Services

Adreima advocates for hospitals nationwide, providing Medicaid eligibility and revenue cycle management services. These services are supported by an extensive knowledge of state-specific issues and unparalleled in-house expertise. Our know-how and commitment to customer service improves our clients' financial performance while building long-term trusting partnerships. Clinical and technical integration is the core upon which all of our service offerings are built. We have three centers of excellence: clinical services, eligibility services, and accounts recievable management services.

Our suite of services includes:

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  Eligibility Services

  Facilitation of uninsured patient application and enrollment in Medicaid, Disability and other Government programs.

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  Receivables Management:

  Comprehensive account management from initial billing through account resolution for all claim types.

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  Denials Management:

  Resolution of denied claims to recover additional revenue for the hospital.

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  Post-Payment Recovery:

  Analysis of paid, zero balance, accounts to identify underpayments, recover additional reimbursements and facilitate payment.

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  Clinical Auditing:

  Utilizing technical, clinical and legal resources to review and audit challenging accounts that may be a product of systemic issues.

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  Medicaid Authorization Review:

  A team of skilled Registered Nurse Auditors and Certified Coders managing the prior authorization of inpatient hospital Medicaid services.