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Solutions
Description
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Use cases
EHR integrations
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Jump to:
Categories
Solutions
Description
Compatibility Level
Clients
Use cases
EHR integrations
Client types
Differentiators
Keywords
Media
Company details

Categories

Solutions

Description

Product Description:
MedData provides an integrated full-service Out of State Medicaid Eligibility solution to our clients from verifying a patient’s eligibility and provider enrollment to billing and appeals work. While we are prepared to go to great lengths to secure reimbursement, our goal is to partner with our clients to develop a program that secures correct payment on as many accounts as possible, as quickly as possible. As your integrated partner, we offer a more comprehensive solution than ever before. We custom tailor each implementation to best fit the needs of hospitals and physicians by identifying how ROI can be maximized. Our representatives specialize in helping clients with the complicated task of obtaining the proper provider enrollment for any and all states. Our representatives will assist clients in completing the provider enrollment application. We organize all supplemental documentation and credentials, submit the enrollment packet to the payer, ensure the packet processes correctly and that an active provider number (or activated NPI) is issued. Enrollment representatives will also ensure that, wherever possible, our client hospitals will have access to payer web portals (to check claim status and to pull remittance advice), eligibility software (to verify eligibility), and electronic submission software (to submit claims electronically) once they are enrolled with a Medicaid payer as a provider. A team of Provider Enrollment Specialists will work directly with providers and/or administrative staff assigned to obtain the necessary documents and information required by the various carriers to complete the enrollment/credentialing process. As soon as a contract has been executed, this team will request all necessary information required from the client. Our team of Specialists: • Complete the carrier specific applications • Continually monitor and follow-up on application until enrollment is complete and the approval has been received • Upon notification of any new providers, send out applications to the provider and/or appropriate staff for signatures • Have access to more than 450 payers across all 50 states
About MedData:

MedData has been a tenured and trusted healthcare revenue cycle management services provider for more than 40 years, delivering technology-enabled and patient-focused RCM solutions, including Eligibility & Disability, Accounts Receivable Services (ARS), Injury Accounts (Workers’ Comp, Auto, etc.), Veterans Administration, Patient Responsibility/Early Out, COB Denials, and Out-of-State Eligibility. MedData has patient advocates from coast to coast and experience with hospitals and health systems of all types – large to small, rural to urban, nonprofit to for-profit – giving the company a nationwide presence with a local feel that’s scalable to any volume. Click the "Files" tab for downloadable content with more information about our organization.

Product Description:
Uncompensated care continues to have an enormous impact on providers’ bottom lines, with $41.3B in charity care and bad debt recorded for 20182. As millions of consumers have recently lost their employer-based healthcare coverage due to unemployment, and millions of others struggle with high out-of-pocket deductibles, it falls to you to help alleviate patients’ financial stress and simultaneously support the bottom line. We can help via our proven strategy that drives patient satisfaction, loyalty, and revenue. Engage our Expertise: Helping patients to secure financial assistance requires a combination of innovative technology and expert staff: • Our Eligibility & Enrollment Services leverage AI and other innovative tools to improve process efficiency and screen all patients. Bedside tablets are part of our proprietary workflow and can be used to capture patient documentation and signatures in a timely, efficient manner. • Our staff has local, state, and federal-specific expertise and in-depth experience in sourcing potential coverage for each patient. We leave no stone unturned as we assess patients’ eligibility for Medicare/Medicaid, Disability/SSI, Third-party Liability, commercial insurance, state and county programs, social programs, and charity. We then help patients to enroll in the appropriate program(s) and process claims for payment. Customizable Services: Our team is tightly integrated to serve as an extension of your organization. We understand that patient experience is enhanced with our ability to express empathy and kindness as we assist patients in understanding their financial responsibility while helping them to find and enroll in programs. We offer onsite services where our team is embedded to deliver high-touch assistance early in the patient journey, driving faster enrollment to accelerate payment. We also offer remote services as needed.
About Change Healthcare:
Change Healthcare is inspiring a better healthcare system. We are a leading independent healthcare company that provides data and analytics-driven solutions to improve clinical, financial and patient engagement outcomes in the U.S. healthcare system. Our comprehensive suite of software, analytics, technology-enabled services and network solutions take costs out of the healthcare system by driving improved results in the complex workflows of payers and providers by enhancing clinical decision-making and simplifying billing, collection and payment processes, and enabling a better patient experience. We are creating a stronger and more efficient healthcare system that enables better patient care, choice, and outcomes at scale.

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Use Cases

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Pediatric use cases:

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Pediatric use cases:

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EHR Integrations

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EMR Integration & Relevant Hardware:

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Integrations:

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Client Types

Differentiators

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Keywords

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Videos

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Downloads

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Alternatives

Company Details

Founded in 1980

Founded in 2007

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