ResolveAR
Whether you need Medicare accounts receivable services, comprehensive accounts receivable management or focus on secondary claims management to improving your revenue cycle, CareMedic will go beyond best practices to design the best solution—for YOU. CareMedic brings you:
- Over 40 years of combined management experience
- A proven performance record (94% repeat business)
- Experienced, dedicated, professional associates
- A proactive approach to operating an efficient business office
- Customized business solutions designed specifically for you
- Enhanced profitability
SecondaryGold™
Today, approximately 80 percent of Medicare beneficiaries purchase some form of supplemental insurance. Much of the time, these supplemental (or “secondary”) insurance policies go unbilled. The average hospital allows 30 percent or more of its secondary claims revenue to disappear into the write-off black hole, making secondary claims the fastest growing segment of hospital write-offs. Even claims that are supposed to be electronic crossovers from Medicare require human intervention 58 percent of the time in order to get paid.
With CareMedic’s SecondaryGold offering, you can close the write-off black hole and collect dollars you would not normally collect—all while eliminating your current claims management costs. With SecondaryGold, CareMedic provides tools that allow you to manage your primary claims while we manage secondary claim processing and follow-up for you. CareMedic can increase your collection rate for secondary claims to more than 90 percent of the collectable dollars—increasing cash flow and reducing write-offs.
SecondaryGold enables you to:
- Improve your success rate for both primary and secondary billing
- Increase cash flow
- Minimize write-offs
- Improve billing staff efficiency by allowing valuable in-house employees to focus only on primary, high-dollar claims
- Identify secondary claims not paid within 30 days for follow-up
- Increase secondary claim collection to an average of 90 percent
- Improve quality of claim filing using the latest technology and CareMedic experts who stay current on payer rules
With SecondaryGold, all claims processing technology is included at no additional cost.
SecondaryGold provides users with an integrated Performance Management Dashboard. The dashboard combines Key Performance Indicators (KPIs) with graphing, charting, personalization, trend analysis, alerts, and analytics. The KPIs include a Secondary Liquidation Analysis to demonstrate secondary claim cash flow improvement and a set of monthly Return on Investment KPI’s to demonstrate the cost effectiveness of using the SecondaryGold solution.
MedicareAR Cleanup
This service enables hospitals to reconcile aged Medicare Part A receivables with Medicare’s claim information. Our expert staff members use our proprietary, state-of-the-art software to research, correct and re-bill pending/suspended claims, greatly improving your cash flow.
Our Medicare-trained staff utilizes CareMedic’s AccelerateAR MedicareRT solution to reconcile outstanding Medicare receivables and to identify collectable accounts. CareMedic’s staff performs claim edits and rebilling functions in real time, online directly with Medicare to speed reimbursement. We provide user-friendly reports on claim denials by reason codes, often identifying claims that do not show Medicare as a primary payer, and sending them back to you so that you can bill the appropriate payer promptly.
Virtual Business Office
CareMedic is exclusively healthcare-focused, and our core services business is AR outsourcing. Based on your specific challenges and the lines of business being worked, we develop a dedicated team of certified professionals to resolve your aged and ongoing receivables. Using our proprietary Web-based remote communication system, our operation becomes a seamless part of your organization’s business office. ResolveAR VBO provides several measurable benchmarks through real-time, anytime reports, and helps you to identify operational issues that may be causing unnecessary account aging.
Professional Services
Our consultants are experienced in all venues of healthcare financial services, and can provide specialized assistance throughout the revenue cycle. CareMedic’s services are based on a set of core values that drive our interactions with our clients as well as our staff. CareMedic's efforts reflect our integrity, our commitment to customer satisfaction, our accountability, our results driven approach and our goal of excellence.
CareMedic is a leader in revenue cycle management services. By selecting CareMedic, you benefit from our in-depth knowledge and expertise, increase cash collections and advance your operations.
Contact us on the Web, or call us today for more information about how we can help you now. ResolveAR toll free 866-800-2274.
