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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:
MedData has been performing Third Party Liability and Workers' Compensation Services for nearly 30 years and serves clients in this capacity across the United States. Whether it is an automobile accident or other event, having clearly defined and meaningful priorities is critical to success. We use diverse and targeted methods to identify all potential payer sources immediately and collect on all potential dollars. We use a well-tested process for finding insurance on all TPL and WC accounts to identify and coordinate benefits with all payer sources. Our No. 1 priority is to recover as much cash for you as possible in the most compliant way, while focusing on providing a positive patient experience for your patients in accordance with our Mission and our Values. We ensure compliance with all federal and state statutes through intelligent/proactive system management. Our processes properly coordinate coverage with governmental sources and contracted payers. We have hundreds of internal resources that are specifically dedicated to our TPL and WC programs. As mentioned above, we have a team of attorneys and healthcare executives that support and guide our TPL and WC operations. We have the experience and existing infrastructure to provide high-quality, cost-effective third party liability services. We fully understand that achieving success with any project requires diligence and urgency in identifying the correct payer, submitting the claim correctly (and submitting supporting documentation where necessary), and correctly anticipating and resolving any issues that manifest in the adjudication of the claim. Since Workers’ Compensation accounts don’t coordinate with other payers, our focus has been on eliminating all of the roadblocks to a quick recovery. As a result, we’ve been at the forefront of electronic billing and remit transmissions. When we bill electronically, we typically see a 45% decrease in processing time. This is simply something that no other vendor offers. Whether it’s an automobile or workplace accident, having clearly defined and meaningful priorities is critical to success. Our Technology • Liability Scan: Allows us to cast an extremely broad net to find any additional cases that may be accident or third party related, but were not captured by the registration team. Typically, these visits come from the outpatient/therapy areas where the initial cause of the injury is less clear. We use a combination of occurrence codes and diagnosis codes to identify these cases. • Electronic Lien Settlement Resolution: Allows attorneys to correspond with us securely and instantly on their client’s cases. • Electronic Settlement Management: Our online, automated and instant settlement reduction process, instant, online eligibility verification for 48 states; 2-hour confirmation timeframe for the other two states (Nebraska and Rhode Island); all instant verifications are verified within 24 hours. • Accident Level Tracking: Our system allows us to quickly identify and tie accounts together by the accident – so whether you’re the injured or at-fault party, that information becomes instantly available.
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.

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EHR Integrations

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Company Details

Founded in 1980

Founded in 1980

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