Incorporating a New Company into an Existing Managed Care Software Solution

Director of Information Systems | Client Success Story 2018


Introduction

ImagineSoftware works with an organization that 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."

"They have been nothing but gracious and available. ImagineMedMCTM really feels like our partner." 


The Challenge: New business, new challenges

The healthcare organization was founded in December of 2001. Prior to its formation, many staff members were part of a separate organization that utilized ImagineMedMCTM, ImagineSoftware's managed care software solution. The organization was presented with the option to move forward with ImagineMedMCTM, or shop for a new solution. The new company’s Director of Information Systems 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. 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 ImagineMedMCTM 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

The company began their search, comparing managed care products and ultimately deciding to stay with ImagineMedMCTM and make the full implementation. "A lot of companies say that their software can do great things, but that’s not always the case. ImagineMedMCTM 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."

ImagineMedMCTM helped the company keep up with claims processing best practices and other major changes in the industry from year to year. "So much has changed since then. ImagineMedMCTM 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."

"From a data entry perspective, ImagineMedMCTM was very easy to use. Our staff was processing a lot of claims in a short amount of time."

The most significant reason that they have continued to use ImagineMedMCTM as their managed care software solution for almost twenty years is solution support. "The number one reason we utilize ImagineMedMCTM instead of another product is because we’re not treated like just another support ticket. 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 ImagineMedMCTM team has a can-do attitude about anything and everything that will enhance our business."