DSH Medicaid Data Match Product - Merit Healthcare has
developed software that allows us to help clients capture all of the DSH
Revenue due the hospital as well as being 100% in compliance with
current DSH Regulations. We have accomplished this through the
development of approved proprietary software in conjunction with the
technical experience of our staff. Merit Healthcare has worked
successfully with clients on DSH Submissions, Audits and Reopenings
Bad Debt Data Match Product - Merit Healthcare
has developed proprietary software that allows a hospital to ensure
proper submission of a bad debt listing to the intermediary. This
software captures all allowable bad debts to be claimed with the
assurance that the hospital is in compliance with Medicare bad debt
regulations.We accomplish this by utilizing the hospitals data in
conjunction with the Medicare Electronic Remittances advice through a
data match process. This data match ensures only Medicare Patients are
claimed and only deductible and Co-insurance for those patients are
claimed. We further run the patients through the Medicaid Data Match
System to ensure that the ones claimed as Medi-Medi's (Medicare and
Medicaid) patients are actually eligible for Medicaid. This allows for
the hospital to ensure that any circumvention of the billing process due
to Medicaid Eligibility is proper.
This product pays for itself
in additional Medicare Bad Debt found and reduced audit adjustments.
Merit Healthcare will review your past bad debt submissions on a
contingency reopening basis with no payment unless additional
reimbursement is found Or Merit Healthcare will review on a Current
Submission basis for a fixed Fee. Again the product will pay for itself
or you pay nothing.
IME Managed Care Data Matching Products - Merit
Healthcare Consulting, Inc. has proprietary software that utilizes a
data matching process to ensure all of the reimbursement due a hospital
is received for Time Managed Care Days. Tracking these days is hard for a
hospital as many patients are misclassified as regular HMO days when in
fact they are Medicare HMO days.MHC has found that some hospitals are
not billing for whole insurance codes that are Medicare Managed Care and
eligible for reimbursement. This can result in Hundreds of thousands of
dollars of lost reimbursement. Merit Healthcare can identify these
claims eligible for reimbursement and help the hospital to get the
proper payment. We can do this review in prior periods as well as
current periods to ensure proper payment. In most cases the cost of the
IME Product will be a fraction of the recovered reimbursement allowing
the service to pay for itself
