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Medicare Direct Claims Management  
Improve Medicare cash flow and gain control of Medicare receivables through online, real-time submission to Medicare.  

  • Manages bill submission and real-time processing with Medicare’s Direct Data Entry system
  • Validates Medicare claims in real-time against Medicare’s fiscal intermediary and common working file
  • Addresses front-end and eligibility errors immediately
  • Accelerates the resolution, identification and management of Medicare return-to-provider claims
  • Improves workflow and accuracy, and accelerates reimbursement, routing suspended claims to biller work queues
  • Allows correction of suspended claims for a complete audit trail of all changes made to support compliance documentation
  • Provides results-driven reporting to: forecast Medicare cash flow, trend cash received, determine biller effectiveness and productivity, and analyze errors and suspend reasons for trends and processing improvements

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Featured Case Study
Children's Hospital Boston
Decision makers gain a greater understanding of the relationship between service line and payer performance with integrated analytic data. This data helps Children’s address operating losses and significantly improves their operating margin.
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Educational Events
September 23, 2010
Healthcare Financial Management Association (HFMA) Webcast
2:00 p.m. CST
"Increasing Cash Flow With Expected Reimbursement For All Payors"
presented by Valerie Woodbury, BBA, CHFP, AVP, Revenue Integrity, Ardent Health Services and Troy D. Roth, Vice President, Revenue Cycle Strategy, MedAssets

EducationalEvents
 
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