Together

Outsmarting Payers

  Community Intelligence. “Waze” For Billers.  

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Join billers in your area (and specialty) that have resolved payer rejections on claims similar to yours

  • No patient data collected, required, nor shared.
  • The  paid.md  app requires only generic EDI data: Diagnosis, CPT, PayerID, Rejection Codes, Remittance Codes. No patient identifiers are collected or stored.
  • Rejections and denied claims are then compared to similar same-payer clean claims that have gotten paid.
  • Corrective data is shared back––to correct, resubmit, and get paid.

The Paid.MD software application enables isolated billers to unify and share billing nuances that alert other billers in the community of payer rule changes, denials, and payment delay tactics. A single biller that solves a payer rejection and shares it with the community enables the entire community to overcome that payer’s stall tactics. Denied claims cost physicians $262 Billion per year and cost doctors approximately $118 per claim to appeal.

How it Works

Paid.MD is a cloud based software application (both desktop and mobile app) that uses crowdsourcing data to outsmart insurance denials and payment delay tactics. It is fully HIPAA compliant, as Paid.MD neither collects, stores, nor shares patient data because only generic EDI data is required. It uses good claims that have gotten paid to arm billers with the edits to overcome insurance rejections and denials. As payers change rules without notice, a single biller sharing that updated information with the community enables everyone to correct course and get paid faster. Like “waze” for medical billers, community intelligence simply outsmarts payer denials.

paid.md app

    Free to join!

    Realtime help from other billers! Entire billing community benefits!

    Did you know that only 2 percent of denials are ever appealed?

    Medicare terms appeals as “rare”.

    But of the those appealed, almost 41% are paid automatically, and 63% are paid on third pass.

    With paid.md, avoiding and correcting denials is just the beginning:

    paid.md is a billing manager’s best friend.

    Take a look at these  unprecedented  features:

    Payer Notifications:
    Be updated continuously as payer rule changes are flagged by other billers

    Appeal Alerts:
    Know when your clean claim is auto-denied to generate an appeal letter, as 41% of denials are automatically paid upon appeal.

    Error Pinpointing:
    Know when and where filing errors are occurring and manage them proactively. Receive expert biller intelligence on claim nuisances

    Undercharges Report:
    Receive underpayment alerts against same-specialty, national, and regional RVU’s

    E&M Bell-curve Audit Proofing:
    In one click, paid.md can show you your E & M coding levels so you  know your Medicare audit risk at all times.

    Data-driven Insights:
    Receive expert RCM suggestions to improve your revenue cycle, cashflow, and your practice’s bottom line.

    Procedure Denial Notifications:
    Be informed of denial trends occurring in your specialty the moment they begin to trend

    paid.md,  Community Intelligence     –       Outsmarting Payers Together

    Shared community experience + paid.md app creates realtime intelligence for faster adjudication.

    paid.md is a patented crowd-sourcing App for medical billers that uses good claims that have gotten paid to instruct billers on how to overcome rejections and denials.

    The App is HIPAA compliant, utilizes Blockchain technology, features 5 levels of distributed encryption for unprecedented security; and is offered exclusively by PracticeSuite

    Shared Knowledge:

    A single person sharing a solved payer rejection, allows the entire community to overcome that payer’s delay tactics by region, specialty, and payer.

    Real-Time Action:

    As payer rules change without notice and become ever more complex, real time sharing provides quicker course correction in appealing and rebilling denied claims.

    Well Armed:

    Now armed with the correct billing rules and edits, avoided denials result in paid claims, happy doctors, and even happier billers.

    Sign-up for a Free Account and be part of Paid.MD today

    How To Get Started