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The innovation leader in risk adjustment solutions
MedSave USA is one of the nation's fastest-growing full-service providers of Risk Adjustment services, offering a suite of Analytics, Record Retrieval, Prospective Home Assessments, and Coding products. These services are offered on a unique and proprietary technology platform that is designed for excellence in results, quality, and transparency. MedSave recognizes the importance of performance in these critical endeavors and provides the most and the deepest performance guarantees in the industry. Further, we provide full transparency into all that we do for clients; allowing them to adapt quickly and maximize financial and clinical results. We invite you to learn how MedSave can help you increase performance in risk adjustment.
Risk Adjustment Services
MedSave offers a full suite of risk adjustment services for the healthcare market.
Our software utilizes proprietary algorithms to go beyond typical suspect identification. This enables us to deliver optimal ROI for our clients. Many risk adjustment vendors use analytics simply to drive volume; MedSave uses analytics to drive performance. Learn More About Risk Adjustment Analytics>
Chart Retrieval Services
Unlike most competitors, we utilize multiple chart retrieval solutions including on-site scanning and remote access to EMR systems. This enables us to far surpass industry average success rates. We also provide clients with real-time access to our scheduling and retrieval system. Learn More About Chart Retrieval Services>
MedSave's Medical Home Visit program combines quality execution, efficient iPad-based systems, member satisfaction and daily transparency. Our advanced technology offers clients instantaneous visibility to members' home assessments and project status. Learn More About Home Assessments >
We deliver expert coding consulting, auditing and education to help our clients improve their financial performance, meet regulatory requirements, increase cash flow and streamline operations. Clients can review our results through access to our auditing system. Learn More About Coding Services>
Litigation and Insurance Services
MedSave offers the most cost-effective, accurate and professional record retrieval solutions in the industry. We get you your records faster, allow you to bill for real hours, and free up your cash flow by eliminating the need to cut checks to providers.
Record Retrieval Services
While MedSave has earned its reputation primarily for medical record retrieval, we are equipped to give you access to a full spectrum of records and deliver them to you in a variety of formats, depending upon your specialized needs. Learn More About Record Retrieval Services>
Plaintiff Fact Sheet
Our medical and legal experts review and analyze records to create discovery documents identifying key terms and pertinent information (Plaintiff Fact Sheet, Plaintiff Profile Form, etc.). Learn More About Plaintiff Fact Sheets>
Online Document Repository
MedSave conforms fully to HIPAA and all other government regulations for medical record retrieval. Clients and providers rely on our highly secure, protected environment for the safe retrieval and processing of sensitive medical information. Learn More About Online Document Repository>
Legal System EDI
MedSave offers its clients seamless access to medical record images and status information via direct connectivity to our systems. Learn More About Legal System EDI>
Third Party Administration (TPA)
MedSave develops customized benefits solutions for every employee population. We offer the products and services our clients require to maintain reasonable healthcare costs now and for the future.
Claims processing is treated as a mere transactional function by many payors. At MedSave, claims administration is our core business, and we apply advanced technology, high-level expertise, patient-centric processes, and attention to customer service to ensure accurate and timely payment of claims. Learn More About Claims Administration>
Customer Support Call Center
We pride ourselves on having prompt, knowledgeable service. Accessible via a toll-free number, 11 hours a day, our Call Center representatives can answer any employer or employee benefits questions on any data that is housed in our system. Learn More Customer Support Call Center>
MedSave can collect and review your previous TPA's data, audit claim activity for accuracy, and reimburse recovered funds. This process ensures compliance, assesses timeliness of claims payment, determines monetary penalties, evaluates accuracy of payments, and identifies potential fraudulent and abusive claim submissions, duplicates and other errors. Learn More About Auditing Services>
International Cost Containment
MedSave has been a trusted leader in international cost management and full-service, third-party management for 20 years. Our expansive, well-established provider network and state-of-the-art IT systems ensure expedited claim settlements, fast track payments, and complete transparency.
We help payors, employers and providers contain costs by analyzing utilization patterns to drive appropriate use of medical resources; identifying wasteful and fraudulent schemes; assessing use of generic versus brand name drugs to promote less expensive, equally effective therapies, and other methods. Learn More About Cost Management>
Second opinions may be invaluable in evaluating many critical medical conditions. MedSave offers a service enabling clients to seek second opinions from thousands of world-class physicians and specialists throughout the world. Learn More About Second Opinions>
We can provide a wide range of TPA services, including claims payment, customer service, and care management. We can also assist clients with identifying and managing costs, maximizing healthcare benefits, and improving efficiencies. Learn More About TPA Services>
Subrogation and Recovery
Through our strategic partnership with a leading national subrogation firm, advanced database system and extensive experience in subrogation, we can help clients achieve more favorable economic results on travel insurance and health plans. Learn More About Subrogation and Recovery>