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

Categories

Solutions

Description

Product Description:
MedData is more than just a vendor that improves A/R metrics. We are a trusted partner providing end-to-end revenue cycle management solutions for hospitals and physicians across all payer types. Because of our range of capabilities, we are able to handle any account regardless of origin – high/low dollar, re-billing, secondary/coordination of benefits, government payers, out-of-state Medicaid, accident accounts, Workers’ Comp, denials, etc. – and under any circumstances – small balance insurance follow-up, project-specific/work down of aged A/R, legacy receivable conversions, or as an extended business office. We triage accounts to identify problems and then share that knowledge with the hospital, which helps improve internal processes by fixing issues that contribute to avoidable denials. Our trending reports are based on specific KPIs established together with the hospital and delivered at the hospital’s preferred frequency. We track payer, denial type, service, and other trends to help drive improvements in a hospital’s processes that will lead to long-lasting gains in A/R performance. MedData has the capability to send out electronic 270/271 eligibility inquiry and to receive the response. We leverage the 270/271 response feature for many different scenarios such as: • Pure self-pay: to discover another payer source • Resolve issues with payer information that is on record in your system • Verify payer filing order We can process electronic claim submissions performing edits in any system and scrubbing where appropriate as well as working from any claim editing software. Our platform manages all elements of the project, giving the hospital full transparency into account activity and status. And it is administratively simple: We can work directly with any hospital-based billing system (Epic, Cerner, Artiva, Soarian, Meditech, Paragon, Star, Allscripts, and Invision). MedData has been performing revenue cycle management services for 40 years, and 100% of our business is in the healthcare industry. Our experienced and tenured team has been performing A/R recovery services for a variety of client types and sizes for more than 10 years. We have advocates, specialists, and leadership with expert knowledge of denials management, billing, guidelines, procedures, and compliance who are ready to respond to a hospital’s needs and meet its A/R goals.
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:

Our single platform approach provides immediate visibility into revenue cycle opportunities, tackling some of today's biggest challenges with the following Productized Analytics Suite Modules:

  • Workforce Quality Insights (WQI) – Links front-office actions to financial KPIs
  • Patient Access Insights (PAI) – Enhances financial experience pre-service
  • Revenue Integrity Suite (RI) – Reduces denials and compliance risks
  • Productivity Analytics (PA) – Improves staff productivity in real-time
  • Cost Insights (CI) – Targets controllable costs
  • Business Office Suite (BOS) – Unifies patient accounting data
About MedeAnalytics:

Founded in 1993, MedeAnalytics is an innovation-focused company. Over the past three decades, we have worked tirelessly to reimagine healthcare through the power of data—and helped thousands of organizations achieve their potential along the way.

Leveraging state-of-the-art analytics and data activation, MedeAnalytics delivers actionable insights that support payers, providers, employers, and public entities as they navigate the complex healthcare landscape.

Using artificial intelligence and machine learning alongside the most advanced data orchestration in the industry, we empower organizations to optimize their resource allocation, experience superior patient outcomes, and achieve population health management goals.

Compatibility level

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Clients

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Product Capabilities

360° View of Enterprise: Integrates clinical, financial, operational and claims data for a longitudinal view across disparate data sources, encompassing front, middle and back-office functions.

Medeanalytics' Data Science Factory is always generating new components and services to help you automate workflows, detect anomalies, assess risk, anticipate trends, and close care gaps.

MedeAnalytics helps users identify key outliers in their data and distribute the right actionable information to the right people – at the right level – throughout the enterprise. Users easily navigate through scorecards, dashboards, key performance indicators, critical success factors, and other key reporting features. In seconds, they can zoom from high-level KPI’s down to fine-grain transaction detail; from the Executive perspective to the view from any cubicle.

HITRUST Certified, NCQA Certified, AICPA SOC, TRUSTe Certified Privacy Patent-pending technology and industry critical certifications (HEDIS® certified, Data Aggregator Validator (DAV) designation pending)

MedeAnalytics' API ecosystem seamlessly integrates into multiple clearinghouses, payment processors and other third-party tools to bring all applicable registration tools into one platform, resulting in improved operational and financial efficiencies.

MedeAnalytics Innovative solutions help RCM leaders like you predict the denial, the fix, the dollars, and the deposit date – all before the 835 ever arrives. Here’s how we’re driving measurable impact: Accelerated Cash Flow • Predict denials before submission • Reduce Days in A/R • Accelerate cash flow by up to 30 days Increased Recovery Rate • Address issues proactively, not reactively • Fewer write-offs, reduced denials • Improve recovery rate by 20% Reduced Administrative Costs • Focus staff on high-priority denials • Lower labor costs • Save 20 minutes per denial on research & resubmission Revenue Optimization • Prioritize high-dollar claims based on predicted payment likelihood

MedeAnalytics performance analytics consists of real-time insight into quality, how to capture workflow issues at the registrar level to prevent downstream denials, organizing patient data longitudinally.

Patient Access Intelligence is a flexible workflow platform incorporating all aspects of the financial clearance process into a simple task-based work list to support centralized, distributed and hybrid revenue cycle models. With a robust API ecosystem, we seamlessly integrate multiple clearinghouses, payment processors and patient engagement tools to fortify your revenue cycle against data compromises and outages.

Use Cases

Description:

None provided

Pediatric use cases:

None provided

Users:

None provided

Description:

None provided

Pediatric use cases:

None provided

Users:

None provided

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, ERP system, Patient portal, Pop health platform, Home health, Behavioral health, Community based organizations, ADT, Access +/or revenue cycle, Credentialing, Website / public online sources, Other

EMR Integration & Relevant Hardware:

Recommended, but not required

EMRs Supported:

Epic, Cerner, Meditech, Allscripts, NextGen, athena, GE, eClinicalWorks, McKesson, Other, Allscripts/Eclipsys, Athenahealth, Azalea Health/Prognosis, CPSI, Evident, Healthland, MEDHOST, MedWorx, QuadraMed, Self-developed, Would prefer not to disclose, Point Click Care

Hardware Compatibility:

None provided

Client Types

Differentiators

Differentiators vs EHR Functionality:

None provided

Differentiators vs Competitors:

None provided

Differentiators vs EHR Functionality:
  • Detailed and summary level reporting for different views to serve multiple purposes; 
  • Standard and ad-hoc reporting allowing clients flexibility to slice/dice based on unique corporate needs;
  • Incorporation of MedeAchieve across entire RCM portfolio to incorporate metric tracking into key enterprise initiative tracking;
  • Worklisting available throughout the RCM workflow;
  • Vendor flexibility – Plug & play any vendor into existing Mede workflows;
  • Robust rules engine to drive efficiencies and streamline workflows;
  • Integration of AI Agents to streamline and reduce manual entry;
  • Predictive analytics using AI intelligence;
  • Focus on productivity analytics to highlight and stratify registrar performance;
  • Integrated Financial Clearance Workflows to maximize revenue generation

Differentiators vs Competitors:

Enterprise Analytics - MedeAnalytics helps users identify key outliers in their data and distribute the right actionable information to the right people – at the right level – throughout the enterprise. 

MedeAnalytics can measure revenue and practice performance across the entire system. Our approach to organizing data into a patient longitudinal record has led to improved financial, operational, and even clinical performance.

Our Integrated MedeAchieve solution improves strategy execution with action plans that define your objectives, align staff around shared goals, and track progress in a closed­ loop system.

Keywords

Images

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Videos

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Downloads

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Alternatives

Company Details

Founded in 1980

Founded in 1993

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