Medical Necessity

YEI offers a suite of tools to help providers manage medical necessity requirements for both Medicare and commercial/private payers, including:

ABN Assistant™ stops over 90% of medical necessity denials within 45 days of implementation. Facilities may mix and match between server, thin-client, PC and web-based versions; all packages include comprehensive, unlimited, user, coding, and technical support. Easy to use, easy to implement, you can meausre ROI in as little as days.

Data Files for medical necessity are compatible with 3rd party systems, such as CPSI, Epic Systems, Fletcher-Flora (FFlex eSuite, LabPak), MediTech, and other vendors. They are also available in custom formats for homegrown systems, for claims scrubbing systems, and for historical purposes.

Coding

CodeSearchPro™ allows you to quickly and efficiently locate CPT, HCPCS, and ICD-9 codes, as well as access pertinent coding tips and guidelines. CCI (Correct Coding Initiative), fee schedule calculations, modifier usage, RVUs and more, are all included, allowing you to organize your coding in a way that makes sense to you. Designed for the way you work, there are no confusing screens, no repetitive entry, and all the information you need is no more than a click away. With a friendly, intuitive interface, keep your coding organized and automatically stay current.

Data files containing CPT, HCPCS, and ICD-9 related information, are also available for loading or updating most third-party software, as well as custom formats.

Excluded Party Verification

EP-StaffCheck™ allows you to simply and immediately verify that a provider, staff member, or potential hire is not in any of the Medicare excluded party databases, nor other government watch lists. Through this web-based application, you can perform individual profiles as well as schedule batch reviews of your entire staff.

Why worry about compliance with exclusion requirements when you can quickly perform new employee and new staff verifications in seconds, and can set up automatic reports to provide periodic reports on your entire staff? All at a low price, with unlimited support.

Medicare Secondary Payer

Easily determine and document Medicare Secondary Payer status with MSP Assistant™. Using this interactive, question-and-answer style software wirtten in simple English, staff and patients can print a concise one-page summary that satisfies your MSP obligations. Designed for server, thin-client, and PC installations; also available as a web application.