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MedicareMVP and MVP Live are currently utilized by thousands of facilities including:
  • Hospitals
  • Home health
  • Hospice
  • Long-term care
  • Physician practices
  • Dialysis units

All Medicare providers are supported.



The reports give us a better feel for what to expect in the next two weeks, what problems are out there, and if our claims from yesterday made it
Mark Lawrence
Western CBO Team Leader
Medcath, Inc.

Medicare Eligibility Verification
eSolutions’ MedicareMVP is a Web-based Medicare eligibility verification tool that allows Part A and Part B providers to verify Medicare patients through a batch process or in real time with MVP Live.

Product Benefits
  • Easily identify HMO and Medicare Advantage data
    Stop wasting valuable time and money submitting claims that a patient’s insurance won’t cover. Now you can know from the start exactly what can be billed.

  • Reverify HMO and PPS data
    Our monthly reverification process performs a full update for all patients, allowing you to see any changes in HMO and PPS episode data.

  • Decrease registration errors
    Experience reduced claim denials when your patient data is correct to start with. MedicareMVP makes it simple to verify that the information received at your reception desk matches that found in the Medicare system.

  • Increase staff efficiency
    When you verify eligibility up front, your staff spends less time dealing with rejected and denied claims and can concentrate their efforts on more important matters.

  • Increase cash flow
    Submitting fewer claims that will be denied or rejected results in a higher monthly cash flow for your organization.

  • Catch common errors
    Quickly correct patient data, including names, gender, date of birth and HIC number.

How do I get the results?

MedicareMVP creates a comprehensive coverage-detail report, allowing users to easily and accurately verify patient data through a batch process.




What do I have to do?

Choose the reporting option that best meets your needs:

  • Web-based: Submit patient data over our easy-to-use web interface for real-time results.


  • Batch: Process daily, weekly or monthly batches at no added cost.

Many providers utilize MedicareMVP to integrate eligibility verification with their registration system for automated results.


How does it work?

Medicare eligibility verification is a critical step in the revenue cycle. Using MedicareMVP in the verification process allows you to verify two types of patient information:

Personal information
  • Name
  • Birth date
  • HIC number validation
  • Gender

Coverage information
  • Type of coverage (Part A or Part B)
  • Deductible data
  • Days information
  • Medicare HMO and/or Advantage (name, address and phone included)
  • Preventative services
  • Home health sessions (PPS episodes)
  • Hospice episodes
  • MSP insurance

Part A and Part B providers can log in to our HIPAA-compliant website and submit a patient’s information for eligibility verification.


What is MVP Live?

eSolutions’ MVP Live checks Medicare eligibility in real time, which lets you get the answers you need, when you need them. Use MVP Live by itself or as a complement to MedicareMVP’s batch processing.


MVP Live Overview
submit eligibility request Submit eligibility requests easily
The Add New Request window allows you to enter as many patients for verification as you want, without having to wait for each verification to be processed
See more ►
 
View complete coverage information Receive complete coverage information quickly
The coverage detail report provides you with all the necessary information to bill a patient correctly the first time
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View complete Sample Coverage Detail report
 
View, Print, Sort, Filter, and Resubmit all of your Requests View, print, sort, filter, and resubmit all of your requests
The MVP Live home screen gives you a complete overview of all patients for whom you have verified eligibility
See more ►
 
View coverage summary reports of your requests View coverage summary reports of your requests
The MVP Live coverage summary lets you see exactly how your requests have been coming back
See more ►
 



What’s the advantage?

Utilizing the MedicareMVP service will greatly reduce time spent on patients without coverage, non-covered services, unallowable services, expired coverage limits and data discrepancies. This effectively reduces denied claims and line items while improving cash collections.


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, MVP Live can be used on virtually any system, regardless of the type of Internet connection you have.


How much does it cost?

MedicareMVP and MVP Live are completely Web-based services that are billed on a flat monthly rate. eSolutions establishes the rate based on the size of your organization, making our solutions cost effective for all providers. Contact eSolutions for a cost of service estimate for your facility.


Request more information on MedicareMVP and start your free trial today!


Subscribers of MedicareMVP and MVP Live also commonly utilize:
  • Part A Claims Management: MedicareSAM is our Medicare Part A claims management and revenue cycle management tool. It provides workflow automation as well as trending and analysis reporting.


  • DDE Connection: Medicare Navigator is our Web-based Medicare online connection (DDE or FISS).


  • All Payers Eligibility Verification: MVP Live All Payer is our real time, Web-based tool to verify eligibility for your Medicaid and most other major commercial payers


  • DME Eligibility Verification: DMELive is our real time, Web-based, Durable Medical Equipment eligibility verification tool, and includes certificate of medical necessity checks and same or similiar lookups.