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Revolutionizing the Healthcare Industry with our Proprietary AI Software
In 2023, the Medicaid program experienced improper payments amounting to $50.3 billion.
On average, current Revenue Cycle Management Solutions recover
a fraction of underpaid claims, leaving billions of dollars in revenue unrealized every year.
Hippa Compliant
Our proprietary encryption platform offers secure data transfer of your ANSI ASC X12 837/835 files to protect patient identity and maintain full HIPPA compliance, as per the Health Insurance Portability & Accountability Act of 1996.
EXPERT ANALYSIS
Our team of Contract Specialists have a minimum of 18 years experience working for insurance companies and writing payer contracts to ensure the most accurate analysis of your 835s and 837s.
After Revenue Support
MD100x is designed to complement your billing system to discover contingencies, variances and caveats in the actual reimbursement compared to the payer’s contractual
obligation after your RCM.
Unprecedented Results
the MD100x Difference
ZERO RISK
MD100X pays for 100% of your audit so there’s no fee up front. We operate as a contingency platform - you keep 70 cents on every dollar of payments recovered to your facility.
Our team has analyzed billions of dollars in reimbursements and remittances against thousands of unique and complex commercial contracts, and we’ve discovered underpayments for every client we’ve served. Our team of contract specialists work closely with your billing department to create a plan unique to your healthcare organization to recover maximum revenue lost due to underpaid, suspended and incorrectly denied claims. Revenue recapture is our primary focus, and we guarantee MD100x will provide the highest return on your underpayments.
We work solely on a contingency basis. There are no upfront fees, costs, ongoing tasks required from our clients. We take on 100% of the risk and effort to recovery revenues for our clients. We are only compensated when we successfully recover underpayments.
We Take Pride in Our Numbers
18
Years of Experience
22%
Average Recovery
100%
Success Rate
0
Risk
$$
Billions Recovered
Case Studies
$6 million in underpayments through BCBS alone
123-bed Texas hospital
$10 million+ in underpayments for top 4 payors
142-bed Louisiana hospital
$1.2 million in underpayments from their 4th largest payer
Represents 18% of their collections for the payer.
Large Pennsylvania Private Hospital
$30 million in underpayments from just three facilities
A hospital network
$7 million in underpayments in BCBS professional alone.
A large Ohio physician group
$1 to $1.5 million in underpayments per payer contract
A Tennessee clinic
$4,048,555.44 in underpayments from BCBS alone
Small Texas Community Hospital
Over $20 million in underpayments
A Missouri hospital
