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We receive timely information on patients' coverage. If a carrier requires pre-certs and prior authorizations we find out prior to the patient being discharged or the claim transmitting to the incorrect carrier.
Sharry Hebert
Supervisor
Accute Business Services

Medicare Enterprise Package

The Medicare Enterprise Package is eSolutions’ complete revenue cycle management package, comprised of our three most powerful tools: MedicareMVP, MedicareSAM and MedicareACE. With MedicareMVP you can check your patients’ eligibility in real time or through our batch process. MedicareACE is an innovative claims management tool which provides Part A providers with the ability to work claims through our web interface rather than through the Medicare online system. MedicareSAM is our comprehensive claims reporting and analysis module which is specifically designed to help spot and trend any negative outcomes currently plaguing your billing and follow-up process.

Product Benefits
  • Fast, efficient and integrated eligibility verification
    MedicareMVP lets your organization decrease registration errors while increasing staff efficiency and cash flow. To get eligibility verification in real time, add our MVP Live functionality and get the answers you need, when you need them.

  • Hassle free claims analysis
    With MedicareSAM, you have complete access to all of your claims data and can receive invaluable trending and analysis. Utilizing this data allows you to reduce your denied and rejected claims while increasing your cash flow and staff efficiency.

  • Increased Staff Efficiencies
    By using MedicareACE to work your claims your staff will now be capable of getting more work done in less time. With the added features of managing this process through our interface your organization will also have full audit trail capabilities; which is a must if you hope to stay compliant. Addiitonally, MedicareACE is available 24 hours a day 7 days per week.

  • A complete revenue cycle package
    When you use the Enterprise Package, you have a complete revenue cycle solution. From checking eligibility verification to evaluating claim data and even working claims in RTP, this package can provide your facility with all the necessary tools to work Medicare claims online.

What features are included?

The Medicare Enterprise consists of three products that will revolutionize your revenue cycle management process.

MedicareMVP:
  • Provides personal and coverage information

  • Verify patients in batch process or in real-time

  • HIPAA-compliant Web interface
MedicareSAM:
  • Work flow automation tools

  • Management tools, including daily, weekly and monthly reports

  • Exporting data to Microsoft Excel

  • Medicare trending and analysis

  • Custom work queues (Alpha Split, IP/OP, etc.)

  • Custom reporting by our analysts
MedicareACE:
  • Familiar layout (resembling a UB-04 form)

  • One-click editing

  • Write off the entire claim with a single click

  • Save changes and submit later (additional editing can be performed)

  • Ability to swap primary and secondary payers

  • Error-checking that catches all mistakes, including total charge calculation errors

  • Editing line charges without re-keying the entire line

  • Complete audit trail showing changes made and who made them

How does it work?

When you sign up for The Medicare Enterprise Package, you’re getting a complete solution to handle all aspects of your revenue cycle management process.


What's the advantage?

With the Medicare Enterprise Package, you get three products that were designed to work seamlessly with each other so you can easily take a claim through the entire reimbursement process. If you need customer support for any of your products, all of your questions can be promptly answered by eSolutions’ customer service department.


What are the requirements?

While your specific computer hardware and type of Internet connection play a significant role in how fast or slow any Web application works, the Medicare Enterprise Package can be used on virtually any system, with a high-speed internet connection.


How much does it cost?

The Medicare Enterprise Package is a completely web-based service that is billed on a flat monthly rate. eSolutions establishes the rate based on the size of your organization and the volume of claims you typically handle. Contact eSolutions for a cost of service estimate for your facility.


Request more information on the Medicare Enterprise Package and start your free trial today!


Subscribers of the Medicare Enterprise Package also commonly utilize:
  • Claims Management: ERA Analyzer is our Web-based revenue cycle management tool designed to reduce denials, and increase staff efficiencies for all payers.


  • Denial Management: Appeals Manager is our Web-based denial management and automated appeals management system.