Medicare Enterprise Package

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Everything you need to improve your revenue cycle management.

The Medicare Enterprise Package is the most efficient revenue cycle management solution on the market. From checking eligibility verification to evaluating claim data and even working claims in RTP, this package provides your facility with all the necessary tools to work Medicare claims online. This is a serious end-to-end solution that takes your claims through the entire reimbursement process.

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Medicare Reporting and Analytics

Comprehensive claims reporting and analysis makes it simple for you to spot and trend any negative outcomes currently plaguing your billing and follow-up process. This package provides you with hassle-free claims analysis and gives you complete access to all of your claim data. You even receive invaluable trending and analysis data that helps you make essential changes to your billing process. Utilizing this data allows you to reduce your denied and rejected claims while increasing your cash flow and overall staff efficiency.

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Medicare Claims Correction

The Enterprise Package allows Part A providers to work claims through a web interface rather than working in the Medicare system. It dramatically increases staff efficiency by allowing a higher volume of claims to be corrected in a shorter amount of time. Not only can you correct claims in a familiar UB-04 environment, but you also receive full audit trail capabilities. This is essential for staying compliant. Claims correction is available 24/7 to make sure that you’re able to work when it best suits your needs. Need to automate your DDE claim submission? We can do that, too.

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Medicare Eligibility Verification

The Medicare Enterprise Package checks patient eligibility in real time or through a batch process. It offers you fast, efficient and integrated eligibility verification. Decreasing registration errors has a direct effect on increasing your staff efficiency and cash flow. The real time eligibility checks allow your staff to get immediate results, when they need them.

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Connecting to the Medicare DDE

Connection tools that require you to invest in additional phone lines, hardware or software are a relic of the past. With the Medicare Enterprise Package, you get everything you need in a web-based tool that works on your existing equipment. Unlike other connection methods, the Medicare Enterprise Package actually allows you to connect to multiple MAC regions simultaneously.

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Claims Submission

Medicare Enterprise gives you a complete snapshot of activity on your 835/837 file transmissions. You can quickly review which of your claims have been accepted, rejected, and processed. This allows you to easily prioritize and troubleshoot your workload.

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