Frequently Asked Questions
Q. How does Intelimedix help to reduce medical costs?
A. Intelimedix delivers real savings on medical costs in a way that does not impact the quality of care or the vital relationship between physicians and patients.The Tru:Beacon cost containment product identifies waste and mispayments that contribute to cost, but not care.
Q. How does Intelimedix identify cost reduction opportunities?
A. The process of identifying cost containment opportunities begins with Intelimedix’s deep understanding of medical and pharmaceutical claims. We combine our years of Health Plan experience with geographically diverse, multi-plan collaboration teams to detect trends in the industry. Intelimedix is able to take the latest experience with inappropriate payments, overlapping coverage, incorrect billing, and suspicious claim patterns to rapidly test and deploy solutions to help its customers recover millions of dollars.
Q. Can Intelimedix identify new patterns of fraud and abuse?
A. One component of our Tru:Beacon solution is a set of statistically rigorous predictive models that evaluate claim patterns to identify aberrant and costly providers and members. Using these models, we can detect and act upon unforeseen abuses and schemes.
Q. As an Intelimedix customer, do I need to pursue the collection of inappropriate payments myself?
A. No. For some customers, Intelimedix supports internal SIUs or Claims Recovery Units. Intelimedix also can provide end-to-end service by identifying, pursuing, and recovering fraudulent payments and inappropriate claims.
Q. Can Intelimedix’s Tru:Beacon operate in pre-payment mode?
A. We are developing a post-adjudication, pre-payment mode for Tru:Beacon to allow Health Plans to preclude the Pay-and-Chase cycle and stop inappropriate and fraudulent claim payments. Visit our Web site often for exciting news on this expanded capability in the near future.
Q. What industries do you serve?
A. IMX, since its inception and product genesis, has been focused solely on healthcare informatics.
Q. What is Intelimedix’s unique market position in terms of continuous solution enhancement?
A. Intelimedix works directly with its health plan customers and partners using its collaborative cloud model to deliver solutions that have immediate impact. Our collaboration includes using health plan data and validation to ensure the solutions evolve with the market to maximize value.
Q. How do you aggregate data?
A. Disparate data sources are standardized to present a single integrated view of the data. In addition, custom data quality checks are performed when loading data to deliver quality data output through reporting.
Q. How do you ensure my data is protected?
A. Information from clients is installed on a separate environment with data-firewalled DMZ. Our HIPAA-secured data center is SAS 70 certified. Any data field can be encrypted in the data warehouse when loaded, and only specific users can be granted access to decrypt that data. Intelimedix logs all decryption events and requires users to enter a reason for access.
Q. Can you customize products and services for my organization?
A. Our ability to customize solutions helps Intelimedix stand apart in the industry. We take the time to learn what is most important to each client and tailor specific offerings to those needs. Our industry expertise, technology capability, and scalability give us the ability to meet the needs of clients of any size.
Q. What kind of training do you offer?
A. We provide clients with one-on-one training for senior staff. We also provide follow-up training, approximately three months later, which focuses on specific user needs. In-depth technical training is provided to advanced users to enable your organization to reap the full benefits of our Tru:Solutions architecture.