Chamberlin Edmonds

Three Building Blocks For Maximizing Remittances

Three Building Blocks For Maximizing Remittances

Custom tailored solutions

Chamberlin Edmonds provides the tools, technologies, services and expertise you need to build a smooth-functioning eligibility process, from screening to enrollment. For hospitals of any size, we can design a cost-effective solution. You decide what functions are best performed using internal staff or Chamberlin Edmonds professionals.



Will you be using your staff or ours? It's up to you:

  • For inpatient eligibility services with industry-leading results, rely on Health Care Representatives from Chamberlin Edmonds to provide in-depth, on-site expertise.
  • For outpatients and emergency patients, you'll have a custom-tailored solution. It will consist of the technologies and professional support available with OnPoint or Outpatient Eligibility Services. You define what level of professional support from Chamberlin Edmonds will best meet your needs.
  • For back-end screening of undiscovered eligibility throughout your health care system, use the sophisticated technologies and services available with Advanced Payer Search™.

1. Eligibility services

Chamberlin Edmonds provides a comprehensive, practical, cost-effective way to qualify outpatients for benefit programs. For your healthcare organization, we design a custom-tailored program for uncovering new and existing eligibility, submitting applications, and tracking cases through resolution. The result is something you've been looking for: much higher remittances from inpatient, outpatient and Emergency Department accounts.

Chamberlin Edmonds philosophy centers on performance. We receive financial compensation only when we successfully generate benefit approvals and cash for your hospital. Our degreed professional staff of nurses, trained social services personnel, and government program specialists integrates with and strengthens your hospital's revenue cycle team. Our collaborative approach augments your existing operations and enables your employees to use their time more efficiently.


2. OnPoint - Screening and enrollment

OnPointh

OnPoint brings you the expertise of Chamberlin Edmonds, packaged as a comprehensive web-based software service for screening and enrolling outpatients and Emergency Department patients. OnPoint enables your staff to quickly screen outpatients and ED patients for Medicaid and other programs with a high degree of accuracy. In less than five minutes, the user can evaluate each patient's eligibility for government programs--and reach amazingly accurate decisions.

OnPoint can be used whenever and wherever outpatients present for care. In Emergency Departments, it is used during registration or after the patient is taken to an examination room. You can use OnPoint with internal staff only, or Chamberlin Edmonds professionals can work in tandem with your staff to turn screened patients into approved claims.


3. Advanced Payer Search™: A unique scrubbing technology to identify eligibility for written off accounts

advanced payer search

Hundreds of your hospital's unpaid accounts may have Medicaid or Medicare eligibility.

Advanced Payer Search is a service that uses proprietary search technologies to uncover Medicaid and Medicare eligibility from accounts written off to bad debt or charity care. Sophisticated record-matching techniques, some of which are available exclusively from Chamberlin Edmonds, discover coverage missed because of name variations, wrong Social Security number, wrong address, or wrong date of birth.

Hospitals can use Advanced Payer Search as a stand-alone back-end screening service, or as one component of an integrated offering from Chamberlin Edmonds.