maxRTE Insurance Discovery: A Simple Way to Recuperate Uncompensated Care
You do everything you can to provide the highest level of patient care and satisfaction. Unfortunately, you’re not always able to collect the compensation you’re owed for the services you provide. Industry trends are creating more self-pay patients, which can make collections more challenging for medical providers.
One of the most effective ways to combat the out-of-control costs of uncompensated care is to find unknown insurance coverage for self-pay accounts with maxRTE Insurance Discovery. Access payers in a single click, and learn in seconds about health insurance coverage/benefits that self-pay patients may not know they were entitled to. Our batch file option through EHR integration or file transfer via SFTP makes Insurance Discovery an extremely easy tool for verifying eligibility that will help you find coverage and speed up your revenue cycle.
Our proprietary technology locates a higher percentage of unknown commercial and exchange payer plans, workers compensation benefits, Third-party administrators (TPAs), and Cobra coverage compared to other solutions. And our ability to unearth unknown government coverage, including Medicare (with Medicare Beneficiary Identifier [MBI]), Medicaid, and Tricare is unmatched. In addition, our Insurance Discovery technology and processes identify patient insurance plans that are at risk of future remit take backs, giving you the opportunity to prevent them.
A big part of preventing uncompensated care is to give patients accurate information about health benefit eligibility upfront. Our insurance verification software also gives front office staff immediate access to patient eligibility before services are rendered. This kind of eligibility verification can increase patient satisfaction because they’ll avoid denials and problems from non-coverage. They may also discover coverage for which they didn’t know they were eligible. Accurate insurance eligibility verification will also insure you take care of your business needs.
See just how easy Insurance Discovery is to use.
Schedule a demo or submit a test file today.
A three-hospital, 245-bed Healthcare system in Northeast Georgia used Insurance Discovery eligibility verification software from maxRTE for one year to find coverage for 4,649 self-pay patients for total reimbursement of $3,473,407.
A 300-bed facility completed an insurance test file. maxRTE Insurance Discovery found 357 billable accounts, totaling over $852,000 in total charges. The facility was able to bill after final review, resulting in more than $250,000 in remits & previously unknown revenue.
BILLABLE ACCOUNTS FOUNDBy maxRTE Insurance Discovery
- 196 accounts the provider billed – maxRTE Insurance Discovery found 357 billable accounts
BILLABLE CHARGES FOUNDBy maxRTE Insurance Discovery
- $596,015.60 in total charges the provider billed its patients – maxRTE Insurance Discovery found $852,520.11 total charges that the provider could have billed
PROVIDER REMITS RECEIVEDBy maxRTE Insurance Discovery
- maxRTE Insurance Discovery made it possible for the provider to receive $250,000 in remits
Best of the Bunch
Our proprietary algorithm technology and extensive knowledge of payer filing and retro-approval periods enable us to provide a solution that consistently outperforms other software in finding previously unknown coverage. In fact, it excels in every key area—value pricing, ease of installation, superior support, and flexible processing—as shown in the following chart:
Easily Installed, Ready to Use in Hours
Your organization won’t have to wait days, weeks or months to start gaining the financial benefits of Insurance Discovery. Simply create a log-in to the maxRTE website, set up your NPI number and your usernames/passwords, and you’re ready to look for coverage for self-pay patients.
Full integration with your EHR will take a bit longer, but your staff can continue to check eligibility the easy way without time-consuming payer calls or accessing their web portals.
maxRTE’s on-line training and support are always available during regular business hours from our team of specialists. If you happen to need assistance overnight, on weekends or holidays, we provide reasonable response times.
EHR integrations, payer connections and feature/function enhancements are all provided within the agreement and covered under the flat monthly fee.
Advanced Technology & Data Protection
maxRTE is SOC2 compliant, and our website ensures secured access to our software when you need it and where you need It—for authorized employees using any device within your facilities or working remotely.
Our managed cloud service provider delivers a secure, compliant, flexible platform at the heart of a modern hybrid IT strategy that:
- utilizes VMware-based virtualization of private blade servers and storage
- provides up to 80% of compliance controls for FedRAMP, FISMA, SSAE18, HIPAA, PCI-DSS and Privacy Shield – GDPR.
We protect your data and assure availability by backing up our application server weekly to local and remote locations. maxRTE’s web, application, and database servers are separate and backed up locally. Off-site backups are stored as image-level backups with Veeam Backup & Replication, a HIPPA certified backup provider.
In the event of extreme events (natural and otherwise), maxRTE’s full data recovery site is located off site in a secure data center requiring two levels of authentication for access: an electronic keycard and a PIN number matched to a biometric scan. To comply with requirements as a service provider of remote hosting information (specifically PHI), our data center partner is certified by SOC2, HIPAA HITECH, PCI DSS, among others.
maxRTE Discovery Insurance
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