MDI Network

Magic AlgorClaims Scrubbing System

Overview

Magic Algor assists Payers in identifying and recovering overpayments made to healthcare providers.

We apply various algorithm and rules to identify potential overpayment claims. MDI also provides audit review and adjustment services for all such claims. With the combination of our technology and audit capabilities, we have helped Payers recover anywhere between $1 MM to $10 MM annually depending upon their membership base. In addition, we provide Payers with various trend analyses to uncover malpractices, if any. These trend analyses help control fraud and abuse and result in large savings.

Our recovery services are on a contingency basis, meaning our payment is solely dependent on the realizations or offset remittances successfully received from providers.

MDI Advantage

MDI Network

Increase Acceptance Rate

MDI Network

Identify Overpayment Claims

MDI Network

Quantify Recovery Amount

MDI Network

Perform Trend Analysis

MDI Network

Reduce Fraud, Waste, and Abuse

 

Features

Healthcare reform and rising costs are pushing payers to reduce under/overpayment errors (to reduce resubmission) and improve claims accuracy. Magic Algor with following features helps you do that:

 

  • Scrubbing - Ingestion of claims data from various claims platform to run predefined as well as custom algorithm

     
  • User-Friendly - Helps present data in a user-friendly format

     
  • Analytics - Perform various trend analysis to highlight malpractices and get other insights

     
  • Training - Minimal training required for associates with the user-friendly, flexible interface

     
  • Scalability - Highly scalable and configurable technology architecture designed for growth

     
  • Recovery - Identify claims with potential overpayment and drive their collection

     
  • Efficiency - Identify malpractices; reduce fraud, waste, and abuse

     
  • Pay-for-Performance - Contingency pricing model; strong upside potential with zero downsides

     
  • Reporting - Generate reports with meaningful insights for appropriate management action

     
  • Savings - Easily calculates savings and overall financial impact to the bottom line

     

 

Let's get started.

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