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Introduction to eMedicalAssistance

eMedicalAssistance is the solution for your eligibility tracking problems.

Our software saves thousands of dollars every year on clerical time while finding thousands more in potential lost revenue. This automatic batch EVS software checks your entire client population against Pennsylvania’s Medical Assistance computer records for Medicaid, managed care, and other third party eligibility.

As of September 2007, we are one of only a handful software companies certified in Pennsylvania by EDS to electronically access their computers for this purpose. We have worked with the Irene Stacy Community Mental Health Center to design eMedicalAssistance. Irene Stacy checks 2,300 clients each night and produces a report for each separate department in the morning showing any changes. This would benefit you by:

Reducing clerical costs --- A sample of just 160-200 clients that was taking four hours each week to check through the Promise system now takes 15 minutes a week to check, saving almost 4 work days per month.

Eliminating errors and duplication --- By entering the information once in your master demographic file, you eliminate the need to re-enter the information in the Promise system and avoid keying errors. This also saves labor costs.

Improving cash flow --- By checking daily, you bill the right payor source and avoid rejections, re-billings, and further delays in getting paid.

Finding out about retroactive eligibility --- By re-checking for eligibility on a monthly basis, you can identify children with 90 day retroactive eligibility.

Keeping an audit trail --- eMedicalAssistance will archive all of the records retrieved which provides the necessary proof in the event of any billing disputes.

eMedicalAssistance will import your client data as an add-on module to your existing system. We offer the base system for purchase or lease. We can also provide service to implement and customize it.

We were certified by the State of Pennsylvania to submit batch eligibility requests in September, 2004.

We were the first to certify for 837 batch submissions to Allegheny county in January, 2004. We are certified for 837 batch submissions with CCBHO, and our software is in active use by two clients. This includes receipt and linking of claims with 835 electronic remittance data.

We are in the process of certifying for ACCESS (PA State) and Medicare. The payor sources we certify for is client driven. We have a generic engine, and adapting this to different payor sources takes us about 15 hours of actual work, often 2 – 3 weeks of elapsed time with the test data.