eSolutions

Overland Park,  KS 
United States
http://www.esolutionsinc.com
  • Booth: 416

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Welcome to our booth! eSolutions provides powerful data analytics and workflow automation products that help healthcare providers get paid quickly, securely and accurately. Our unique analytics deliver clear intelligence, allowing providers of all types and sizes to understand their data and use it to make informed decisions.

We proudly serve 2/3 of the nations top home health agencies.

Click here to learn more about how we can strengthen your revenue health!

Brands: eSolutions


 Videos

eSolutions Brand Anthem
Thank you to our nation's healthcare workers

 Press Releases

  • Overland Park, Kan. (July 24, 2020) – Home health providers in Florida, Illinois, North Carolina, Ohio and Texas learned earlier this month that the Centers for Medicare & Medicare Services (CMS) would renew Review Choice Demonstration (RCD) beginning on August 3, despite CMS’ March 30 announcement that the RCD would be suspended “until the Public Health Emergency (PHE) for the COVID-19 pandemic has ended.” Days before the PHE was set to expire, the Department of Health and Human Services (HHS) announced it would also renew that declaration for an additional 90 days, as the law requires.   


    CMS developed the demonstration to reduce improper billing under Medicare’s home health benefit. During the RCD suspension, home health claims submitted on or after March 29 were not subject to the review choices made by home health agencies under the demonstration.  


    According to the CMS announcement, the initial choice selection period will begin in North Carolina and Florida on August 3 and end on August 17. The choice selection period for Ohio’s second review cycle will also begin August 3 and end on August 17. Following these choice selection periods, home health claims in all demonstration states with billing periods beginning on or after August 31, 2020, will be subject to review under the terms of the choice selected by the provider. This includes pre-claim review, prepayment review, post-payment review, or any applicable 25% payment reduction.

     
    As of August 3, all pre-claim review claims that were sent without a Unique Tracking Number (UTN) during the suspension period for states that were already participating and agencies that chose the pre-claim option, will now have a post-pay review requiring documentation. 


    CMS has stated it will work with affected providers to develop a schedule for post-payment reviews that not does significantly increase provider burden. However, the agency received criticism from National Association for Home Care & Hospice (NAHC) President, William A. Doombi, who said, “The restart of the RCD program fails to take into account that we are at the height of the pandemic with no early end in sight,” Dombi said in a statement to Home Health Care News. NAHC has requested that CMS “step back from this action immediately.” 
      
    eSolutions, a partner to over two-thirds of the top 100 home health providers in the country, is ready to assist home health agencies no matter which RCD choice is selected. eSolutions’ Pre-Claim Review tool is designed to assist agencies who choose pre-claim review to affirm their claims and allows agencies to submit required files electronically through an easy-to-follow workflow. Providers can also track each claim through the process and receive notifications with status updates. 
     
    For providers who select post-payment review, eSolutions’ proven ADR tools electronically submit files and track each claim through the response process. These tools show providers the status of the response process and keep tabs on deadlines – allowing providers to prioritize workloads in an especially busy time.  
      
    eSolutions provides educational resources, including a comprehensive ebook, for providers interested in learning more and remaining successful amid the reinstatement of both the RCD and the ongoing public health emergency. 


     
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 Products

  • Medicare Enterprise
    The most trusted solution among home health agencies and hospices for submitting, editing and tracking Medicare claims. Provides the best eligibility verification, gives unparalleled real-time claim status data, and tells you when a claim needs attention....

  • Two-thirds of the nation's top hospice agencies trust eSolutions with their revenue cycle management. Medicare Enterprise is the premier all-in-one solution to manage the Medicare revenue cycle. From eligibility to evaluating claim data and even working claims in RTP, eSolutions’ Medicare Enterprise has all the necessary tools to submit, edit and track your claims online, in real time. To learn more, click here

    Reporting and Analytics 

    Comprehensive Medicare reporting and analytics delivers greater insight into your billing process so you can spot any issues that may negatively impact your billing and follow-up efforts. eSolutions provides actional data about rejections, denials, RTPs, ADRs, eligibility, claims paid, days in A/R and much more.

    Claims Correction 

    Update your claims directly in the Medicare system with our web-based claim form that looks just like the UB-04 that’s familiar to you. Correct large numbers of claims in a shorter amount of time. Claims correction is available 24/7 so your team can work when and where it’s convenient.

    Eligibility Verification 

    Check eligibility in real time straight from the Medicare system. eSolutions provides the most comprehensive eligibility report available. With our direct access to Medicare’s data, you’re able to correct data discrepancies such as misspelled names, incorrect MBI numbers and DOB on the spot. Check key patient details like Medicare Advantage plans and preventative services.

    Secure Connection 

    Connect to Medicare DDE and multiple MAC regions simultaneously.

    Reliable File Transfer

    Transfer claim files quickly and securely to speed up reimbursement. Get a complete snapshot of your 835/837 file transfer activity so you can quickly review which claims have been accepted, rejected and processed.

    Want to know more? Get details or schedule a demo here.
  • Audit & Denial Management
    A complete denial and appeal management solution with automated workflows that help you easily handle denials and manage audit response....

  • Audit & Denial Management gives you the power to easily and effectively appeal denied claims and equips you with valuable insight to prevent future denials. You’ll have direct visibility into those claims being worked, how many dollars are at risk and what’s being recovered. Assign workloads to your team and pull in-depth productivity reports, allowing you to manage the process every step of the way. To find out more, visit our site.

    Increase reimbursement and Cash Flow

    Give a needed boost to your accepted claims and experience a dramatic increase in the amount of paid claims. Reduce claim write-offs so you're not leaving significant cash on the table. 

    Improved Management Reporting and Analytics

    Get highly-detailed reporting and analysis that matters to your entire team. From your administrators to your billers, our business intelligence will empower home health and hospice agencies to make data-driven decisions.

    Decreased Labor Costs with Automated Workflow Tools

    Stop wasting time configuring the analysis of paid, denied and rejected claims. Audit & Denial Management automates this process, allowing your staff the time to focus on mission-critical tasks.

    Appeals Management That Puts You in Control

    Track decision due dates, anticipated payments and final payments. Monitor your teams’ appeal workflow and activity. Manage multiple appeals and write-offs on a single claim.

    For more information, click here


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