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Solutions
Description
Compatibility Level
Clients
Use cases
EHR integrations
Client types
Differentiators
Health equity
Keywords
Media
Company details
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 uses Predictive Patient Scoring and Segmenting Technology as an important component of our Patient Responsibility/Early Out Services. With this technology, patient data is scored and segmented with predictive analytics to determine propensity to pay. Highly accurate results inform proactive patient outreach with personalized financial data that simplifies the process and drives faster account resolution. This technology ensures that monthly payment plans are tailored specifically to the patient’s financial situation to encourage best outcomes. MedData’s Patient Responsibility/Early Out Services take a patient-focused approach to self-pay account resolution, making it simple and easy for patients to pay with many different means to resolve their bills. We also make the overall process as fast and convenient as possible by offering patients a variety of methods to get involved – phone calls, texting, self-service, payment portal – and we’re there if they do need help. Our philosophy of patient education and compassionate customer service is a key component to our success. We focus on helping patients understand the post-clinical process by providing education on their statement, their balance, and their insurance options. Our dedicated, U.S.-based patient service center has hundreds of Patient Service Representatives (PSRs) with expansion capacity to scale with our clients’ business and we have bi-lingual staff in our call center and translation support for multiple languages. We have a First Call Resolution rate that consistently exceeds 90%. The first time we speak with a patient, we do whatever we can to solve their issue right then. That could mean taking payment in full, setting up a payment arrangement, or calling an insurance company together to help walk the patient through what’s taken place. Our operations and patient pay management system empowers PSRs to have the right information at the right time to customize each call per client and patient. MedData’s PSRs are trained to handle all types of accounts to ensure increased call volume scenarios are handled well within our aggressive quality control requirements. Patients can be overwhelmed by multiple hard-to-understand bills from different sources. We consolidate their bills and provide an intuitive statement to eliminate confusion and make it easy to understand what they owe. Our statements are designed to incorporate client branding and color coded according to urgency – green for timely statements, orange for late statements, and red for statements close to being sent to collections. Our propensity to pay tool uses hundreds of demographic data points to identify patients where additional communication and education can help resolve accounts sooner, as well as what format to use – hard copy statement, phone call, text, etc. The scoring system also can be built to fit contractual recommendations from the client. This technology ensures that monthly payment plans are tailored specifically to patient’s financial situation to encourage best outcomes, and it does not impact the patient’s credit report. With our patient texting technology, you can send first statements directly to patients’ smartphones. It’s much faster than mailing a paper statement and requires less effort for patients to respond, which helps drives patient engagement and improve collections. Our online payment portal is designed to streamline patient balance reimbursements and give patients greater insight into the medical billing process. It consolidates all payments and balances into an easy-to-read dashboard. Our technology also lets providers view all accounts associated with a guarantor, receive documentation, and accept payments in real time. We connect and engage with patients throughout the entire patient financial life cycle, treating them with dignity and respect, and providing opportunity for dialogue and to learn more all along the way.
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

Patient Responsibility White Paper - MedData
media thumbnail
XpertDox-White Paper_PatientDataProtection.pdf

Alternatives

Company Details

Founded in 1980

Founded in 2015

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