MedData is more than just a vendor that improves A/R metrics. We are a trusted partner providing end-to-end revenue cycle management solutions for hospitals and physicians across all payer types. Because of our range of capabilities, we are able to handle any account regardless of origin – high/low dollar, re-billing, secondary/coordination of benefits, government payers, out-of-state Medicaid, accident accounts, Workers’ Comp, denials, etc. – and under any circumstances – small balance insurance follow-up, project-specific/work down of aged A/R, legacy receivable conversions, or as an extended business office. We triage accounts to identify problems and then share that knowledge with the hospital, which helps improve internal processes by fixing issues that contribute to avoidable denials. Our trending reports are based on specific KPIs established together with the hospital and delivered at the hospital’s preferred frequency. We track payer, denial type, service, and other trends to help drive improvements in a hospital’s processes that will lead to long-lasting gains in A/R performance. MedData has the capability to send out electronic 270/271 eligibility inquiry and to receive the response. We leverage the 270/271 response feature for many different scenarios such as: • Pure self-pay: to discover another payer source • Resolve issues with payer information that is on record in your system • Verify payer filing order We can process electronic claim submissions performing edits in any system and scrubbing where appropriate as well as working from any claim editing software. Our platform manages all elements of the project, giving the hospital full transparency into account activity and status. And it is administratively simple: We can work directly with any hospital-based billing system (Epic, Cerner, Artiva, Soarian, Meditech, Paragon, Star, Allscripts, and Invision). MedData has been performing revenue cycle management services for 40 years, and 100% of our business is in the healthcare industry. Our experienced and tenured team has been performing A/R recovery services for a variety of client types and sizes for more than 10 years. We have advocates, specialists, and leadership with expert knowledge of denials management, billing, guidelines, procedures, and compliance who are ready to respond to a hospital’s needs and meet its A/R goals.

Denial Prevention tools: Approximately 50% of denials can be prevented, but even if you send "cleaner claims", you’re beholden to the next algorithm shift that (often incorrectly) automates denials. What about the 50% that are not preventable, where you've done everything right? 

Incumbent RCM software companies: Move slowly, denials not a core focus area, and with older solutions, the tech is not easy to use or modern. Our sole focus is excellence in the prevention and addressing of denials. 

New Entrants / Direct Competitors: Very new, and in a fragmented physician market, there are billions of dollars in denials to attack. Most importantly, while these are also based in AI/LLM's, our focus is on truth. What does the payer say they will cover, and how does that match up to what was done? This is a key differentiator.