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Does
your next patient have COVERAGE?
Whether
you’re an Emergency Room or Doctor’s Office, get the answers
is seconds with the MedCard
System
The
easy-to-operate terminal that delivers:
- Benefit
Verification
- Electronic
Claim Processing
- FlexPay
- Visa,
MasterCard
- American
Express, Discover
- Debit
Card Transactions
- Check
Services
Problems
in the Doctor's Office
- Claims
take 5-18 weeks to get paid
- No
time to check eligibility
- Claims
preparation is costly
- Payers
are overwhelmed with paperwork
- Endless
chain of rejections and resubmissions
- No
office policies to collect self-pay
Provider
Billing Options
- Manual
Billing
- In
House Computer Billing
- Outside
Billing Service
The
MedCard Solution
- NOT
a computer system
- Claims
start getting paid in 7-21 days
- Simple
self-pay receivable management
- Medical
eligibility is direct from payer
- No
special skills are necessary to operate the system
- Uses
a familiar credit card type terminal
- Training
takes less than 2 hours
The
MedCard System Links...
- Payers
with Healthcare Providers
- Providers
with multiple payers
- Managed
Care Groups with Providers
- Patients
to Healthcare Providers
The
MedCard System Features…
On-Line/Real
Time Medical Eligibility/Benefit Verification
- Direct
from Insurance Company
- Takes
less than 30 seconds
- Hard
copy printout
- Verifies-Eligibility
Status, Co-pay, Plan Type
Electronic
Claims Processing
- 100%,
All-Payer, Paperless Claims Processing System
- No
More HCFA 1500 forms
- Simple
Prompt Key Entry
- Full
Patient Demographic Profiling
- Flexible
Procedure & Diagnostic Tables
- Expedited
Reimbursement from Payers
Credit/Debit/Charge
Card Processing
- Visa
- MasterCard
- Discover
- American
Express
Patient
Flex-Pay
- Signature-on-file
captured at the time of service, when the patient responsibility
cannot be determined
- Eliminates
Receivables
- Eliminates
Billing Expenses
- Eliminates
Collection Costs
- Eliminates
Bad Debt
- INCREASES
CASH FLOW!
Benefit
Eligibility Verification
This
is a time consuming and expensive process for providers and
payers alike. The process is slow…patient records photo
copied, 800 numbers called to determine eligibility status. Busy
signals, long waits, and manual transcription of data all lead
to a less than effective use of a provider’s office staff. The
payers administrative burden is equally cumbersome, since phones
must be staffed to provide the information as calls are
received.
The
MedCard POS terminal enables
the payers office to access this information via a swipe card or
a data entry procedure. In as little as 20 seconds a printout of
the information is produced. This can be attached to the
patient's chart, providing current information about the
patients co-pay responsibilities.
|
(SAMPLE
PRINTOUT)
Medical
Eligibilty Report
|
| Jan.
20,00
|
11:00AM
|
| Carrier
Name:
|
Oxford
Health
|
| Carrier
Audit Number:
|
19950821
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| Patient
Information
|
|
| Card/Member
ID: |
66012302
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| Provider
|
|
|
Submitting
Provider
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| Provider
ID: |
22211115
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| First
Date of Service |
09251999
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| Member
ID: |
66012302
|
| Last
Name: |
Thomas
|
| First
Name: |
John
|
| Middle: |
T.
|
| Birth
Date: |
06/17/54
|
| Gender: |
Male
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| Eligibility
History
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| Member
Status: |
Eligible
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| Coverage
From Date: |
05011997
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| Coverage
Through Date:
|
|
| Plan
Name: |
Freedom
|
| Oxford
Coverage Detail
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| Office
Co-Pay: |
$15
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| Emergency
Co-Pay: |
$50 |
| Rx
Co-Pay Generic:
|
$5
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|
Rx
Co-Pay Brand Name:
|
$10
|
| |
|
| PCP
PROVIDER: |
Dr.
John Jones
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| PROVIDER'S
PHONE: |
(201)
555 1212 |
| |
|
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The
same terminal used for eligibility can be used to process
credit/debit/charge cards and perform check services. It's easy
to see how this device simplifies and streamlines procedures
that were previously time consuming, inefficient and costly.
Claims
Processing
In
its traditional paper form, this process has always been an
administrative burden to providers and payers. Paper handling
inefficiencies have led to many problems which incur significant
expense.
For
this application the POS device has emerged as the logical
solution. Its small footprint and ATM type graphic display is
user intuitive and modestly priced.
UPC
can save you money!
Benefit
Verification/Eligibility
If
on average you check eligibility for 10 patients per day and each
phone call averages 20 minutes, 200 minutes per day or 3 1/3
hours. If the hourly wage is $12 per hour, that’s $40 per day
for 22 days per month or…
Your
cost: $800 per month
With MedCard: $77 per month
Claims
Processing
According
to the healthcare actuarial firm of Milliman and Robertson
(M&R), the average cost to process and collect on a claim is
$11. Ranging from a low of $8.50 to a high of $18. This includes
primary, secondary, and tertiary claims. If you bill 200 claims
per month at a low of $5, your total monthly cost would be…
Your cost: $1,000 per month
With MedCard: $300 per month
Self-Pay
Statement Billing
The
AMA has determined that the average cost to process a self-pay
statement to a patient is $8. It takes 2.5 statements to
collect. 2.5 x $8 = $20. If an office hass 100 self-pay patients
per month, the cost would be…
Your cost: $2,000 per month
With MedCard: No Charge
Bad
Debt
The
AMA has determined that 8% to 13% of each months receivables
will become bad debt. If an office bills $60,000 per month, and
only 5% becomes bad debt, that total would be…
Your cost: $3,000 per month
With MedCard: No Charge
TOTALS:
Your cost: $6,880 per month
With Medcard: $377
per month
Your
cost: $82,560 per year
With MedCard: $4,524
per year
| ANNUAL
SAVINGS PER YEAR WITH MEDCARD:
$77,736
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