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 Medata's services offer our clients an outsource option with confidence that each bill will be reviewed with accuracy and appropriateness for the maximum possible savings on each bill reviewed. Our services provide workflow solutions to meet even the most unique needs.
Our bill review service center includes: - All Jurisdictions—Workers’ Compensation & Auto Liability
- National and Regional PPO Networks
- TALLY, Proprietary UCR Database
- State-Specific Explanation of Reviews (EOR)
- Duplicate Bill Detection—at multiple provider and procedure levels
- Bill notes—data entry note fields designed to hold pertinent information
- Multiple Automated Quality Assurance Checks
- Support of State Mandated Medical Bill Data Reporting
- State Specific Mandated EDI Reporting
- Integrated Utilization Review Management
- Dedicated Customer Service Department
Medata’s outsourced capabilities include the most efficient mail-in and electronic submitted bill review service center in the market. Utilizing our service center means maximizing savings, fewer reconsiderations, less processing time, and timelier provider payments.
Quality Assurance The Medata Quality Assurance program is multi-faceted. Medata’s unrivaled professional bill review staff utilizes their proficiency and knowledge to ensure that our clients receive the highest level bill review and customer service. We promise our staff is trained on distinct bill review disciplines and receive monthly performance evaluations. Our QA process includes analysis of bill review and PPO Network savings and maintaining turn around time standards. Our Bill Review Supervisor and Product Manager continually evaluate our system for improvements, enhancements, and compliance which ensures strict fee schedule adherence. Medata's Technical Support Staff oversees all client specific EDI process checks to ensure conformity and reliability. Each dedicated Account Manager will establish monthly meetings with Client with an emphasis on evaluating program goals and successes.
Provider Relations Department Our Provider Relations Department can typically respond within 24 to 48 hours with the proper documentation.
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