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SpectraSoft Selects HyperCereus Medical as Medical Necessity Data Provider


Tucson, Arizona—June 18, 2002 /Xpress Press/—HyperCereus Medical, Inc., a leading medical informatics consulting company and source for medical necessity data solutions, today announced a new licensing agreement with SpectraSoft Inc., leaders in the patient scheduling and appointment management software industry -- placing HyperCereus' medical necessity content into SpetraSoft's AppointmentPro line of software.

Under the agreement, HyperCereus will provide all Medical Necessity Medicare Part A and Part B content for AppointmentsPro, a high-performance patient scheduling and appointment management software tool available for healthcare facilities of all sizes. Powered by HyperCereus' data sets, AppointmentsPro will provide coding and medical necessity compliance checks at the point of procedure or service scheduling.

Medical Necessity is the criterion Medicare and the majority of insurance companies use to determine whether providers' services will be reimbursed. Only tests and procedures considered "reasonable and necessary" are reimbursed. To determine eligibility for reimbursement, each Medicare Fiscal Intermediary and Carrier compiles lists of diagnosis codes to identify and support each billed service. These lists define medical necessity and are published as Local Medical Review Policies (LMPRs) to which each provider must adhere. The LMRPs are in a perpetual state of change and vary widely from state to state making it very difficult for physicians and clinics to stay up to date.

"We are pleased that our medical necessity data solutions will enhance SpectraSoft's innovative and exceptional scheduling product line," says Fabio Almeida M.D., President of HyperCereus Medical Inc. "The lack of access to medical necessity data at the point-of-care results in coding and reimbursement errors costing U.S. physicians and hospitals billions of dollars each year. Providing our medical necessity data solutions as part of the scheduling process reduces these errors and significantly improves reimbursement for healthcare facilities and providers".

"For this sophisticated new compliance feature, we needed the most comprehensive and accurate medical necessity coding data available. HyperCereus Medical was the logical choice,'' says Steve Petrie, President and CEO of SpectraSoft. "We see this as the best option for our customers, who will reap the benefits of the new compliance validation features in our applications."

About HyperCereus, Inc. - HyperCereus Medical, Inc., based in Tucson, Arizona, provides high-level medical informatics consulting, custom application development, and data management solutions for healthcare providers and organizations. HyperCereus specializes in a wide variety of consulting services and application development, including electronic medical records, point-of-care applications, knowledge management systems, and the development, application and use of clinical and financial standards (ICD, CPT, LMRP). HyperCereus Medical contact information: http://www.cereusmed.com or 520.529.5515.

About SpectraSoft, Inc. -– based in Tempe, Arizona, -SpectraSoft, Inc. is a leading developer of Windows-based patient scheduling and appointment management software. SpectraSoft's signature products, Appointware™, AppointmentsPRO™, and AppointmentsESTM are installed in more than 3000 clinics, medical offices, and hospitals nationwide. SpectraSoft's products have been developed specifically for healthcare and other service oriented industries. For more information contact 1-800-889-0450 or visit our website at http://www.ssoft.com .


 

 


 

        
 
 
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