INCREASING MEDICARE ENROLLMENT CAUSES HEADACHES FOR MEDSUP PAYERS

Posted by Smart Data Solutions on October 11th, 2011
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Smart Data Solutions

St. Paul, Minnesota – October 11, 2011 – With an aging population Medicare enrollment is expanding and affecting all areas of the healthcare industry. The increase in Medicare patients has lead to growing MedSup payment headaches for Medicare MedSup Payers in the form of duplicate claims and duplicate payments. Smart Data Solutions, a Minnesota-based provider of data processing solutions for the health care industry, has expanded is services to prevent these expensive duplicates by automatically comparing the ICN of any EOB entering the system.

The process for accepting MedSup forms is a complex one. It begins with providers sending an electronic 837 requesting payment to the payer. However, if payment is not received within a certain timeframe providers often submit paper claims in addition to electronic. This frequently results in costly duplicate payments on a single claim.

Smart Data’s new solution will prevent these costly duplicates. SDS does this by first taking the electronic 837 off the provider’s claim management system and capturing the data from the form while documenting the ICN. Then if any paper claim is received Smart Data compares the paper claim ICN with previously received ICNs. If any duplicate documents are found they are deleted and reported back to the client.

“Many of our clients have already implemented this process and seen significant savings,” explained Pat Bollom, Smart Data’s co-owner. “As the influence of Medicare on the healthcare industry increases we expect to see many more implementations.”

In a field as dynamic as health care technology, Smart Data stands out for its stability and growth. For more than ten years, Smart Data Solutions Inc. has been leveraging technology to meet the needs of health care claims managers. Today, more than 100 TPAs, PPOs, HMOs, hospitals and insurance companies depend on SDS technology to save money and streamline their business. From paper processing to claims management and EDI, Smart Data Solutions offers the solutions critically needed by today’s health care industry. For more information please visit our web site at https://www.sdata.us, contact Pat Bollom at 651-690-3140 or email pbollom@sdata.us.

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