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MedicareSAM is an affordable revenue cycle management solution that’s changing the way health care providers handle their claim submission process. MedicareSAM is utilized by facilities including:
  • Hospitals
  • Home health
  • Hospice
  • Long-term care
  • Dialysis units


Reduced days, identified problems, and created awareness.
Jared Nusbaum
Chief Financial Officer
Teton Valley Hospital

Medicare Part A Revenue Cycle Management
eSolutions’ MedicareSAM is an innovative revenue cycle management tool that provides Medicare Part A providers with a claims management system designed to automate many of the manual steps required to work Medicare claims online.

Additionally, MedicareSAM’s reporting reviews every aspect of your billing process, allowing you to improve even the smallest detail. MedicareSAM also includes the Web interface, MyMedicareData, which provides you with online access to your Medicare claims.

Product Benefits
  • Reduce Denied and Rejected claims
    MedicareSAM shows you your top reasons for Denied and Rejected claims. Armed with this information, you can take specific actions to reduce denials and rejections and ensure that more claims are processed the first time.

  • Increase staff efficiency and cash flow
    A more complete understanding of your revenue cycle process allows you to fine tune the process. With all the information up front, your staff can be more efficient. Reduced A/R days means your organization has more money in the bank!

  • Improve communication between departments
    Communication is key to creating an efficient work force. When the reasons for rejections and denials are easily identified, you can pinpoint the exact step in the process where an error has occurred.

  • Revitalize management reporting and analysis
    Without detailed information on your claims submission process, any attempts at improvement would be guess work. Better information lets you target only the areas that need improvement.



What features does it provide?

MedicareSAM automates the management of suspended accounts and allows you to focus on resolving outstanding claim issues faster.

Key features:
  • Work flow automation tools (access your claim data through MyMedicareData)
  • Management tools, including daily, weekly and monthly reports
  • Custom work queues (alpha split, IP/OP, etc.)
  • Medicare trending and analysis
  • Custom reports by our analysts
  • Custom report creation through MyMedicareData
  • Data export to Microsoft Excel
  • No hardware or software
  • 30-day free trial

How does it work?

MedicareSAM tracks and reports on individual claim status from receipt to payment, rejection or denial. Each change in status is reported back to you so you can take the appropriate action.

Utilizing MedicareSAM can significantly reduce the number of days it takes to get paid by managing important A/R assets. For claims that are pending, RTP, denied, rejected, paid or line-item denials, a full range of management and financial accounting reports are available. Consolidated reports by region can be produced to help you manage multiple facilities.


What’s the advantage?

Utilizing the MedicareSAM service will dramatically improve your revenue cycle management process. Everything about the program encourages you to apply it to your organization in exactly the way you need it. You decide when you get reports, what they contain and how the data is exported to best suit your organization’s needs.


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


How much does it cost?

MedicareSAM 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 MedicareSAM and start your free trial today!


Subscribers of MedicareSAM also commonly utilize:
  • DDE Connection: Medicare Navigator is our Web-based Medicare online connection (DDE or FISS).


  • Eligibility Verification: MedicareMVP is our real time, Web-based, Medicare eligibility verification tool, and includes identification of Medicare Advantage plans.


  • Secondary Payer Billing: Automated, accelerated Medicare secondary billing tool with MedicareASAP.


  • Claims Management: ERA Analyzer is our Web-based revenue cycle management tool designed to reduce denials, and increase staff efficiencies for all payers.