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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 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:
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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Company Details

Founded in 1980

Founded in 1980

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