Government Navigation Suite

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Medicare Bad Debt

Optimize reimbursement and compliance with expert identification and management of claim-level Medicare deductible and coinsurance write-off amounts for reimbursement on the Medicare Cost Report (MCR) with Cloudmed’s award-winning Revenue Intelligence™ solution for Medicare bad debt.

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Optimize reimbursement and compliance

Optimize Medicare bad debt value with a meticulous end-to-end service that combines highly skilled experts and review 100% of claims over the entire lifecycle.

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Medicare Bad Debt Overview

Optimize reimbursement and compliance with our elite team of former Medicare Administrative Contractor (MAC) auditors, providers, and consultants, for informed perspective from all sides. Proprietary rules and algorithms far surpass spreadsheets and databases, putting an end to missed allowable claims and ensuring compliance with changing regulatory and Medicare Administrative Contractor (MAC) requirements.

Cloudmed Medicare Bad Debt is used by finance and reimbursement leaders to optimize government benefits revenue.

Uncover more revenue

Tap into this significant revenue stream and never miss an allowable claim with Cloudmed’s proprietary rules and algorithms that process 100% of Medicare bad debt claims.

Gain compliance confidence

Be assured the results delivered by our team of former Medicare Administrative Contractor (MAC) auditors, providers, and consultants are fully compliant with the latest regulations.

Achieve unmatched audit success

Rely on Cloudmed’s solid relationships and experience with Medicare Administrative Contractors (MACs) and Centers for Medicare and Medicaid Services (CMS) for a nearly 100% MAC audit pass rate.

The Cloudmed Difference

Medicare Bad Debt

100%

Of claims reviewed

~100%

MAC audit pass rate

100%

Reconciliation of Outside Collection Agency (OCA) accounts

*Representative customer results

Leverage our expertise for better results

Partner with Cloudmed to optimize Medicare bad debt and stay ahead of changing regulatory and Medicare Administrative Contractor (MAC) requirements for no-stress compliance and accuracy. Here’s a look at how we work together:

 

Startup

You provide patient and claim level data from your patient financial services (PFS) system as well as provide remote, read-only access to your patient financial services (PFS) system so that we can answer any questions on our own, taking a significant burden off your staff.

Review

We perform a retrospective and/or prospective review by running the data through our proprietary rules and algorithms, quickly uncovering qualifying patient claims. Our Medicare bad debt experts thoroughly review 100% of claims to assure Medicare compliance and accurate documentation.

Recovery

We provide a detailed patient listing with allowable uncompensated care claims and associated dollar amounts to help you recover all the revenue you are entitled to. We ensure clean and accurate file submission directly to individual State Medicaid eligibility databases and we work directly with the Medicare Administrative Contractor (MAC) on any follow up issues or questions.

Continuous Improvement

Experienced and professional auditors provide comprehensive support until the Medicare Cost Report (MCR) is finalized and a Notice of Program Reimbursement (NPR) is issued. We share our deep expertise with best practice policies and procedures for ongoing improvement.

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Optimize reimbursement and compliance with lifecycle management of every Medicare bad debt claim.

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Find out how Cloudmed Medicare Bad Debt Revenue Intelligence solution can help you recover more with compliance confidence.