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Customized Charge Cycle Solutions

that reduce denials, enhance revenue, and sustain results.

MedCom’s airtight consulting process and Chargemaster software solutions have saved hundreds of millions of dollars for healthcare organizations for the last 30 years.

MedCom specializes in OR Charge Optimization and
835 Payment & Denial Trending Analytics in addition to a variety of CDM Management and Charge Capture Services.

Not sure where to start?
Scroll down to see our recommended and customizable Three-Phased Approach.

MedCom's three-phased approach

Pricing and Charge Capture Audit

  • Fee Schedule Audit identifies reimbursement shortfalls based on negotiated payment rates.
  • Market Position Analysis yields a perspective of how your facility charges compare to peers within the market
  • Payment Assessment highlights possible underpayments and missed reimbursement.
  • Charge Capture Audit detects missing charges and uncovers errors that impact revenue.
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CDM Proactive Report Review

  • Proactive Reports allow for an automated review of the CDM to diagnose major charge errors across all departments using MedCom’s proprietary software, C3NavigatorTM
  • Report Validation confirms errors found for CPT/HCPCS Code, revenue code assignment, modifiers, and generates recommendations for correction
  • Explode Structure Analysis ensures accurate charge structure and capture

835 Payment Audit

  • 835 Electronic Remittance Advice Data Analysis highlights payment trends across time periods and by payors and identifies opportunities for improvements that result in complete payment.
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Order Entry System Mapping Review

  • Order Entry Review illustrates the linking of data between various clinical charge systems and financial chargemaster data to identify missing and erroneous mapping
  • Exception Reports list items not mapped or identifies inactive charge codes

Charge Capture Review

  • Charge Capture Review facilitates a “deep dive” into charge processes across systems to produce change recommendations for improved revenues and compliance
  • Departmental Interviews provide an in-depth understanding of current practices and lead to error correction and sustained improvements through staff education
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  • I have worked with MedCom Solutions on several occasions, and have found their work to be excellent. Their consultants are knowledgeable and thorough. They are also good listeners who pay attention to the client's needs, and then pay attention to all the details.

    Jerry Feddersen, CEO
    Tulane University Medical Group
  • Hospitals are better at collecting data than analyzing it. MedCom has proven their value in their ability to analyze intrinsic surgery data to provide a strategy for restructuring the operating room theater to gain total reimbursement.

    Alice Pope, Chief Financial Officer
    HonorHealth
  • I have worked with MedCom Solutions for many years at multiple hospitals. MedCom's in-depth clinical and system knowledge has provided valuable insight through expert analytics uncovering notable root problems with substantial reimbursement gains.

    George Semko, Director of Revenue Cycle
    Augusta Health Care
  • I have worked with MedCom at two hospitals now and the level of knowledge and professionalism of everyone is truly exceptional. They are quick to respond to requests for information with accuracy and confidence. Their recommendations have resulted in additional reimbursement while insuring compliance.

    Diane Moorman C.O.C, Revenue Cycle Manager (TruBridge)
    Ohio Valley Surgical Hospital

Don’t let revenue fall through the cracks.

Start recovering revenue today.

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