Avia Logo

Compare Products


Jump to:
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
Alphie
Alphie

0 review

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:
The first Unified Automation solution built specifically for healthcare revenue cycle management. The brilliance of Unified Automation is not only its ability to observe actions, learn them, and perform them faster and more accurately than people. Unified Automation is especially brilliant because it is antifragile, which extends beyond simple resilience or robustness. Resilient systems resist variance and disorder and stay the same; an antifragile system thrives and improves as a result of that same variance and disorder. Combined with the expertise of our revenue cycle operations analysts, Unified Automation delivers unparalleled efficiency in RCM. Here’s how it works: OBSERVE We get a 360-degree view of your RCM processes. Our proprietary software gathers multi-modal data to capture work variations. LEARN Our team discretizes the data to train our machine-learning algorithm. Our algorithms then automatically construct complex flows that would be impossible to script by hand. Our model also identifies broken workflows and corrects them, often eliminating unnecessary work. PERFORM Our solution works 24/7 using the processes learned from your staff and automates full functions, quickly taking on new tasks over time. There’s no disruption to staff, no new software for your team to learn. If complexities arise, our inhouse team of RCM experts are notified to triage the problem and resolve in real-time while our solution learns from the actions they take. Your RCM operations continue uninterrupted. Continuous learning is built in, providing you with peace of mind, always.
About Alpha Health:
At Alpha Health we believe every dollar spent on healthcare matters, because healthcare matters to everyone. We believe complexity in medical billing and reimbursement in the United States drives up hidden costs that we all pay, both in terms of dollars and in the erosion of trust people have that our healthcare system will serve them well. We believe that by bringing together the best of people, data, and technology to address financial complexity in our healthcare system, Alpha Health serves as a powerful force for restoring trust to healthcare in the US. Alpha Health is pioneering Unified Automation for healthcare revenue cycle management. Unified Automation brings together the best of people, data and machine learning technology to address financial complexity in our healthcare system. Ultimately, we help providers be better stewards of the healthcare dollar.

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:

None provided

Pediatric use cases:
We work for all revenue cycle departments, regardless of speciality or place of service.
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, ADT, Access +/or revenue cycle

EMR Integration & Relevant Hardware:

None provided

EMRs Supported:

Allscripts, Cerner, eClinicalWorks, Epic, Meditech

Hardware Compatibility:

None provided

Client Types

Differentiators

Differentiators vs EHR Functionality:

None provided

Differentiators vs Competitors:

None provided

Differentiators vs EHR Functionality:
Mitigate Financial Risk By Fundamentally Restructuring Operating Costs Health systems are preparing for a significant (and likely unfavorable) shift in payer mix. This transformation of the reimbursement landscape will accelerate and intensify existing efforts to not simply reduce, but dramatically restructure operating costs. By combining advanced machine learning technology and deep domain expertise, a Unified Automation approach enables RCM leaders to upgrade their organization to an entirely different cost structure.
Differentiators vs Competitors:
Unified Automation is a unique approach because it seamlessly blends human judgement and subject matter expertise with machine learning. Unified Automation is also antifragile. This means it extends beyond simple resilience or robustness. Resilient systems resist variance and disorder and stay the same; an antifragile system thrives and improves as a result of that same variance and disorder. Traditional revenue cycle vendors are focused on staff augmentation platforms that require intensive and continuous maintenance resulting in increased costs. These platforms do not significantly bend the cost curve when it comes to revenue cycle performance. Alpha Health is the only Unified Automation platform dedicated to revenue cycle. Hidden costs destroy restructuring efforts. At Alpha Health, our Unified Automation solution is purpose-built for the healthcare revenue cycle. We provide every component necessary to deploy and maintain automation in production. Coupled with our straightforward shared savings model, we can ensure transparent costs tied to real output and value. $3.41 hidden costs for every $1 spent on RPA Bot Creation and Maintenance. Alpha Health provides our clients a way to secure dramatic value with a new cost model. One with no surprises, transparent shared savings via Unified Automation While other automation solutions rely on armies of onsite consultants to shadow your staff, our deployment model has always been built on the mantra of “innovation without disruption.” This approach has always meant minimal in-person and onsite time, and we have completed entire end-to-end production deployments fully remotely.

Keywords

Images

No images provided

No images provided

Videos

No videos provided

No videos provided

Downloads

No content provided

No content provided

Alternatives

Company Details

Founded in 1980

Founded in 2018

Need help narrowing down products?

Add more criteria to see your compatibility level for every vendor. It only takes a few minutes, just create a free account to get started.
back to top