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(C) 2018. ReMedics LLC. All rights reserved. All products named and/or graphically depicted herein, are the sole property of their respective companies.

Systems Integration

Many key players are involved in ensuring a smooth flow of claims from the Provider to the Payor as well as funds from the Payor back to each practice.  ReMedics is able to integrate deeply with each of these key solution providers which results in a complete solution for aggregated environments that provides the highest quality and accuracy of data processing for these complex multi-vendor environments.

Partner Advantages:

  • Enhanced solutions are integrated to existing platforms and services

  • Development tools to assist in creating integrations

  • Access to top notch sales, marketing and development teams

  • Customized processing solutions

  • Partner cost savings

Financial Institutions

Banks provide several key services in the Revenue Cycle, starting with being the recipient of funds as well as EOBs and Correspondence via lockbox services.  Selecting a capable partner is crucial to ensuring that the capture process starts smoothly.  Banks partner with us to offer their healthcare customers the capability to streamline and accelerate the payment posting processes.

 

ReMedics Model Advantages:

  • Utilize a single Corporate Bank account to track all incoming deposits

  • Utilize a Corporate Lockbox for centralized EOB, Claim & Correspondence capture

  • Practices can maintain existing Banking relationships and accounts

  • Experience with dozens of bank at both national and regional levels

Clearinghouses

Clearinghouses are integral to healthcare providers to forward claims information to and receive payments from insurance companies. They can now offer along with their other services automated processes for posting all type payments; including insurance payments, patient payments, legal reimbursements, clinical trial payments, and others.


ReMedics Model Advantages:

  • Clearinghouse agnostic solution to leverage existing relationships

  • Support a multiple Submitter / Single Receiver approach for complex provider environments

  • Utilize a single Corporate Receiver for incoming ERA remits

  • Practices can maintain existing Clearinghouse relationships for submission

  • Workflow solutions for both Eligibility (270 / 271) and Claims Status (276 / 277) Inquiry and Response transactions

Payors

There are many aspects of a  Payor relationship which impact the bottom line of a healthcare provider.  ReMedics is able to reduce some of the barriers that typically exist when dealing with the payor community, including inconsistent ERA/EOB delivery, co-mingled remittances, and funds re-association challenges, as well as other payor workflow management solutions.

 

ReMedics Model Advantages:

  • Properly handle the breakdown of remits for each division on a claim-by-claim basis

  • Additional data validation by ReMedics to provide 'missing' data from Payors

  • Ability to allocate Provider Level Adjustments to individual divisions

  • Convert paper to 835 conversion services

  • Provide re-association services regardless of inbound formats (ACH, Check, ERA, EOB)

  • Experience with national and regional payors, including various Workers Compensation payors

  • Appeal and Grievances management solutions

  • Credentialing workflow solutions

Line of Business Systems

The Claims Management, Practice Management or Billing System is the backbone of being able to manage and measure the financial health of an organization.  Since significant effort, training and investment into these core systems has taken place, it is critical to minimize disruption to them.


ReMedics Model Advantages:

  • Clients can maintain existing LOB Systems

  • Receive ERA files for all payors/providers, including those that only provide paper

  • Normalize 835 & 837 data across payors and providers

  • Ability to support system specific data requirements

  • Provide other solution offerings to augment functionality: such as Denial Management, Payment Rate Verification, AR Worklists, Appeals and Grievances, etc.

  • Integration history with over 40 Claims and Practice Management systems, including home-grown systems