MDeverywhere is a physician-centric revenue cycle management company that offers various interfaces, workflow automation tools, and rules-based systems to help practices increase revenue in 5 key ways:
1) A rules engine reduces claim denials by 90% through pre-defined payer rules and additional custom rules.
2) The system automatically applies for PQRI and e-prescribing bonuses through built-in rules.
3) Payor contract compliance identifies underpayments and appeals claims to ensure practices are paid according to contracts.
4) Eligibility checking decreases denials by verifying patient insurance information upfront.
5) Marketing and recall plans can increase patient volume through reminders and referrals.
18. Net Collection Report: Our Report Card Charges by date of service Payments tie back to date of service Money we are not allowed to collect Professional discount Bad Debt Net Collections % = (Payments) / (Charges – Contractual Write-offs – Discretionary Write-offs)
Slide 5: MDeverywhere Difference Now let me tell you why MDE is different, and how we can increase your revenue from 5-15%. I’m going to read through these slides quickly and then we’ll look at each one in more detail. Our automated eligibility system reduces your benefit related denials; Our rules engine that will reduce your denials by 90%; The rules engine also supports PQRI which will make you eligible for the 2% Medicare bonus; Payors are underpaying claims by 7% - 11% - our payor contract compliance software will catch these payment errors and drive your revenue up; and finally our patient outreach services will increase your practice volume. Now let’s go into each one of these areas in detail. How do you currently check eligibility? So you are checking one at a time, going to the web sites, making calls, etc.