MediConnect Global launches to help plans retrieve medical charts

SALT LAKE CITY MediConnect Global today announced that its medical record retrieval service is now available for health insurance carriers with an initial emphasis to Medicare Advantage Plans. The service allows plans to retrieve large volumes of medical charts quickly and economically to ensure complete and accurate diagnosis coding which dictates proper reimbursement from the Centers for Medicare and Medicaid Services.

“MediConnect provides carriers with a single source solution for retrieving and digitizing mass volumes of medical records from any or all of their providers,” said Amy Rees Anderson, MediConnect chief executive officer. “Retrieving these records allows them to perform risk adjustment reviews either before submitting to Medicare for reimbursement or after the initial submission in order to appeal any underpaid reimbursements. A Medicare Advantage plan that does not retrieve and review these records is likely to leave significant money on the table in their reimbursements from CMS.”

Carriers simply provide MediConnect with a list of patients, and patient providers, whose records need to be retrieved. MediConnect then works directly with healthcare providers and clinics to retrieve and digitize all medical charts. The service organizes all record requests by medical group (or individual providers), validates the medical group and provider contact data as needed, and removes duplicate requests if any.

MediConnect then indexes the records, hosts the digitized record copies online and transmits the records to the Medicare Advantage plan to ensure complete and accurate diagnosis coding is performed for submission to CMS. This allows carriers to be properly reimbursed for each plan member.