Health Insurance Carriers have dealt with a few changes over the years to the Medicare Managed care program—none more important than the transition from capitation payments from the Centers for Medicare and Medicaid Services (CMS) to 100 percent risk adjusted payments to private health plan carriers.
To be financially successful, Medicare Advantage plans must complete accurate risk assessment of their membership according to the Hierarchical Condition Category (HHC) codes and submit complete and accurately coded medical charts before CMS deadlines.
MediConnect Global’s patented on-line medical record retrieval system optimizes reimbursement revenue and incentives from CMS. Its medical chart services allow plans to retrieve large volumes of medical charts from a single source quickly and economically to ensure complete and accurate diagnosis coding which dictates proper reimbursement from CMS.
Once MediConnect retrieves all the records, carriers can then perform risk adjustment review either before submitting to Medicare or after initial submission to appeal any underpaid reimbursements.
- Fast. MediConnect Global saves time for carriers by quickly securing medical records in a manner less disruptive to provider offices.
- Simple. Carriers simply provide MediConnect with a list of patients and their providers whose records need to be retrieved. MediConnect then organizes all record requests by medical group (or individual providers), validates the medical group and provider contact data (as needed), and removes duplicate requests if any.
- Feature Packed. MediConnect works directly with healthcare providers and clinics to retrieve and digitize all medical charts, index the records, hosts the digitized record copies online, and then transmits the records to the Medicare Advantage plan.
- Pricing and Fees. MediConnect is cost-effective, providing the lowest value-based pricing in the industry and managing all provider fees.
- Proven. MediConnect’s patented processes are streamlined and time-proven with national and global reach.
- Scalable. MediConnect’s technology can scale up or down quickly, depending on the needs of each client or project. It is Web-based, modular, and customizable, making it easy to integrate.
- Security. MediConnect Global has implemented the most stringent security policies throughout its medical record retrieval process. It is fully HIPAA compliant and goes beyond industry standard best practices. See MediConnect Security Policy
Contact Us
To learn more call toll free
1-800-489-8710 or email
info@mediconnect.net.
