According to estimates made by CMS, Medicare programs issue billions of dollars per year in improper payments. Medicare conducts pre and post payment audits routinely to determine the appropriate payment and / or recoupment amount. CMS employs several types of Review Contractors to measure, prevent and correct these improper payments. In addition, CMS has recently approved a program to enable prior approval of some items thereby, ensuring that the appropriate documentation is on file and the patient qualifies for the product prior to the product being provided / billed. In order to conduct an audit or provide a prior approval, the contractors must review all of the documentation that proves the medical necessity of the item. Until recently there were only two ways to get that information to the contractors, mail paper records or fax them. Providers had no way to receive confirmation that the documentation was received timely and in its entirety. CMS introduced esMD (Electronic Submission of Medical Documentation)
MedFORCE is currently offering their solution to electronically submit medical record documentation and Prior Auth requests for PMD directly through their secure infrastructure. As an HIH MedFORCE is one of a few organizations that can submit documentation to CMS directly. That means there is no additional party handling your sensitive healthcare information, and you will be dealing with MedFORCE support staff directly. Tracking of the submission dates and collection of documentation required can be streamlined, submissions and status updates can be received live. Using MedFORCE will allow you to setup alerts when a submission is due, and route the case through your organization electronically. “This flows naturally into our development of process management solutions for our customers” said Esther Apter, CEO of MedFORCE Technologies. “Preparing documentation for an audit is time consuming and ensuring that the right documentation is submitted timely is critical. A missed or insufficient audit can cost a company their business”. MedFORCE esMD solution provides a tool that will ensure collection of the documents is done accurately, monitoring to validate that the documents were submitted timely and the ability to conduct an electronic review of what is going to be submitted.
Stop wasting time and money faxing, emailing and mailing your responses to documentation requests and Prior Authorization requests. To find out how you can cut costs, streamline your process and submit your documentation electronically, contact us!
About MedFORCE Technologies, Inc.
MedFORCE Technologies is a leading provider of document management and workflow solutions within the Healthcare industry. They specialize in reducing cost, increasing productivity and improving cash flow. Collaborating with its sister Healthcare Management Solutions Inc., (HMS) a medical billing service company. HMS’ innovative technology has made it an established name in the healthcare industry since 1993. MedFORCE was established in 2002 to provide paperless solutions that were first implemented at HMS. Their expansion into business process management solutions has further enhanced their already stellar reputation. For more information, visit www.medforcetech.com, e-mail firstname.lastname@example.org, or call 1-866-237-1190.
email@example.com | 1-866-237-1190 x131