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Adreima advocates for hospitals nationwide, providing Medicaid eligibility and revenue cycle management services. These services are supported by an extensive knowledge of state-specific issues and unparalleled in-house expertise. Our know-how and commitment to customer service improves our clients' financial performance while building long-term trusting partnerships. Clinical and technical integration is the core upon which all of our service offerings are built. We have three centers of excellence: clinical services, eligibility services, and accounts recievable management services.
Our suite of services includes:
Facilitation of uninsured patient application and enrollment in Medicaid, Disability and other Government programs.
Comprehensive account management from initial billing through account resolution for all claim types.
Resolution of denied claims to recover additional revenue for the hospital.
Analysis of paid, zero balance, accounts to identify underpayments, recover additional reimbursements and facilitate payment.
Utilizing technical, clinical and legal resources to review and audit challenging accounts that may be a product of systemic issues.
Medicaid Authorization Review:
A team of skilled Registered Nurse Auditors and Certified Coders managing the prior authorization of inpatient hospital Medicaid services.