Claim WRX is a SaaS application built on the Salesforce Platform that is a force multiplier, a work management tool to recover dollars, contain costs, and analyze your entire “Denials Management Process and Outcomes.”
It just works because its all we do.
Claim WRX ™
Denials Management Solutions
Within your Revenue Cycle exists three critical lanes that need daily attention.
These are:
- Coding/Modifiers/DRG/APC Validation
- Clinical Appeals, Readmissions, Medical Decision Denial
- Claim Review or Audits
- Let us Customize this space for you! You likely know all of your coding “pain points” all too well. That is the space we want to occupy, the tough stuff. Using your encoder or ours, we will assess and customize a series of reports, develop a workflow, and apply our focus in this order
- RECOVER your hard-earned dollars
- CAPTURE the “story” of the denial for later aggregation to uncover “Root Cause.”
Simple but Effective!
Up and Running Within 7 – 17 days including remediation and on-boarding.
Synchronizes seamlessly with Outlook, Gmail. Web based NO IT INTEGRATION REQUIRED
- HIPAA-HITECH Compliant
- Cloud Based – Salesforce Platform with full business logic
- Data Tracker – NOW that we have recovered your hard-earned dollars, let us look at the Data Capture as it occurred within Claim WRX™. Show up to your meetings (or bring us) and we will show your C-Suite, Directors, and Managers this simple truth: Root Cause. Of course, by payer, denial, audit, codes or whatever, our data capture is the best in the industry, easily!
Interpretive medical decision appeals” is a tricky business. Forget about the multiple degrees and certifications needed, It also requires:
- “Real” bedside experience.
- Flexible thinking and decision making.
- A comprehensive understanding of the revenue cycle, especially the denial processes in the revenue cycle.
- A “fight for the dollars” mentality with the professional decorum to produce a phenomenal winning legal document.
- Humility or the capacity to lose. This makes the creative wins all the sweeter.
To win or lose, along our workflow, we are capturing “the story” of your appeals (levels, financials, root causes) to level the future playing field. This where we can differ from you in the Provider or Payer environment, we have no distractions. No patients, No JCAHO, No Commute. We integrate into any workflow you desire, EHR, Secure VPN, Encrypted E-Mail, or any securable choice of your preference.
And once again,
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- Data Tracker – NOW that we have recovered your hard-earned dollars, let us look at the Data Capture as it occurred within Claim WRX™. Show up to your meetings (or bring us) and we will show your C-Suite, Directors, and Managers this simple truth: Root Cause. Of course, by payer, denial, audit, codes or whatever, our data capture is the best in the industry, easily!
Easily manage audits from the Letter of Intent to Line-Item Claim Review/Audit (LOI) through adjudication Track all aspects of audit stages from pending to closed and every stage in between Synchronizes seamlessly with Outlook, Gmail. Web based NO IT INTEGRATION REQUIRED
- HIPAA-HITECH Compliant – Data “hidden” behind SalesForce security and supplemented with Shield & Event Monitoring Extensions from SalesForce. Military grade security which will immediately pass your vulnerability assessment and remediation process.
- Cloud Based – Salesforce Platform with full business logic built in. This can include the entire business workflow that begins outside of the application, the automated and customizable internal process, along with the business processes and policy outside of the application.
- Comes with Rich reporting ability– Tracks error rates by department or even by single line item
- Track RAC and other government compliance audits including attaching the entire medical record
- Virtual 24/7 Case Management
- Third Party Appeals
- Tablet/Smart Phone Compatible
- Dramatically reduces audit workflow time. Built by auditors for auditors
- Simplified audit scheduling with automated process flow and opposing auditor invite and updates
- Multiple standard reports come with the product or service and a countless number of customizable reports are possible.
And once again,
Data Tracker – NOW that we have recovered your hard-earned dollars, let us look at the Data Capture as it occurred within Claim WRX™. Show up to your meetings (or bring us) and we will show your C-Suite, Directors, and Managers this simple truth: Root Cause. Of course, by payer, denial, audit, codes or whatever, our data capture is the best in the industry, easily!
Claim WRX ™
Denials Management Solutions
We Help Healthcare Institutions (both Providers & Payers) Save Big with Our Powerful Audit Application & Integrated Auditing Services
Healthcare audits, when managed carefully and strategically, can be an effective way to keep expenses under control. Medlinks Cost Containment Inc. has developed a solid reputation for itself (since 1997) as one of the most reputable Denials Management, Cost Containment, & Healthcare Staffing Firms in the US. With our powerful Coding/Appeal/Audit tracking SaaS application and smart auditing practices, we have helped healthcare institutions and payers —stay compliant and save millions of dollars —by bringing clarity to the whole Coding/Appeals/Auditing process, allowing them to identify problem areas, and providing appropriate
Medlinks Cost Containment has access to some of the best and highly qualified Coders/RN’s/MD’s/Project Managers/Auditors in the business. They include nurses, and NCQA and CMA certified professionals. We value talent and have partnered with auditors who have the ability to think “out of the box” and work actively towards helping our clients save their hard-earned dollars. For some sites, we have also been the “go-to” outsourced auditing department for decades, which is a testimony of the quality of services and solutions that our team of experienced auditors provides. Take advantage of Claim WRX ™ the Denials Management Solution that simply does, what you need done.
We Have Access to Some of the Best Medical Auditors in the Business
(Medlinks Staffing, LLC.)
