Third Party Liability & Workers' Compensation
As a critical part of the MedData OneTouch℠ solution, our third party liability team spans the gap between the identification of a payer and payment, while also increasing hospital revenue, mitigating denials, and avoiding bad debt.
We identify liability sources, mitigate payer denials, and protect insurance proceeds for accident accounts. Our scalable services have nationwide presence – on-site in the ED and in the field – with consistent exposure to every state program and local laws. We are HFMA peer reviewed, and no local law firm can match our ability to put people in the field on a local level anywhere in the country.
We are often able to negotiate quick settlements within hospital parameters using our in-house legal support team, and help hospitals stay in compliance by coordinating timely efforts around provider agreements, Medicare, and Medicaid laws, and other regulations. Our proprietary claims editor technology allows us to increase payments and reduce first bill submission denials.
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 provide comprehensive collection and follow-up services on all accounts, including everything needed to transmit the bill and obtain reimbursement from the Veterans Administration for this unique patient population.
Our method of converting unresponsive patient denials into paid claims is unique. We take a hands-on approach and use a combination of proprietary and subscription-based services to successfully locate, engage, and educate patients to resolve pending issues.
- Administrative & Technical Appeals
- Clinical Appeals
- Unresponsive Patient Denials
- Aged Receivables
This non-profit health system in Southern California was struggling with see low dollar recoveries from accident insurance payers, high volume of bad debt, and high dollar amounts on self pay accounts.
MedData provided third party liability solutions that helped them realize new opportunities from first and third party payers, reduce denials on accident-related accounts, and ultimately lower bad debt.
MedData helped them in the following ways:
- Ensure hospital liens were enforced to secure payment.
- Safeguard compliance and maximize the hospital’s recovery on many Medicare and other government-funded accounts.
- Successfully minimize business office impact.
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