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Solutions
Description
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Use cases
EHR integrations
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Differentiators
Keywords
Media
Company details
efficientC
efficientC

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Solutions

Description

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.

Product Description:
efficientC is a comprehensive decision support and claims management technology platform. It combines powerful denial analytics, claim scrubber and clearinghouse technologies, to deliver the finest denial prevention tool on the market today. efficientC’s Insights, is a predictive analytics solution that leverages machine learning to provide actionable intelligence to help keep denials at bay. Built on the backbone of its proprietary and powerful claim scrubber and stellar support team, the efficientC platform delivers the best possible results to hospital revenue cycle teams.
About efficientC:

efficientC is a comprehensive decision support and claims management technology platform. It combines powerful denial analytics, claim scrubber and clearinghouse technologies, to deliver the finest denial prevention tool on the market today. efficientC’s Insights, is a predictive analytics solution that leverages machine learning to provide actionable intelligence to help keep denials at bay. Built on the backbone of its proprietary and powerful claim scrubber and stellar support team, the efficientC platform delivers the best possible results to hospital revenue cycle teams.

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Client Types

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Capture All Revenue - MedData

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Company Details

Founded in 1980

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