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MED-SYSTEMS MANAGEMENT'S NEW ELIGIBILITY VERIFICATION SYSTEM TO SPEED PROCESSING, MINIMIZE PATIENT FRAUD

 DAYTON, Ohio, June 8 /PRNewswire/ -- Med-Systems Management, Inc., a leader in medical facilities management and receivables management services, today announced plans for a first-ever electronic link between Ohio-based doctors and hospitals and Medicaid patient eligibility files. The new service will be available June 24.
 Using Med-Systems' Medicaid Eligibility Verification System (MEVS), health-care providers can for the first time in State history determine patients' Medicaid eligibility within 20 seconds.
 "This speedy response time will prevent patients from fraudulently claiming Medicaid eligibility," said Med-Systems' President Terry Henley. "Many health providers today wait 90 days before verifying a patient's eligibility status through rejected claims. By this time, it's often difficult to locate patients and to collect on their fees.
 "Conservative estimates report that 25 percent of Medicaid claims filed are rejected for containing improper eligibility information. With MEVS, health-care providers know immediately if their patients are ineligible for Medicaid coverage," said Henley.
 The MEVS allows for patient eligibility from several combinations of patient information submitted by physicians including name, recipient ID, provider number and social security number. Information returned to the doctor includes Medicare eligibility, HMO and PACT enrollment, case type, waiver program indicator, and spenddown usage -- information vital to health-care providers.
 Med-Systems was recently selected by the National Electronic Information Corporation (NEIC) as one of four companies to test the effects of computer automation and electronic claims submission (including access to commercial insurance carriers' eligibility files) among Ohio-based doctor offices and hospitals.
 Med-Systems is currently developing the nation's first centralized physician Electronic Medical Records System, a computer network to serve as a national medical records information bank.
 Founded in 1967, Med-Systems was the first to electronically submit claims to commercial insurance carriers; the first in Ohio to simultaneously submit claims to Blue Shield, Medicare, Medicaid and Worker's Compensation; and the first in Ohio to submit electronic claims to Blue Shield, CPU to CPU.
 -0- 6/8/93
 /CONTACT: Terry Henley, president of Med-Systems Management, Inc., 513-898-7172; or Terry Brown of Penny Ohlmann Neiman, 513-278-0681, for Med-Systems Management, Inc./


CO: Med-Systems Management, Inc. ST: Ohio IN: CPR HEA SU:

KL -- CL024 -- 6638 06/08/93 14:49 EDT
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Publication:PR Newswire
Date:Jun 8, 1993
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