Your Partner in Prompt Pay and Revenue Cycle Analytics & Business Intelligence Services.
Are you overlooking thousands, maybe millions of hidden or otherwise lost revenue from years past? We find the missing contracted State Statute Prompt Pay claims and revenue.
Many hospitals and healthcare organizations are looking to improve compliance and ensure optimal reimbursement through revenue integrity programs. It is the LAST 4%-6% revenue missed by other vendors and services.
Med-Enterprise is the first independent consulting group to provide the Healthcare market with greater revenue through a comprehensive and proven Prompt Pay Recovery Process and technology solution. We find the revenue that that others cannot find. We welcome and work with the other vendors and services.
The Benefits of Licensing or Subscribing
Licensing: Client users, e.g. Healthcare Providers and their Vendors, billing companies, Healthcare Software companies, can directly access our services as an additional “analytic tool” and reporting for actionable revenue. This will supplement their core vendors, software, tools and analytics by “state statute algorithm” niche plus payer performance analytics. The fee is based on a user/database access.
ADVANTAGE: Easy, direct service access that utilizes the client’s own revenue cycle infrastructure to pursue identified claims with no additional fees.
Subscription: Healthcare Revenue Cycle users, e.g. billing companies and healthcare providers/systems, can directly access our services as an additional “analytic tool” and reporting for actionable revenue. This will supplement their core vendors, software, tools and analytics by “state statute algorithm” niche plus payer performance analytics. The fee is based on a monthly/quarterly flat fee.
ADVANTAGE: Easy, regular access with actionable claims reports that can be a dashboard for your internal team pursuit.
In either case, your data is routinely uploaded at scheduled intervals and a deliverable report is returned within the scheduled timeframe. Nominal cost with no IT investment on their part.
Range of Services
At Med-Enterprise, we partner with clients to pursue “hidden or otherwise lost” revenue where others cannot. Our CIRCA℠ (Claims Intensive Revenue Cycle Analysis) proprietary technology process and business analytics is data mining and Business Intelligence. It transforms ANSI x12 provider 837 claims data, State Statute contract terms, and Payer 835 claims data into actionable "missing revenue" summaries. We use this information to pursue revenue and negotiate Managed Care Contract terms.
The Health Risk Management System (HRMS):
An Environmental Disinfection System to Combat Healthcare-Associated Infections (HAIs).
"Antimicrobial resistance has the potential to harm or kill anyone in the country, undermine modern medicine, to devastate our economy and to make our health care system less stable," Dr. Tom Frieden, Director Centers for Disease Control, National Press Club Luncheon - July 22, 2014.