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

Categories

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:

XpertCoding uses advanced AI, NLP, and RPA technologies to automate over 90% of medical coding tasks, processing claims within 24 hours. XpertCoding's AI-powered coding system maintains a 98% accuracy rate and reduces coding costs by over 50%. 

XpertCoding also includes a Business Intelligence suite with a Clinical Documentation Improvement (CDI) Dashboard and a Comprehensive Data Analytics Dashboard, providing essential insights for healthcare leaders and teams to optimize operations.

About XpertDox:

XpertDox is a healthcare technology company committed to reducing administrative burdens for physicians, healthcare teams, and leaders while enhancing patient care through AI-driven solutions. XpertDox employs AI, RPA, and Big Data technologies to improve healthcare outcomes.

XpertDox's commitment to innovation is demonstrated by its flagship product, XpertCoding, an autonomous medical coding software with Clinical Documentation Improvement(CDI) designed to accelerate the revenue cycle by processing medical claims with high accuracy in less than 24 hours.

XpertDox was founded in 2015 and is currently based in Scottsdale, Arizona.

Compatibility level

Select which hospital or health system you work at and see a personalized compatibility level.

Clients

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

Use Cases

Description:

None provided

Pediatric use cases:

None provided

Users:

None provided

Description:
  1. Healthcare systems, hospitals, and practices can harness XpertCoding to expedite claim submissions, boost accuracy, reduce costs, and alleviate physician burden.
  2. RCM companies can utilize XpertCoding to expedite claim processing, improve accuracy, and deliver cost savings for their clients.
Pediatric use cases:

XpertCoding is implemented at multiple pediatric practices where it automates the medical coding process.

Users:
  • Urgent Cares
  • Pediatric Practices
  • Primary Care Practices
  • Obstetrics & Gynecology Practices
  • Healthcare Systems
  • Hospitals with large urgent care, pediatrics or primary care presence
  • Any other medium to large single-specialty practices

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

EMR Integration & Relevant Hardware:

Required

EMRs Supported:

Epic, Cerner, Meditech, Allscripts, NextGen, athena, GE, eClinicalWorks, McKesson, Other, Allscripts/Eclipsys, Athenahealth, Azalea Health/Prognosis, CPSI, Evident, MEDHOST, MedWorx, Healthland, QuadraMed, Self-developed

Hardware Compatibility:

Not applicable

Client Types

Differentiators

Differentiators vs EHR Functionality:

None provided

Differentiators vs Competitors:

None provided

Differentiators vs EHR Functionality:
  1. XpertCoding is an AI-powered, fully autonomous medical coding solution, whereas EHRs only offer computer-assisted coding that requires provider input and a coding team.
  2. XpertCoding provides a Dashboard to monitor claims and perform advanced analytics across all their location, whereas EHRs do not offer a coding-focused Dashboard.
  3. XpertDox offers a Clinical Documentation Improvement module not offered by most EHRs.

Differentiators vs Competitors:
  1. XpertCoding can autonomously code >90% of the claims, whereas competitors may only code 60 to 80%.
  2. XpertCoding offers free coding services for one month, whereas most competitors don't.
  3. The training period for XpertCoding is less than four weeks, compared with many months and even a year with some competitors.
  4. XpertCoding offers a comprehensive Dashboard for monitoring, data analytics, CDI, and audit trail. The competitor's Dashboard may or may not be as robust.
  5. XpertCoding does not require any IT support from clients, whereas many competitors require some help from the IT team.
  6. XpertCoding is HIPAA, ISO27001, and SOC2 Type 2 certified from a security perspective, whereas some competitors do not carry such certifications.
  7. XpertDox is ISO22301 certified for business continuity, whereas some competitors may not have the certification.

Health Equity

Keywords

Images

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Videos

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Downloads

Capture All Revenue - MedData
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XpertDox White Paper-Business Continuity Strategies in AI Medical Coding.pdf

Alternatives

Company Details

Founded in 1980

Founded in 2015

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