billing optimizer

The "brains" behind INCISIVE MD are its rules based algorithms and extensive contract engine which are continually assessing the best way to sort the individual procedures as well as position multiple modifiers for maximum reimbursement. Most payer adjudication systems pay the first line of a claim at 100% and subsequent lines are discounted. Similarly most payer systems can only process the modifier in the first position. With every payer contract different, it takes INCISIVE to ensure proper and complete payment.