Gold Service

If you have an experienced billing employee that you would like to increase efficiencies for the Gold Service is a perfect fit. You can maintain your billing employee and increase productivity while outsourcing the repetitive functions such as; charge entry, payment entry, statement printing and EDI. Your knowledgeable staff can use their experience to focus on claims with the payers and patients for payment beyond first submission. This maximizes the experience levels both your office staff and Med USA have gained, which leads to greater operational efficiencies.

Gold Service Highlights
A/R Management Med USA's staff will handle these A/R Management functions, many of which can be tailored to fit your individual practice.


Charge Posting
• Manual Posting or Automated Download
ο Patient Registration Verification	ο Point of Service Payment Posting
ο Rules/Halt Warnings - non-participating provider, billed amount lower than payer allowable, and more.
• Charge Capture Verification - Billed Patients vs Patients Seen Discrepancy Reporting
• Claim Submission
• Review of Rules Fusion Edits - Ensure clean claim submission the first time.
ο CCI Edits	ο LCD and NCD Edits
ο Demographic Verification	ο Provider Information Verification
ο Customizable Edits	ο Payer Specific Rules


Patient Contact
• Online Payment Portal - Branded for your clinic
• Patient Statements & Delinquent Notices
ο Paper and Electronic	ο Tailored 30, 60 and 90 Day Statement Messages
ο Automated Forward Address Updates	ο Bad Address Skip Tracing Using NCOA


Insurance Reimbursement
• EOB and ERA- Insurance Payment Posting	• Payments Reconciled to Payer Allowable
• Bank Deposits	• Lock Box Integration
• Rules / Halt Warning; payment is below contracted amount, write off exceeds standard amount and more.

Document Imaging
• Retrieval and viewing of all documentation posted by Med USA to patient accounts.


All Med USA Services Include


Scheduling/Front Office Package
• Intuitive calendar - single & multiple physician view.	• Quick scheduling of repeat appointments.
• Automated Receipt Posting	• Training - Fundamental to Expert
• Automated Eligibility Verification	• Individual Physician Templates
• Rules/Halt Warnings missing phone number, duplicate accounts and more.


Interactive Provider Participation System This program can be seen throughout the MedPrime software. We integrate each physician's credentialing status with each payer, into both front and back office functions. This ensures that staff is aware of a physician's status when scheduling appointments, as well as when they are posting payments.


EDI Submission & Maintenance
• Daily Claims Submission	• Electronic Claims Submission and Setup
• ERA - Electronic Remittance Advice	• Electronic Submission of Secondary Claims


Email or Text Practice Management Information Schedule practice overview reports to be sent directly to you via text message or email. Practice Overview reports can include the following; number of encounters, charges, payments, A/R balance or even your daily schedule.


Complete Practice Management Reporting All MedPrime reports are available on demand and many are provided in customizable month end reports. Reports examine each phase of the Scheduling, Front Office, Billing, Reimbursement/Aging, Executive and Employee Monitoring. Custom reports are also available; see ancillary services.


Software Support MedPrime, Med USA's proprietary practice management software, was developed and implemented to meet the needs of our own billing services operation. It is updated on a daily basis with the every changing needs of the industry as well as the individual practice.
• Help Desk Support	• Upgrades Included
• Third Party Software Integration / Interface, see our Integrated Partner Programs page.


Hardware, Data Security & Backup System
• IBM™ i operating system	• Power System Server
• Handle High Volume of transactions	• Via West Collocation
• Systems backups nightly and stored in two secure offsite location.
For more information see our Hardware, Data & Security page.


Compliance Med USA commitment to healthcare compliance is embodied in our compliance program, Excellence in Action. For more information on see our Healthcare Compliance page.


Transitional A/R Management Services Realizing that your practice needs can change very quickly, Med USA offers a very unique solution to more easily manage your reimbursement processes. Our Transitional A/R Management allows your practice to move between Silver, Gold and Platinum Services. If your practice unexpectedly looses your billing employee, Med USA can move you to a Platinum Service until you retain a new employee. This flexibility offers peace of mind regarding your accounts receivable management during transitions in your office staff.


Ancillary Services
• Payer Credentialing Services	• Custom Programs & Reports
• Prior A/R Conversion	•Email and Text Daily Schedule
• Automated Appointment Reminder Calls, Email or Text Message
• Integrated Partner Programs
ο EMR/EHR Interface	ο Coding Interface
ο Lab Company Interface	ο Hospital System Interface
For more information see our Integrated Partner Programs page.

For more information regarding Gold Service, contact our Client Relations Department.
Toll Free 877.352.9520
Submit A Request Live Chat ClientRelations@MedUSAbill.com