Imagine Case Studies

Case Study: Physicians DataTrust and ImagineSoftware

Marissa Massey, Director of Information Systems | Client Success Story 2018

Introduction

Physicians DataTrust specializes in managing Independent Physician Associations (IPAs) with both commercial and senior managed care (HMO) patients. Utilizing the best available approaches to managed care ensures compliance, integrity, and success for independent physicians in the complex business environment of health care.

"A lot of companies say that their software can do great things, but that’s not always the case. MedMC can actually do the things that ImagineSoftware says it can do. If for some reason they can't, the team will work with you to make it happen."

The Challenge: New business, new challenges

Physicians DataTrust (PDT) was founded in December of 2001. Prior to its formation, many staff members were part of a separate organization that utilized MedMC, ImagineSoftware's managed care software solution. PDT was presented with the option to move forward with MedMC, or shop for a new solution. As the new company’s Director of Information Systems, Marissa Massey was responsible for the implementation of their software solution choice. "We picked up two new IPA’s so we were as busy as ever. In 2001, electronic claims were still in their infancy and authorization requests weren’t all electronic. Data entry was the bulk of employee responsibility," said Massey. "We needed a solution that was easy to use, would improve staff efficiency, and a solution that had reliable support staff behind the product."

"If we have a major issue or large project, I can put in a request and actually work directly with the developer creating our solution. There’s a lot of open communication with MedMC support staff, which is a big part of the reason we’ve stayed with the product for so long."

The Results: Two decades of continuous results

PDT began their search, comparing managed care products and ultimately deciding to stay with MedMC and make the full implementation. Massey explained, "A lot of companies say that their software can do great things, but that’s not always the case. MedMC can actually do the things that ImagineSoftware says it can do. If for some reason they can’t, the team will work with you to make it happen."

For PDT, MedMC helped the company keep up with claims processing best practices and other major changes in the industry from year to year. "From a data entry perspective, MedMC was very easy to use. Our staff was processing a lot of claims in a short amount of time," said Massey. "So much has changed since then. MedMC has really helped us keep up with industry changes. Now, all of our referrals come in electronically. We don’t have nearly as many data entry staff compared to where we were in 2001 because so much of the process is automated. Our auto-adjudication rate has really improved. We save a lot of time getting payments out to providers and they’re much more accurate. That’s the most important thing for us."

The most significant reason that PDT has continued to use MedMC as their managed care software solution for almost twenty years is solution support. "The number one reason we utilize MedMC instead of another product is because we’re not treated like just another support ticket," said Massey. "If we have a major issue or large project, I can put in a request and actually work directly with the developer creating our solution. There’s a lot of open communication with support staff, which is a big part of the reason we’ve stayed with the product for so long. The MedMC team has a can-do attitude about anything and everything that will enhance our business."

"MedMC has really helped us keep up with industry changes."

"The number one reason we utilize MedMC instead of another product is because we’re not treated like just another support ticket."

The MedMC team has a can-do attitude about anything and everything that will enhance our business.