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Medicare Enterprise

Name: Medicare Enterprise
Rating: 4.5 (2 reviews)

By eSolutions, Inc

939 Interested

Highlights : About Medicare Enterprise

Reporting and Analytics

Claims Correction

Eligibility Verification

Secure Connection

About Medicare Enterprise

Medicare Enterprise is a cloud-based revenue cycle management solution that can be used by hospitals, physicians and dialysis units. Key features allow users to automate the workflows, generate custom reports, verify and submit claims. The solution is also HIPAA compliant. Medicare Enterprise supports automated verification processes to check non-covered services, unallowable services, expired coverage limits and data discrepancies. Users can assign individual and group claims and prioritize them. Charts and graphs can be generated, which can assist users with analyzing potential areas of improvement and in benchmarking. The data generated in these reports can be exported to Excel or can be shared via email.

Specifications

Business Size

Small

Customization

Yes

Deployments

Cloud

Language Support

English

Platforms

Product Details

Features

Reporting and Analytics

Comprehensive Medicare reporting and analytics delivers greater insight into your billing process so you can spot any issues that may negatively impact your billing and follow-up efforts. eSolutions provides actionable data on RTP claims, ADRs, eligibility, claims paid, days in A/R and much more.

Claims Correction

Update your claims directly in the Medicare system with our web-based claim form that looks just like the UB-04 that’s familiar to you. Correct large numbers of claims in a shorter amount of time. Claims correction is available 24/7 so your team can work when and where it’s convenient.

Eligibility Verification

Check eligibility in real time straight from the Medicare system. eSolutions provides the most comprehensive eligibility report available. With our direct access to Medicare’s data, you’re able to correct data discrepancies such as misspelled names, incorrect MBI numbers and DOB on the spot. Check key patient details like Medicare Advantage plans and preventative services.

Secure Connection

Connect to Medicare DDE and multiple MAC regions simultaneously.

Reliable File Transfer

Transfer claim files quickly and securely to speed up reimbursement. Get a complete snapshot of your 835/837 file transfer activity so you can quickly review which claims have been accepted, rejected and processed.

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