MDeverywhere Medical Billing Services

MDeverywhere has put together a unique integrated solution that includes web-based
practice management software, expert systems, and best-in-class medical billing
services. Our comprehensive medical billing services include claim submission,
electronic eligibility verification, payment posting, claim follow-up, denial management,
insurance rule creation, insurance contract definition, appointment reminder calls,
patient recalls and more – all executed on your behalf by MDeverywhere. 

Increase Your Revenue

· Claim Expert Reduces Denials: MDeverywhere’s Palm and web-based
charge capture software includes a rules engine with 15 million payor specific
rules. These rules eliminate coding and demographic errors at the point of
care. In addition to eliminating denials, our knowledge base increases
revenue by finding missing CPT codes. MDeverywhere’s denial team builds
additional rules based on your specific denial trends – the system gets smarter. 

· Contract Expert Enforces Payor Contracts: On average, commercial
insurance carriers underpay claims by 7%. With our payor contract
compliance service and client specific payor knowledge base we are
able to identify and appeal all underpaid claims.

- Contract definition and modeling: An MDeverywhere contract analyst
reviews the practice’s payor contracts and builds a knowledge base
that is practice specific. This knowledge base includes the contracted
payments and all payment rules including service carve-outs, global
fee periods, multiple surgery reductions, modifier multiples, code edits,
site-of-service payment adjustments and private payment rules.

- Continuous updates on contract terms, fee schedules and reimbursement
rules: To ensure claims pricing is accurate, the MDeverywhere team
monitors your contracts and continually updates your practice specific
knowledge base with any new contract terms, fee schedules and
reimbursement rules.

- Identification of underpayments: The MDeverywhere system uses
your practice-specific knowledge base to compare payments received
against the contract terms and flags underpayments at the line-item level.

- Contract-based appeals: MDeverywhere appeals every underpayment
that is identified and provides the carrier with the contract-based
explanation needed to successfully process the appeal.

- Follow-up appealed claims: MDeverywhere follows up on every appealed
claim and makes sure the payors are paying what they are contractually
obligated to pay.

- Reporting and analysis tools: Using the data stored in our system
we can create custom reports for monitoring overall payor performance
and negotiating improved contract terms.

Retain Control

MDeverywhere clients retain complete control of their practice. 
Using the MDeverywhere web-based software you can electronically access schedules,
patient ledgers, financial reports, payment and denial batch statuses, EOB images
and you can communicate with your MDeverywhere Account Manager to resolve
claim exceptions. 

MDeverywhere is confident your revenue will increase by using our knowledge-driven
systems and best-in-class services. We also make it easy for you to become a client. 
With MDeverywhere, there is no contract, upfront software license fees or fees for
training and implementation. You simply sign a one page fee agreement that can
be cancelled at any time. We get paid a percentage of collection.

E-mail: Lloyd@AVSmedical.com