Finding Missing Coverage, Improving Your Bottom Line

Nemadji’s back-end Eligibility Detection solution finds coverage for services not found by internal processes and other vendors.

Maximum Flexibility

Eligibility Detection works seamlessly with existing systems and processes to complement and enhance current efforts, at any point in the post-service timeline. Flexibility allows for placement ahead of or behind internal processes and other vendors.

84% of our clients utilize Eligibility Detection in support of other back-end processes.

Our Results Speak for Themselves

We identify a variety of inaccuracies, such as data anomalies hidden by transposed numbers, patient identification inconsistencies, coding mistakes, patient registration errors, and discrepancies in eligibility sources.

Is Eligibility Detection Right For Your Hospital?

We think so—and here’s why:

• Help drive efficiencies as your staff learns from our methods and applies them to future in-house efforts
• We work to integrate with your existing infrastructure as seamlessly as possible, helping expedite the identification of lost revenue
• Our processes enhance existing eligibility identification efforts by picking up where you leave off—whether early in the process or with our industry-leading Last-in-Line™ review once your other vendors have exhausted all efforts
• Hospitals will see an increase in revenue and a decrease in uncompensated care from converting write-offs, bad debt and charity care to cash