myMatrixx launches innovative Web solution for DME and Ancillary Services
It's a simple, clean, and very quick process. You scan the results, make your choice depending on several factors (price, shipping costs, user reviews, etc.), and with a couple of clicks, the merchandise will soon be on its way.
If only the process of purchasing or approving durable medical equipment (DME) and ancillary medical services in the workers' compensation world was so easy to navigate. Unfortunately, in today's world of DME and ancillary medical services purchasing, telephones are in play; paper still rules; wasted time is the norm.
But, according to Steven MacDonald, chairman and CEO at myMatrixx, the Tampa, Fla., pharmacy benefits manager (PBM), it doesn't have to be that way. When ordering or approving DME such as canes, walkers, crutches, wheelchairs, diabetic supplies, oxygen and related services for injured workers, there is now an easier, Web-based way akin to a virtual visit to Amazon or other e-tailing operation. myMatrixx provides services to self-insured employers, third party administrators, managed care companies, and workers' compensation and auto insurance entities.
"Today, you can pretty much make the assumption that purchasing DME and other ancillary services such as physical therapy or diagnostic imaging is going to be a time-consuming, inefficient, and often frustrating process," MacDonald says.
But, he quickly adds, that assumption is rendered obsolete by 1Click Ancillary, myMatrixx's new Web-based ordering service for insurance claim adjusters, nurse case managers and anyone who needs to either purchase or approve purchases in the workers' compensation world.
MacDonald explains that myMatrixx already has been streamlining operations for clients in the workers' compensation industry on the pharmacy side of the house.
Now, MacDonald explains, much as it has done with pharmacy, myMatrixx's vision is to eliminate the waste--the paper, faxes and phone calls--that has plagued the workers' compensation arena when it comes to DME and ancillary services.
"If you look at the time-wasting aspects and resulting costs of this marketplace, they are enormous," MacDonald says. "If you as a consumer want to know the best price of a digital camera or other product it's pretty easy to do it without wasting a lot of time and paper. But if a claims adjuster has to purchase or approve a DME or ancillary service, it pretty much remains a manual, paper and phone-driven process. That's not good."
Plus, if the patient is in Atlanta being discharged from the hospital and the wheelchair doesn't show up, you have another serious problem, MacDonald says. Currently, customers often have to depend on a middleman that sub-contracts to someone that may or may not be a quality provider, and it doesn't always work out very well. myMatrixx's goal is to eliminate the uncertainty and cumbersome processes while, at the same time, provide transparency.
"We want our customers to know who they're trusting to care for their patients," MacDonald says.
Prior to 1Click Ancillary if a claims adjuster needed to order a wheel chair or a case manager had a patient being discharged and needs crutches, they really had no online resource, no product or provider reviews, and certainly no ability to get a price quickly, easily and accurately. Instead, they must call a several vendors or fill out long, cumbersome on-line referral forms and wait hours or days just to get a quote. myMatrixx's process is instant and provides pricing from multiple providers with user reviews.
With 1Click Ancillary, MacDonald explains, all the customer needs to do is type in the product/service name and a zip code, and instantly they receive a price list along with the vendors/providers who can render that service or DME request in the relevant geographical area. And, to take it one step further, the customer can merely enter an injury description or ICD-9 code to receive a customized "CareCart" which pre-identifies products or services associated with that injury.
This CareCart basically serves as a pre-built, injury-based formulary that allows organizations and end users to customize multiple products and services into a single search using a patent pending process linking the on-line list of vendor products and services by location and injury type. The end user simply asks for a specific CareCart and the software finds the required products and services, immediately.
On the other side of 1Click Ancillary is a powerful provider portal, where after receiving an order or approval from the claims professional, vendors/providers can see payments, letters of medical necessity, etc., and fulfill an order. This portal is the key to the transparency that eliminates duplicate billings, paper, and the frustration of uncertainty.
Once the adjuster decides to either purchase or approve the transaction, a single mouse click will finalize the process.
"1Click Ancillary has been a long time coming," says Chuck Sweat, myMatrixx's Vice President of Ancillary Services, "mainly because it took several years of hard work to coordinate the vendor/provider data that makes the system so effective, and integrate the process into our current product. In short, 1Click Ancillary streamlines the communication and information adjusters and case managers need to make the best buying decisions possible.
"Fortunately, we've been doing the pharmacy piece for a long time, and 1Click Ancillary has grown out of, and can be integrated into, our proven pharmacy system," Sweat adds. "It's been very exciting. So far, every beta testing client who has seen 1Click Ancillary has chosen to use it."
MacDonald notes that there are no additional fees for clients who use 1Click Ancillary.
"It's really opening up a marketplace online, much like an Amazon has done for consumers," he says. "If you look at retailing or travel, it used to take days to call, research and buy. Sites such as Amazon, Expedia, Orbitz and others have changed that. The same time-consuming process is true for the DME and ancillary services area in workers' compensation. Until now, that is."
MacDonald cautions that while technology is the key engine driving 1Click Ancillary, it is not the end game.
"We believe 1Click Ancillary delivers a greatly improved customer experience," he says. "Even if our clients want to talk to a human being, the technology allows our associates to provide more timely and useful information that ultimately makes our customers and their patients happy. It worked for the consumer and works for our customers."
(The above piece is part of our continuing Insights series designed to highlight key products and services to our readers. This paid-for Insights was written and edited by Risk & Insurance®
on behalf of our marketing partner. Additional Insights can be found on our Web site at www.riskandinsurance.com/.)
April 2, 2010
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