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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

pMD provides complete solutions for practice management and revenue cycles, covering everything from patient onboarding to payment collection. This comprehensive software suite equips medical practices with all necessary tools to operate efficiently, minimizing the potential for errors by reducing the number of systems used. You can take advantage of all the functionalities pMD provides, or it can be smoothly integrated with your current systems. A well-structured and secure communication framework ensures that care is continuous and enhances the overall patient experience. To deliver optimal care, it’s crucial to have a standardized communication method for interactions with patients. We ensure that all essential patient data is organized in a single location, which helps save valuable time during critical moments. Additionally, pMD offers a fully integrated, HIPAA-compliant telemedicine platform that enables healthcare professionals to provide exceptional patient care. Discover the user-friendly telehealth software applications that pMD has available and implement telemedicine solutions for both your practice and your patients. With pMD, enhancing patient engagement and care delivery becomes more manageable and effective.

API Access

Has API No 

API Access

Has API No 

Screenshots View All

Screenshots View All

Integrations

No details available.

Integrations

No details available.

Pricing Details

$1039.00/one-time/user
Free Trial No 
Free Version No 

Pricing Details

Free
Free Trial No 
Free Version Yes 

Deployment

Web-Based Yes 
On-Premises No 
iPhone App No 
iPad App No 
Android App No 
Windows No 
Mac No 
Linux No 
Chromebook No 

Deployment

Web-Based Yes 
On-Premises No 
iPhone App Yes 
iPad App Yes 
Android App Yes 
Windows No 
Mac No 
Linux No 
Chromebook No 

Customer Support

Business Hours Yes 
Live Rep (24/7) No 
Online Support Yes 

Customer Support

Business Hours Yes 
Live Rep (24/7) Yes 
Online Support Yes 

Types of Training

Training Docs Yes 
Webinars No 
Live Training (Online) Yes 
In Person Yes 

Types of Training

Training Docs Yes 
Webinars No 
Live Training (Online) No 
In Person No 

Vendor Details

Company Name

Vālenz

Founded

2004

Country

United States

Website

www.valenzhealth.com/valenz-assurance/abn-assistant/

Vendor Details

Company Name

pMD

Country

United States

Website

www.pmd.com/solutions

Product Features

Medical Billing

Claims Processing No 
Claims Scrubbing No 
Code & Charge Entry No 
Compliance Tracking Yes 
Customizable Dashboard Yes 
Dunning Management Yes 
Invoice History Yes 
Patient Eligibility Checks No 
Practice Management No 
Quotes/Estimates Yes 
Remittance Advice Yes 

Product Features

e-Prescribing

Clinical Alerts No 
Drug Reference Database No 
EPCS No 
Electronic Prior Authorization No 
Formulary Management No 
Medication History No 
Prescription Cancellation No 
Prescription Renewals No 
Refill Management No 

Medical Billing

Claims Processing No 
Claims Scrubbing No 
Code & Charge Entry No 
Compliance Tracking No 
Customizable Dashboard No 
Dunning Management No 
Invoice History No 
Patient Eligibility Checks No 
Practice Management No 
Quotes/Estimates No 
Remittance Advice No 

Patient Engagement

Appointment Scheduling No 
Care Planning No 
Collaboration No 
Messaging No 
Mobile Access No 
Patient Education No 
Patient Portal No 
Personal Health Record No 
Progress Tracking No 
Self Management No 

Revenue Cycle Management

Accounts Receivable No 
Claims Management No 
Collections Management No 
EHR/EMR Integration No 
For Healthcare No 
ICD-10 Compliance No 
Insurance Verification No 
Medical Billing No 
Patient Portal No 
Patient Registration No 
Patient Scheduling No 
Payment Processing No 

Telemedicine

Appointment Reminders No 
Appointment Scheduling No 
Chat / Messaging No 
E-Prescribing No 
For Medical Purposes No 
HIPAA Compliant No 
Multi-Provider Practice No 
Online Forms No 
Patient Queue Management No 
Practice Management No 
Remote Treatment Plans No 
Teleradiology No 
Video Conferencing No 

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