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Just as
you are a specialist in your field, MedData is specialized in Emergency
Departments. We have highly trained staff and innovative technology
that allows you and your partner’s the ability to focus on patient care
while we focus on being the best at coding, billing and data management.
As a part
of Practice Management MedData offers you:
Documentation
Feedback
With tighter industry regulations on coding and billing procedures,
accurate documentation is crucial for the continued success of an
emergency medicine practice. MedData provides guidance to physicians to
help them understand how payers view their medical records for payment
and to ensure their medical records reflect appropriate documentation
for the services they provide, while meeting all compliance
regulations. This includes review of medical records and preparing of
reports to the physician and/or their group regarding trends in
documentation deficiency, such as undocumented length of lacerations,
review of systems or other aspects of medical decision making.
This results in:
• Consistently accurate coding.
• Submission of "clean" claims, vastly reducing processing time and
cost to payers and helping clients perform efficiently.
• Third party payers' payments processed in accordance with all
contractual agreements.
• Stronger information-gathering abilities for the drafting of data
reports that support physicians' efforts to improve the quality
and cost-effectiveness of care.
• Ensures that physicians are not underpaid for the work that they
provide.
• Consistency in documentation among physicians reduces complaints from
repeat patients.
Consulting on Managed Care
and Other Contract Issues
Managed care need not be viewed as a liability looming on the horizon.
MedData considers managed care a potential benefit to those with access
to data necessary for negotiating favorable contracts. Since 1985,
we've taken an active role in assisting clients to better understand
the terms and expectations of managed care contracts.
We help clients select the managed care organizations that will most
benefit their business. Our comprehensive consulting
process includes:
• Reviewing contracts carefully, making sure they are specific to the
needs and idiosyncrasies of emergency medicine
• Providing the data necessary for understanding reimbursement per
visit and how that compares to what the client is
currently receiving
• Closely monitoring allowables to ensure compliance with the contract
• Monitoring denials, ensuring payers are not wrongfully denying claims
for emergency department visits
• Researching the expected benefits, then pushing payers to comply with
both their contracts and state laws (they often
comply with
neither)
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