Billing & Reimbursement
Clean Claims + Positive Follow-Up = Quick Cash
There are many links in the chain of payment. MedEvolve helps you manage them all.
You have the charges entered from EMR or encounter forms. Now to get them through the many hands that can hold up payment. MedEvolve facilitates submitting clean claims that qualify for PQRI incentives by:
- Making PQRI reporting more reliable for achieving 80% compliance
- Providing multiples levels of claim editing and positive claim status control
- Monitor contract compliance to detect underpayment claims and trends.
Results? Practices report increased revenue by eliminating untimely filings and detecting underpayments immediately. Claim costs are reduced through proactive clean claim editing, on-line error detection and correction, and positive claim status controls.
Checking eligibility (verification) takes too long? Check electronically before appointment date or individually.
Can I assure the PQRI codes are sent? Use the "explosion codes" to send Q codes with the E&M codes.
My confirmation reports are cumbersome? No reports with MedEvolve. Correct errors on line after sending.
When are the claims edited? During data entry, then again at day-end close, and again at transmission.
What if a claim is lost in the shuffle? MedEvolve helps you detect those, and then see their exact status.
Demanding payment on held claims is time consuming? It's one click to demand payment with supporting dates.
Some of my plans underpay their contract? Yes they do, and we'll tell you when, how many and how much.
Paper claims are a pain? Then send all your claims electronically, including secondaries. It cost no more.
I'm on the phone a lot tracking claims? Just look on-line to see exact status. Then print a demand letter.
Can I assure the PQRI codes are sent? Use the "explosion codes" to send Q codes with the E&M codes.
Need Interoperability? All claim data comes from the MedEvolve integrated system and transmission to health plans fully complies with HIPAA provisions.
Interested? Contact our Support staff at Support@MedEvolve.com or 800-964-5129 ext 227.
