and instructs them how to fix it.
What’s unique about the Hard Stop
is that Systems4PT prevents the non-compliant claim from being submitted
It’s common sense; why would you submit a claim you know won’t be paid? Non-compliant claims are quarantined in high-profile “Treatment Not Billable” lists.
Every other EMR that offers Medicare validation is flawed because your employees can “bypass” the message, resulting in a non-compliant, rejected claim.
Hard Stop™ is different. Systems 4PT monitors 35 variables in real time. If any of these compliance requirements are not satisfied, the claim hits the Hard Stop, and it won’t be submitted until it’s corrected.
Medicare is tracking your practice with a “supercomputer.” The only way to maximize compliance and collections in this environment is to use a “supercomputer” of your own.