Revenue Cycle Management

Improve Financial Performance and Accelerate Revenue

With MEDTEAM Revenue Cycle Management Services, you can improve financial performance by improving cash flow, increasing reimbursements, and accelerating revenue. To specifically address the requirements of your hospital and community, MEDTEAM can create a personalized service package, equipping your hospital with system experts and industry-leading technology.

Claims Management Services

As part of Claims Management services, our team of experts focuses on claims submission, A/R management, and insurance reimbursement. By expediting submissions, following up on pending claims, handling denials, swiftly posting payments, and maintaining payer contracts, our committed team of specialists helps maximize reimbursements.

Billing
Our staff of billing experts submits claims every day. After claim edits and rejections are resolved, patient accounts are billed directly out of the EHR system to insurance payers through the hospital’s clearinghouse, all with complete transparency. Avoid leakage and commit to revenue integrity through our payment variance analysis and recovery services. To analyze and settle reimbursement variations with payers, we will collaborate with the hospital to pinpoint the underlying causes of variances, including denials.

Cash Posting
Rely on dedicated resources to accurately enter manual payments and Electronic Remittance Advices (ERA) into the EHR system, so hospital patient accounts move quickly to the next payer.

Insurance Follow-Up
Account follow-up is performed on all outstanding insurance claims and patient accounts are worked until your facility reaches insurance payment resolution. After claim edits and claim rejections are resolved, patient accounts are billed directly out of the EHR system to insurance payers through the hospital’s clearinghouse, all with complete transparency.

Other Revenue Cycle Services

Contract Management
By consistently updating and maintaining payer contracts, you can optimize reimbursements from your payers. We will build, update, and maintain contracts to include the most recent rates, contract terms, schedules, and any other pertinent information to identify the payer reimbursement discrepancies as determined from the terms of the payer contracts.

Payment Variance Analysis and Recovery
Avoid leakage and commit to revenue integrity through our payment variance analysis and recovery services. To analyze and settle reimbursement variations with payers, we will collaborate with the hospital to pinpoint the underlying causes of variances, including denials.

Patient Statement Processing
Provides your patients with a statement that is easy to understand while incorporating the hospital’s branding and personalized messaging.  Our software utilizes actionable messaging to target communications to assist patients in choosing the most appropriate actions, including multiple delivery options such as paper or electronic notifications.  This service offers an intelligent communication approach, a production monitoring system, and premium file management to provide superior results.

Reporting
Designed to help you gain visibility into your hospital's clinical, financial, and revenue cycle performance. Our Reporting Services deliver value to hospitals with granularity, expertise, and dashboard reporting.

Online Bill Pay
Give your patients the tools they need to manage their healthcare financial commitments by providing payment options based on their profile information. Your patients can then choose from several payment options, including quick pay, partial payments, and payment plans. The Online Bill Pay interface can increase accuracy and make the process of posting payments more efficient and is designed to automatically post patient payments to patient accounts.

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