Medicaid Revenue Recovery Service
Under a marketing arrangement with MediData.med, Inc. (MediData- Dallas, TX), St. Clair sells its Medicaid Revenue Recovery Service (Service), which automates the Medicaid eligibility queries for a healthcare entity's applicable patient accounts.
With this Service, a healthcare entity is able to significantly increase its Medicaid collections and significantly reduce its self-pay bad debt write offs & its accounts receivables. Also, this Service will save valuable staff time spent manually initiating Medicaid searches queries on-line or by telephone and waiting for query responses.
How does this Service work? On a periodic basis, the Information Technology (IT) Department of a healthcare entity creates a file of the patient account data (e.g., Patient Name, Account Number, Birth Date, Social Security Number, and Service Start/End Dates). Upon receiving this file via a secure FTP website, MediData will query automatically the applicable Medicaid website with up to three (3) different combinations of identifiers for each patient account. For each file of accounts queried, the client receives reports of all Medicaid/Supplemental Security Income benefit information for accounts, identified with such eligibility/coverage, as well a monthly performance summary report. This information will be in the client’s specified Excel or Text Format for Medicaid eligible patients who are reported separately between those with service dates falling inside of the coverage dates (active) and those with service dates fall outside of the coverage dates (inactive). In this reporting, any difference in birth date, social security #, and/or patient name is highlighted by red type.
What does it take to have this Service operational?
A healthcare entity obtains, for MediData, additional "Medicaid internet" credentials (log-in and password), which are required for accessing the state eligibility web portal. Its IT Department provides, via a secure FTP web site, MediData with the initial accounts file and periodic updates. There is no software or hardware for a healthcare entity to buy.To verify the high quality of the MediData Service and its ability to maximize identification of Medicaid coverage on patient accounts, a healthcare entity should seriously consider taking MediData up on its FREE service trial.
MediData
’s monthly service fee is as low as $.09 per patient account queried, depending upon a healthcare client’s preferred frequency of account query searches and its resulting monthly volume of accounts queried.