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Medicare Solutions

When it comes to managing and automating your Medicare revenue cycle, no one makes it easier than eSolutions.  We've built a Medicare reimbursement experience that’s simply better, more transparent and delivers the quick and accurate reimbursement you deserve. No matter what your needs, we have a Medicare solution that’s right for you.

Medicare Enterprise is the premier all-in-one solution to manage and automate the Medicare revenue cycle. Medicare Enterprise gives you:

  • Reporting and Analytics
    Comprehensive Medicare reporting and analytics delivers greater insight into your billing process so you can spot any issues that may negatively impact your billing and follow-up efforts. eSolutions provides actionable data on RTP claims, ADRs, eligibility, claims paid, days in A/R and much more.
  • Easy Claims Correction
    Update your claims directly in the Medicare system with our web-based claim form that looks just like the UB-04 that’s familiar to you. Correct large numbers of claims in a shorter amount of time. Claims correction is available 27/7 so your team can work when and where it’s convenient.
  • Powerful Medicare Eligibility Verification
    Check eligibility in real time straight from the Medicare system. eSolutions provides the most comprehensive eligibility report available. With our direct access to Medicare’s data, you’re able to correct data discrepancies such as misspelled names, incorrect MBI numbers and DOB on the spot. Check key patient details like Medicare Advantage plans and preventative services.
  • Secure Connection
    Connect to Medicare DDE and multiple MAC regions simultaneously.
  • Reliable File Transfer
    Transfer claim files quickly and securely to speed up reimbursement. Get a complete snapshot of your 835/837 file transfer activity so you can quickly review which claims have been accepted, rejected and processed.
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Medicare Essentials is a fast, secure and reliable to way to directly connect to the Medicare system and verify patient eligibility with real-time data. Medicare Essentials gives you:

  • Powerful Medicare Eligibility Verification
    Check eligibility in real time straight from the Medicare system. eSolutions provides the most comprehensive eligibility report available. With our direct access to Medicare’s data, you’re able to correct data discrepancies such as misspelled names, incorrect MBI numbers and DOB on the spot. Check key patient details like Medicare Advantage plans and preventative services.
  • Secure Connection
    Connect to Medicare DDE and multiple MAC regions simultaneously.
  • Reliable File Transfer
    Transfer claim files quickly and securely to speed up reimbursement. Get a complete snapshot of your 835/837 file transfer activity so you can quickly review which claims have been accepted, rejected and processed.
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Medicare Connect is a fast, secure and reliable way to directly connect to the Medicare system, giving you:

  • Secure Connection
    Connect to Medicare DDE and multiple MAC regions simultaneously.
  • Reliable File Transfer
    Transfer claim files quickly and securely to speed up reimbursement. Get a complete snapshot of your 835/837 file transfer activity so you can quickly review which claims have been accepted, rejected and processed.
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eSolutions’ MedicareDRG tool allows hospitals to automatically calculate and retrieve DRG grouper/pricer information directly from Medicare in minutes. The straightforward interface includes intuitive, precise diagnosis and procedure look up, reducing your entry time and helping you ensure your DRG payments are fully compensated.

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eSolutions’ Quality and Compliance products deliver the services and reporting post-acute care providers need find opportunities to improve quality outcomes, boost Five-Star Ratings, reduce readmissions, increase referrals and drive cash flow. Learn more about our tools for leveraging CASPER and submitting and tracking OASIS, HIS, MDS and PBJ files.

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Are you ready to transform the way you manage your Medicare revenue cycle?