Injury Accounts & Other Complex Claims
MedData’s A/R services span the gap between the identification of a payer and payment, while also reducing cost to collect, mitigating denials, and avoiding bad debt.
Our patient advocates routinely work on-site to screen patients in-house or in the ED for all programs – Third Party Liability, Workers’ Comp, and more – by leveraging our Eligibility staffing resources. Our sustained history of excellence working all types of complex, resource-intensive A/R accounts using our superior reporting, technology, and institutional knowledge allows us to provide a high level of expertise to hospitals and health systems of all kinds.
Our unique technology platform is built around compliance to ensure maximum revenue recovery and minimal risk. Our proprietary screening tool identifies and coordinates all programs – including Medicaid, Medicare, and commercial payers – so that every potential payer source is pursued and that claims are filed in an accurate and timely fashion.
An Integrated Service Line Approach
Our Complex Claims services are an integral part of MedData OneTouch®– an integrated service line approach that specifically improves upon operational centers and unites them into a single solution. This platform identifies all payer sources and the most appropriate coverage in the properly compliant order through a single touch-point for patients, whether they’re insured, under-insured, or uninsured.
Injury Accounts & Workers’ Compensation
Our highly trained patient advocates are staffed on-site and in the ED (by leveraging our Eligibility team). We use diverse and targeted methods to identify all potential payer sources immediately and to collect on all potential dollars. We have a nationwide field team to conduct patient follow-ups and investigations after discharge. Our in-house experts work with insurance adjusters and attorneys, and coordinate benefits with available government and commercial insurance.
Our team is embedded on-site within operations, providing real-time feedback and updates on trends across all 50 states. Our proprietary billing and claim management technology has over 350 Medicaid payer profiles, and we custom tailor each implementation to maximize ROI.
- Facility Enrollment & Billing Support
- Physician Enrollment & Billing Support
We have a deep understanding of the complexities surrounding VA billing, appeals, aging, high dollar, and other problematic issues. We use thorough, comprehensive processes and longstanding, personal relationships with Veterans Integrated Services Network (VISN) contacts nationwide to provide collection and follow-up services on all accounts, including everything needed to transmit the bill and obtain reimbursement from the Veterans Administration.
Coordination of Benefits
We have a focused engagement process for denials requiring the patient’s and/or subscriber’s involvement in order to secure resolution.
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