Test Your Knowledge: Presenter Content
Revenue recovery performance is driven by this centralized team
What is payment variance team?
Most recently acquired companies by Med-Metrix
What is Vitalware & CanAide?
PIA stands for
What is Patient Intake Analytics?
Claims denied because a provider is not properly credentialed often point to issues in this department.
What is provider enrollment?
This process reviews payer contracts and identifies reimbursement discrepancies
What is Contract Management / Underpayment Recovery?
Client with highest margin and revenue in PB
Who is HMH/ Hackensack Meridian?
The first Physician Division Client
What is HMH?
Who is Raj D'Souza?
Nearly ten years ago, Med-Metrix created this division to support complex multispecialty physician enterprises and professional billing operations
What is the Physician Division?
This coding metric is often tracked to ensure accounts are coded within required turnaround times
What is TAT turnaround time?
Standard TAT expectation for Analytics Reports - Unless high complexity
What is 2 business days?
FIrst client to go live on Standardized Workflow
What is APG?
The masters needed for Contract Management
What is insurance, location and physician masters?
Who founded Med-Metrix?
Joe Davi
This workflow occurs after coding but before claim submission and is designed to identify claim errors.
What is claim-scrubbing/claim edits?
A PCN is the vacant or filled seat on the bus for the...
What is client?
Year MMX was founded/formed
What is 2010?
The tool or tech to validate pricing in one of the MMX proprietary tools in relation to yield validation
What is PatInfo?
Improving this by just 1% across a large multi-specialty enterprise can generate millions of dollars in incremental cash without adding a single patient visit
What is yield?
This procedure code was added/changed because it more accurately describes the services rendered.
(Hint: undercoded service)
What is N22?
Contracts with a(n) __________ end date will automatically apply the correct fee schedule based on the admit/discharge date
What is evergreen?
Med-Metrix operates from these three global regions
What are the United States, Philippines, and India?
This process uses robotics to take rote actions to create more capacity for end users
What is robotic process automation?
The first service lines to be part of offshore standardization
What is coding, and AR?
The patient estimate was accurate, authorization was obtained, eligibility was verified, and registration was complete—yet the payer still denied the claim.
What is "time to escalate" or appeal?