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Categories
Solutions
Description
Compatibility Level
Clients
Use cases
EHR integrations
Client types
Differentiators
Keywords
Media
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:
MedData provides an integrated full-service Out of State Medicaid Eligibility solution to our clients from verifying a patient’s eligibility and provider enrollment to billing and appeals work. While we are prepared to go to great lengths to secure reimbursement, our goal is to partner with our clients to develop a program that secures correct payment on as many accounts as possible, as quickly as possible. As your integrated partner, we offer a more comprehensive solution than ever before. We custom tailor each implementation to best fit the needs of hospitals and physicians by identifying how ROI can be maximized. Our representatives specialize in helping clients with the complicated task of obtaining the proper provider enrollment for any and all states. Our representatives will assist clients in completing the provider enrollment application. We organize all supplemental documentation and credentials, submit the enrollment packet to the payer, ensure the packet processes correctly and that an active provider number (or activated NPI) is issued. Enrollment representatives will also ensure that, wherever possible, our client hospitals will have access to payer web portals (to check claim status and to pull remittance advice), eligibility software (to verify eligibility), and electronic submission software (to submit claims electronically) once they are enrolled with a Medicaid payer as a provider. A team of Provider Enrollment Specialists will work directly with providers and/or administrative staff assigned to obtain the necessary documents and information required by the various carriers to complete the enrollment/credentialing process. As soon as a contract has been executed, this team will request all necessary information required from the client. Our team of Specialists: • Complete the carrier specific applications • Continually monitor and follow-up on application until enrollment is complete and the approval has been received • Upon notification of any new providers, send out applications to the provider and/or appropriate staff for signatures • Have access to more than 450 payers across all 50 states
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:

For hospitals, it is 4x harder to collect from patients than insurance payers. Patients now make up to 30% of hospital revenue but are 4x harder to collect from than insurance payers1 due to complexity, regulation and patient means. 

Sift Healthcare provides advanced analytics and machine learning integrations to optimize patient payments. Sift combines patient payment expertise and AI-driven intelligence to equip providers with an integrated toolset to optimize patient financial engagement.

Patient collections should be a dialogue, not a solicitation. Sift integrates AI into your patient engagement platform to guide patient communications activities – maximizing collections while improving patient engagement.

  • Account Segmentation
  • Patient Contact Strategy
  • Payment Plan Provisioning
  • Improved collections, increased payment plan adoption, and reduced inbound/outbound calls

Propensity-to-pay for a person, not a number. Sift goes beyond credit scores, leveraging historical data to determine the best engagement approach for each patient.

  • Improved Patient Satisfaction
  • Pre-service patient financing and collection recommendations that help avoid surprises and set expectations
  • Lookalike predictive models, not credit scores and rule logic
  • Increased upfront collections with more empathy
About Sift Healthcare:
Sift Healthcare provides intelligent and accessible solutions for provider systems that need to extract meaning and value from their vast stores of payments data. Sift organizes and normalizes all of your payments data in one location, providing a holistic view of collections. Our denials and patient collection dashboards, payer scorecards, propensity to pay tools, market intelligence reports and enriched patient profiles enable revenue cycle teams to optimize workflows and accelerate cash flow.

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:

Sift's intelligence tools and integrated ML recommendations around patient payments enable health systems to:

  • Pre-clear patients upfront.
  • Get more patients on payment plans, earlier.
  • Execute omnichannel contact across the entirety of the patient journey.
  • Help patients commit to meeting their financial obligations before service.
  • Utilize an integrated view of insurance-patient responsibility to optimize resolution and present patient responsibility, early and more accurately.
Pediatric use cases:

None provided

Users:

VP or Revenue Cycle, PFS executives, PFS team, SBO and CBO personnel, Patient Payment Collections Team

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, Patient portal, Access +/or revenue cycle

EMR Integration & Relevant Hardware:

None provided

EMRs Supported:

Epic, Cerner, Meditech, Allscripts

Hardware Compatibility:

None provided

Client Types

Differentiators

Differentiators vs EHR Functionality:

None provided

Differentiators vs Competitors:

None provided

Differentiators vs EHR Functionality:
  • Unified and normalized data sets that are accessible and provide a full view of patient payment behavior 
  • Dynamic machine learning based workflows, rather than rigid rules-based logic
  • Intelligence that enables the most effective use of EHR functionality 
Differentiators vs Competitors:

None provided

Keywords

Images

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Videos

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Downloads

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Alternatives

Company Details

Founded in 1980

Founded in 2017

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