MEDICARE CLAIMS MANAGEMENT: Medicare Claims Submission & Validation

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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

Improve your
Operating Margins

MedAssets improves
and sustains
operating margins
by 1.5% to 5%.

Featured Case Study

Orlando Health

Orlando Health identifies $12.9 million in net benefit with MedAssets Defensible Price Modeling services.

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