MedTRX is a full-service Revenue Cycle Management Company specializing in Workers’ Comp & No-Fault receivables. Our Revenue Cycle Management strategy allows us to achieve unparalleled results, bringing order & transparency to a notoriously frustrating Billing & Collection process. In addition, our Revenue Cycle Management Strategy allows MedTRX to shorten the life-cycle of adjudicating claims. Making MedTRX the premiere processor and adjudicator  of WC & NF claims.

Workers’ Compensation & No-Fault Insurance Carriers are using protocols & processes specially designed to make it difficult to adjudicate your claims. Insurance Carriers’ invoked business strategies are built of what MedTRX calls the 4D’s

• Delay
• Dispute
• Deny
• Discount

As a result, carriers administratively pay only about 45-60% of providers’ claims. The outstanding unpaid claims fall into Deny, Delay, Dispute or Discount. If no action is taken, the Carrier need not have to pay. It all falls on the Medical Provider. The avalanche of paper that is created is crippling & the number of phone calls needed to get an adjustor to pick up the call to discuss an unpaid claim is never-ending.

Hospitals & Physician Practices are NOT able and most cases equipped to manage the specific WC Medical Treatment Guidelines set forth by states, that surround both Workers Compensation & No-Fault. Revenue Cycle Management for Workers Compensation & No-Fault poses a COMPLEXITY that should be outsourced to a Company that has the specialization to level the playing field, manage the avalanche of paper & make the calls necessary to adjudicate the unpaid claims.

How MedTRX works with our Family of Clients

• Seamlessly integrate our proprietary software with your software
• MedTRX gives each client 100% Full Transparency to follow the Revenue Cycle from our Software
• There is a complete transfer of the workload from the client’s office to MedTRX
• MedTRX assumes full responsibility for all Revenue Cycle from billing, submission, all correspondence management, reporting & adjudication of the claims
• MedTRX is a totally vertical operation that includes Arbitration’s & Litigation when required
• MedTRX ensures that the Billing, Submission and Collection Process is clean, seamless, and transparent
• MedTRX continually evaluates and improves procedures for billing and collection
• MedTRX establishes collection target metrics
• MedTRX provides consistent, real-time reporting and feedback!
• MedTRX works on a Contingency – no cost to our client until we adjudicate the claim
• MedTRX absorbs all costs associated with processing & submitting claims, corresponding back & forth with the Carriers & Arbitrate/Litigation if required
• MedTRX employs an “Army of Trained Collectors” Call Center to adjudicate the difficult unpaid claims that require additional work & tracking
• Never any upfront or hidden costs