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Medicare Solutions |
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MedicareSAM™ |
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Automated Claim Tracking And Reporting for Medicare Part A claims |
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Automated Claim Tracking And Reporting for Medicare Part B claims |
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Web-based access to your Medicare Claim data, reports and eSolutions services. |
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Real time, Web-based, Durable Medical Equipment eligibility verification tool; includes certificate of medical necessity checks and same or similiar lookups. |
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Automated batch and real-time Medicare Eligibility Verification, Part A and Part
B |
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Medicare Accelerated Secondary Automated Payer |
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Audit of your Medicare Aged Trial Balance comparing Medicare's records to yours. |
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Management of Adjudicated Medicare Claims (Paid, Denied and Rejected) |
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Billing and Reporting services on your Medicare Section 1011 Claims, including claim
data entry through Trailblazer, the only Medicare authorized FI DDE (Direct Data
Entry) program. |
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Automate the retrieval of your Medicare Electronic Remittance Advice (ERA) file |
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Automate the submission of your Medicare claims batch file |
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Simplify your Medicare claim editing process |
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Connect to the DDE/FISS or the CWF using a Low Cost, High Speed, Web Based Connection |
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Medicaid Solutions |
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Automated Claim Status Reporting for State Medicaid programs |
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Automated batch Medicaid Eligibility Verification |
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All Payer Solutions |
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Improve your revenue cycle by automatically analyzing denied claims, providing workflow
solutions, appealing the denial and offering ad hoc and comprehensive automated
reporting |
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Verify eligibility for your Medicaid and most other major commercial payers |
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Payment and Denial data analysis and reporting from your payers' Electronic Remittance
Advices (ERAs) |
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Tracking and reporting Recovery Audit Contractors (RAC) audit claims |
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Other Solutions |
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Customized services, tailored to your requirements |
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Automated claim status notes posting for any patient accounting system |
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Secure transfer of files to eSolutions |
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