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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:
Our technology is organically built by RCM operators, for RCM operators. It is flexible and scalable with a fully integrated technology platform spanning the entire revenue cycle (front, middle and back) with >160 proven methods to drive standardization across the revenue cycle. We create continuous feedback loops to support comprehensive outcomes. We believe more value can be lost or created at the intersections between processes than inside a given process itself, and our technology unlocks this value.
About R1 RCM:
R1 RCM is a leading provider of technology-driven solutions that transform the patient experience and financial performance of healthcare providers. R1’s proven and scalable operating models seamlessly complement a healthcare organization’s infrastructure, quickly driving sustainable improvements to net patient revenue and cash flows while reducing operating costs and enhancing the patient experience. To learn more visit: r1rcm.com.  

Compatibility level

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Clients

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Use Cases

Description:

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Pediatric use cases:

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Users:

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Description:

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Pediatric use cases:

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Users:

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EHR Integrations

Integrations:

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EMR Integration & Relevant Hardware:

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EMRs Supported:

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Hardware Compatibility:

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Integrations:

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EMR Integration & Relevant Hardware:

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EMRs Supported:

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Hardware Compatibility:

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Client Types

Differentiators

Differentiators vs EHR Functionality:

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Differentiators vs Competitors:

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Differentiators vs EHR Functionality:

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Differentiators vs Competitors:

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Keywords

Images

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Videos

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Downloads

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Alternatives

Company Details

Founded in 1980

Founded in 2003

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