Strategy

Patient Access Services Bringing You Real-World Experience

[BRING HOME CUSTOMIZATION…

WE RE GIVING YOU WHAT YOU NEED, NOT THE EXTRA. IM GOING TO START AT A BASE. aS YOU PERFORM, GROW.

GOAL TO MAKE SIMPLE. OUR SPECIALTY GASTOENTEROLOGY PROCEDURES..NEW TECHNOLOGY]

  1. “ Built to Grow —-No Extras. Just What Works —.”

  2. “Performance Unlocks Growth.”-Setting You up to Grow

  3. “We Start With What You Need. You Grow From There.”

Patient Access Helpline Services

  • Dedicated resource for customer reimbursement inquiries

  • National and local payer coverage support

  • Helpline Services available at 404.791.4793 from from 8am to 7pm EST or Email chardon@mdrsg.com

Coding and Payment

  • Coding and billing verification

  • CPT, ICD-10 guidance

  • Claims denials

Payer Engagement

  • Policy monitoring and reporting

  • Medical necessity verification

  • Prior authorization and pre-determination guidance

Assessment to Development

  • Patient Selection Support

  • Customer on-boarding and education

  • Assessment and Development

  • Coding, coverage, payment, assessment, and analysis

  • Development of strategic reimbursement plans

Hands-on support

  • On-site visits

  • Prior authorization and predetermination requests submitted on behalf of provider

  • Claim appeals worked on behalf of provider

  • Appeals for “experimental and investigational”

  • Clinical data to support medical necessity

  • Appeal for "not medically necessary" & non covered service

Support Resources

  • Patient selection physician order form

  • Payer specific clinical criteria guide

  • Clinical data to support medical necessity

  • Prior authorization request form

  • Template letters of medical necessity

  • Coding and billing tool

    Coding and Billing Services

    Customizable Services