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

Categories

Solutions

Description

Product Description:
nThrive will check coverage eligibility and confirm that the patient is uninsured. nThrive will verify that patient does not have coverage such as individual, employer-sponsored, Medicare or Medicaid coverage and no other payor will reimburse them for COVID-19 testing/or care for that patient for an immediate and cost-effective solution. SOLUTION CREDIBILITY: • nThrive can process large batches of uninsured accounts • nThrive can prevent the need for manual verification of eligibility which would be resource-intensive and could delay reimbursement • A file can be processed and returned in 24 hours with identified insurance discovered • Implementation can be completed in 3 to 5 days • No long-term commitment or minimum volume requirements • nThrive only charges a small fee per account • The option to have an experienced member of the nThrive team is provided to research any insurance discovered to ensure it has been added to the PAS and a claim is submitted
About nThrive:
nThrive is built on a legacy of excellence. In the past it was known as MedAssets, Precyse and Equation. While each formerly a leader in its own right, the companies have combined talents and capabilities into a single enterprise. From patient-to-payment, nThrive provides all the technology, advisory expertise, services, analytics and education programs health care organizations need to thrive in the communities that they serve.
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.

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Use Cases

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EHR Integrations

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Client Types

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Differentiators

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Company Details

Founded in 2016

Founded in 1980

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