Provider Advantage's Revenue360 Eligibility Verification and Revenue360 ReInquiry services are critical to the County's ability to identify, bill, and collect from third party payers.
Beaverton, OR (PRWEB) March 31, 2009
Provider Advantage NW, Inc., a national provider of automated, integrated real-time revenue cycle solutions, announced today that the County of Los Angeles (County) Department of Health Services (DHS) has extended their Medi-Cal (Medicaid), Medicare, and insurance eligibility verification services contract with Provider Advantage.
This agreement provides the County's hospitals and clinics with real-time eligibility verification services through March 31, 2014. The total value of the 5 year contract is $1.6 million.
The Revenue360® solution provides a robust platform for handling high volume real time electronic inquiries (ANSI 270) to health plans. Revenue360 Eligibility Verification module initiates real-time eligibility requests at the earliest point in the registration process. It provides a customized response from the health plan enabling the registration staff to review only the data needed to register the patient based on the County's business rules.
Fully integrated with their QuadraMed Affinity® Health Information System, this information can be viewed and acted upon by registration staff. These electronic queries efficiently provide definitive confirmation of a patient's eligibility for services at the point of service.
In addition, the County will continue to use the Revenue360 ReInquiry Module (RIM) to locate unknown and retroactive California Medi-Cal (Medicaid) coverage for their at-risk population. This service has provided a significant return by identifying patients with retroactive California Medi-Cal coverage allowing the County to collect additional funds.
Edward (Ted) Tomkins, President of Provider Advantage said, "We are pleased with the County's confidence in Revenue360 as a solution to help control the rising cost of providing healthcare. We look forward to continuing our close working relationship with the County's staff utilizing Revenue360 as a platform to quickly provide information from external sources when and where it is needed."
Larry Gatton, Chief Revenue Services, County, DHS, said, "Provider Advantage's Revenue360 Eligibility Verification and Revenue360 ReInquiry services are critical to the County's ability to identify, bill, and collect from third party payers."
For more information visit http://www.revenue360.net
About Provider Advantage
Since 1991, Provider Advantage NW, Inc. has been providing innovative products and services to access real time healthcare data. Provider Advantage develops, markets, installs, and supports electronic data interchange (EDI) technologies that allow organizations to obtain, utilize, and manage insurance data to generate operational efficiencies and improve cash flow.
For more information, contact Provider Advantage at 800-203-5465, or visit http://www.provider-advantage.com.
About County of Los Angeles Department of Health Services
The Los Angeles County Department of Health Services is the second largest municipal health care system in the nation, serving 10 million residents and providing the majority of uncompensated medical care in the county. Through its Level 1 trauma centers and specialized burn unit, the County's safety net system provides life-saving care to all residents and trains the majority of physicians in the County through the Department's affiliations with the leading medical schools of the University of Southern California (USC) and the University of California, Los Angeles (UCLA). The Department runs three nationally recognized academic teaching hospitals, one national rehabilitation hospital, two multi-service ambulatory care centers, six comprehensive health centers, and numerous health centers through its public/private partnership, or PPP program. In 2008, the Department opened it's 600-bed replacement LAC+USC hospital in the largest capital project ever undertaken by the County. The Department's innovative programs in chronic disease management and medical services to homeless and other vulnerable populations have been replicated nationally.
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