MediData Software
Under a marketing agreement with MediData.med, Inc. (Coppell, TX), St. Clair sells its Eligibility Monitor reporting service, which automates the Medicaid eligibility searches for all of the hospital's "inpatient and outpatient" self-pay accounts throughout the billing cycle.
With this reporting service, the hospital will be able to significantly increase it's cash collections and significantly reduce it's self-pay bad debt write offs and accounts receivables. Also, this reporting service will save the Business Office's valuable staff time spent manually initiating Medicaid searches searches on-line or by telephone and waiting for search responses.
How does the Eligibility Monitor work? Your information systems department creates a file of all your "inpatient and outpatient" self-pay patients. The Eligibility Monitor computer system automatically enters the self-pay patient information, in batches to the State Eligibility verification website or software. Such searches are automatically initiated every 5 minutes for the number of hours daily that are necessary to check eligibility on all self-pay patients in the course of one week. All self-pay patients found to have Medicaid identifications (IDs) are automatically placed into an "accepted" table for your Department's billing to Medicaid. Whereas self-pay patients, who don't have Medicaid ID's, remain in a "Request" table for the automated, continuous eligibility searches by Eligibility Monitor in succeeding weeks and months.
What does it take to have Eligibility Monitor services operational? Your Department provides authorization to obtain access to the eligibility inquiry section of your State's Medicaid web site. Your Information Systems Department emails periodically, to Medidata, a "comma-separated values" file of the following data for all self-pay patients; Claim #, Patient Name, Birth Date, Social Security Number, and Service Start/End Dates. There is no software or hardware to buy.
To best demonstrate the outstanding "one (1) month or less" return-of-your-Investment in Eligibility Monitor, Medidata is willing to check, at no charge or obligation, for Medicaid IDs on your "inpatient and outpatient" self-pay accounts and provide you with the IDs for such verified patients.
The pricing for the use of this reporting service is an annual or monthly license fee, based upon the hospital acute beds operated, with "no costly, per inquiry" charges.