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.