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

Categories

Solutions

Description

Product Description:
MedData Military Payers Billing & Follow Up Services can provide comprehensive collection and follow-up services on all patient accounts referred to us that have the potential for reimbursement from the Veterans Administration (VA), TriCare, TriWest, and CHAMPVA. Our VA leadership team, which includes the former operational head of Veterans Integrated Services Network (VISN), conducts regular on-site meetings or conference calls with the claims processing representatives. We are able to work with them one on one and often get same-day resolution. This service can include everything needed to transmit the bill and obtain reimbursement for the client, including: • Coordination of benefits to ensure billing of the proper primary payer. • Running the claim through our found insurance program to determine eligibility on other payer sources. • Upon final bill, transmitting the required billing information to the VA according to the guidelines established by the appropriate VA local office. • Implementing tracking procedures to ensure that both transmission and receipt of the billing information can be confirmed. • Follow-up on the bills until the account has been paid or denied. • Follow-up on claims through established conference calls with VA. • Face-to-face claim resolution meetings with VA (frequency depends on volume of claims pending with particular VISN). • Reviewing the account to ensure that the payment received was the proper amount. • If the account is denied or the amount paid was not the proper amount, appeal the account through the VA appeal system. • Working through batches of accounts alongside VA personnel onsite at the VISN. • Submitting claims with proper documentation in the proper order. • Pursuing the account through to resolution. • Providing reporting on the referred inventory.
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:

Cedar Pay makes it simpler for patients to navigate the post-service financial journey and take control of their medical bills. We deliver enterprise-grade patient billing and payment solutions that leverage Cedar's cutting-edge consumer engagement technology, unique payer integrations and aligned incentives to help provider organizations increase collections, boost efficiency and deliver an exceptional patient experience. More than 55 of the nation's leading health systems and physician groups turn to Cedar to transform the patient financial experience. On average, Cedar Pay lifts patient collection rates by 30%, with 88% of patients reporting a positive experience.

About Cedar:

Cedar offers the first and only holistic solution that enables providers and payers to come together to offer an exceptional and affordable consumer financial healthcare experience. We’re reimagining the consumer aspects of healthcare, from the time an appointment is booked all the way to final payment. Only Cedar can take advantage of critical payer information and bring it together with provider financial and administrative processes to create the optimal experience for consumers navigating our challenging healthcare system. 

Compatibility level

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Clients

Select which hospital or health system you work at and see the client list

Product Capabilities

By integrating with real-time eligibility and patient estimation tools, Cedar Pre--our pre-visit patient engagement solution--sets appropriate payment expectations and drives more collections by personalizing the communication of out-of-pocket cost estimates. Cedar Pre dynamically presents the right financial context, payment options and calls to action to drive optimal financial outcomes and patient satisfaction.

Cedar Pay provides a modern, consumer-first billing experience with clear, accurate and empathetic communications via digital (email and SMS) and paper-based channels. Cedar creates powerful digital engagement by communicating with patients at the best times to collect, using their preferred channels, and messages and calls to action that resonate, which is why our clients typically see 60-70% of payments self-serviced digitally.

Cedar Pay’s consolidated patient financial statement includes both professional and facility charges as well as bills for guarantors and their dependents. The unified bill is presented in a patient-centric design, translating complex medical information into straightforward language for improved patient comprehension.

Cedar Pay is the only patient billing and payment solution that directly integrates with payers to simplify and streamline the patient financial experience. We build confidence in the billing process by prominently displaying payer branding next to balances to indicate that a payer has finished processing a claim, as well as that a bill and EOB matches. We also present detailed EOB information alongside bills, eliminating the need for patients to call in to customer service or log in to multiple portals.

Cedar Pay allows patients to pay bills on their own terms through modern, personalized payment options. As a mobile-first platform, Cedar presents patients with several payment methods and options including credit card, debit card, ACH, Apple Pay, and Google Pay. The platform dynamically engages with patients in a personalized manner by incorporating relevant patient-specific payment options and/or amounts (e.g., discounts, payment plans, etc.). Additionally, Cedar Pay supports traditional payment methods such as check by mail via a provider’s lockbox and secure pay by phone via interactive voice response.

Use Cases

Description:

None provided

Pediatric use cases:

None provided

Users:

None provided

Description:
  • Patient billing and collections
  • Patient engagement
  • Statement consolidation
  • Customer service
  • Reporting and reconciliation
Pediatric use cases:

Guarantors (i.e., parents and legal guardians) can access and manage bills on behalf of their dependents (i.e., children receiving healthcare services). 

Users:
  • Patients
  • Guarantors
  • Revenue cycle leaders
  • Business office representatives (e.g. customer service; treasury)

EHR Integrations

Integrations:

None provided

EMR Integration & Relevant Hardware:

None provided

EMRs Supported:

None provided

Hardware Compatibility:

None provided

Integrations:

Acute care EMR, Ambulatory EMR, Ancillary EMR, Patient portal, Access +/or revenue cycle

EMR Integration & Relevant Hardware:

Required

EMRs Supported:

Epic, Cerner, Meditech, Allscripts, NextGen, athena, GE, eClinicalWorks, Athenahealth, Self-developed

Hardware Compatibility:

Desktop, Mobile / Tablet (web optimized), Mobile / Tablet (native app)

Client Types

Awards

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Differentiators

Differentiators vs EHR Functionality:

None provided

Differentiators vs Competitors:

None provided

Differentiators vs EHR Functionality:

Consumer engagement is in our DNA: Cedar was founded as a consumer-oriented company and our commitment to improving the consumer-aspects of healthcare remains unwavering. We have built a team of professionals that come from the world's leading consumer companies, and incorporate this unique expertise and perspective into the development of Cedar Pay.

Industry-leading personalization for optimal patient experiences: At the core of Cedar Pay is a personalization engine that's powered by insights from millions of patient interactions as well as direct integrations with EHR and billing systems. Through a proven process rooted in expert data science and world-class user experience design, only Cedar Pay can surface the right information and interventions at the right moments along the financial journey to drive the best patient experience and payment outcomes.

Outsized results today, ongoing value into the future: Cedar Pay customers see an immediate impact to their bottom line with high patient satisfaction, and don’t have to wait for the next product release cycle to unlock additional business value. Cedar is constantly releasing new features and optimizations in Cedar Pay as well as making focused investments in innovation.

Differentiators vs Competitors:

Unparalleled investment in the future: Unlike other point patient billing solutions that have been acquired by larger companies and competing for resources, Cedar operates independently and is investing heavily in Cedar Pay and other products to solve a very specific problem--improving the consumer financial aspects of healthcare.

Industry-leading personalization for optimal patient experiences: At the core of Cedar Pay is a personalization engine that's powered by insights from millions of patient interactions as well as direct integrations with EHR and billing systems. Through a proven process rooted in expert data science and world-class user experience design, only Cedar Pay can surface the right information and interventions at the right moments along the financial journey to drive the best patient experience and payment outcomes.

Keywords

Images

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Videos

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Downloads

No content provided

Alternatives

Company Details

Founded in 1980

Founded in 2016

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