Healthcare SolutionseScan

We find money for providersA post-service eligibility system that delivers risk-free results.

With the advent of insurance marketplaces and expansion of Medicaid, rising uncompensated care costs make capturing reimbursements more important than ever.

eScan Insurance Discovery

eScan Insurance Discovery helps you discover additional coverage that standard eligibility services miss.

The solution leverages patented data mining technology with hundreds of query permutations to deliver a series of automated, customizable reports that identify billable coverage for accounts that are not, and in some cases, cannot be captured on the front end. eScan verifies patient accounts for billable eligibility immediately post-service and monitors accounts on a continuous basis for up to three years from the date of service.

Clients are able to review the billable revenue reports via the eScan web portal to confirm and credit the accounts to eScan, or exclude an account from invoicing if the hospital was aware of coverage or the account is not covered for various reasons. However, eScan does not get paid until the hospital does.

benefItS of uSIng eScAn

• Converts 1-5% of uncompensated care accounts to Medicaid, Medicare and/or commercial insurance

• Provides a 1-2% increase in net Medicaid payments

• Integrates seamlessly with all existing hospital and third-party systems

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Find out how eScan can help improve your reimbursement process. Call 888-791-3088 or visit transunionhealthcare.com today.

→ Runs all accounts against the Medicare Common Working File and state Medicaid databases.

→ Delivers commercial coverage from its proprietary database.

→ Identifies patient demographic discrepancies between the hospital and payer data to identify eligibility in cases where a standard eligibility request would not.

→ Identifies commercial policy ID numbers for patients believed to be uninsured.

→ Withholds accounts from reporting until at least 30 days after the date of service to ensure reports deliver only the coverage the hospital was unable to identify using their existing processes and eligibility vendors.

→ Identifies Medicare and commercial eligibility for accounts already loaded with Medicaid.

eScan Reimbursement Reports

In addition to identifying billable coverage for uncompensated care accounts, eScan Reimbursement Reports explore all possible avenues to recoup third-party reimbursements, including:

→ Medicare/Medicaid dual-eligible accounts for the hospital’s Indigent Medicare Bad Debt Log on their Cost Report

→ Additional Medicaid inpatient days that can be included on the hospital’s Disproportionate Share (DSH) Log on their Cost Report

→ Medicare Advantage inpatient accounts at teaching hospitals for IME/GME reimbursements

A simple, no-risk payment model

• no risk—Hospitals don’t pay until they’re reimbursed by the identified payer

• Quick turnaround—In less than four weeks, eScan delivers an actual billable revenue report. This allows the hospital to bill all discovered coverage and review their DSH and dual eligible logs to ensure accuracy

• flexible—After using eScan for the first time, hospitals can choose to sign a licensing agreement or keep the initial reports and cash, no strings attached

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