Case Study

Eligibility Discovery - A Secondary Payer Review

Eligibility Discovery - A Secondary Payer Review

Pages 4 Pages

155 N Michigan Ave, Suite 707 Chicago, IL 60601 Phone: 312.729.5457 info@medidal.com | medidal.com ELIGIBILITY DISCOVERY A Secondary Payer Review CASE STUDIES IN EFFICACY PAYER ELIGIBILITY Copyright © Medidal 2014. All rights reserved.ELIGIBILITY DISCOVERY A Secondary Payer Review OVERVIEW Medidal’s insurance and eligibility discovery service finds previously unidentified Medicare and Medicaid claims eligibility on accounts that have been written off by the hospital. In this case study, we will examine one facility’s decision to engage Medidal to perform a sec- ond review of their primary payer service vendor’s work, to see if additional eligible claims in unidentified self-pay accounts were missed. THE CLIENT The client is an acute care standalone facility in north-central Florida

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