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Medicare Direct Claims Management  
Improve Medicare cash flow and gain control of Medicare receivables through online, real-time submission to Medicare.  

  • Manages bill submission and real-time processing with Medicare’s Direct Data Entry system
  • Validates Medicare claims in real-time against Medicare’s fiscal intermediary and common working file
  • Addresses front-end and eligibility errors immediately
  • Accelerates the resolution, identification and management of Medicare return-to-provider claims
  • Improves workflow and accuracy, and accelerates reimbursement, routing suspended claims to biller work queues
  • Allows correction of suspended claims for a complete audit trail of all changes made to support compliance documentation
  • Provides results-driven reporting to: forecast Medicare cash flow, trend cash received, determine biller effectiveness and productivity, and analyze errors and suspend reasons for trends and processing improvements

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Featured Case Study
Maricopa Integrated Health System
Maricopa eliminates deficiencies for both purchasing and revenue cycles of its business and calculates a net increase of over $300,000 based on strategic markup alone. Maricopa was able to synchronize patient charges with cost for supplies, reveal non-item file and special order purchases previously slipping through the cracks, and reduce uncertainty in pricing.
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Educational Events
April 30, 2010
NAHAM 36th Annual National Conference and Exposition
April 30 - May 3
Orlando, FL
Booth: 408

EducationalEvents
 
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