CMS esMD software company in Virginia

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Electronic Submission of Medical Documentation (esMD) provides a secure and electronic channel for this exchange between the Provider community and RCs.Medicare Fee-for-Service (FFS) providers and suppliers can send the following via esMD

• Responses to Additional Documentation Requests (ADRs)
• First and second-level appeal requests
• RAC and DME discussion requests
• Advanced Determination of Medicare Coverage (ADMC) requests
• Unsolicited claim-related documentation
• Prior Authorization (PA) requests along with supporting documentation

esMD system comprises a CONNECT Gateway capable of exchanging documents with other Connect-compatible gateways. Health Information Handlers (HIHs) are organizations that develop and maintain such CONNECT compatible gateways to facilitate the exchange of documents between the Providers and CMS . Providers can exchange transactions with esMD either by becoming an HIH themselves or by using the services of an HIH

Benefits of using esMD

Review Contractors conduct Improper Payment Reviews to identify, correct, and prevent improper payments by selecting a small sample of claims to verify the provider’s compliance with Medicare rules. esMD enables Providers to submit requested documentation electronically and benefits them as below :

• Quicker turnaround
• Providers have reported that the payment turnaround when using esMD is 6 days instead of the paper process, which is approximately 3
• Reduced labor costs
• esMD helps reduce the labor required to fulfill these requests, by no longer having to print and mail paper, feed a fax machine or burn
• Reduced hard costs
• esMD can also reduce hard costs like shipping and handling expenses