EMS Client Successes and Case Studies

Read how the EDI Power Tools Suite and EDI Power Reader are increasing efficiency and revenues nationwide.

 

Solving the “parse-modify-regenerate” EDI challenge 

EMS software is helping a Northeast pharmacy benefit management (PBM) and ancillary service provider handle a unique need in its industry: automatically parsing incoming 837 claims files, adjusting prescription pricing based on group partner discounts, editing tax IDs and file envelope data, and then regenerating the claims files for submission to payers. Find out more…

EDI Export Engine Helps Create Value for Engage Practice Solutions Customers

Working out of offices in Charlotte, North Carolina and Pittsburgh, Pennsylvania, Engage Practice Solutions considers our EDI Export Engine a “set it and forget it” virtual team member. Read details…

Automating Eligibility Requests Helps RiverKids Serve Texas Children

When you provide pediatric home health care in over 90 Texas counties, you need an outstanding staff, skilled managers and a crucial administrative asset: revenue cycle management efficiency. RiverKids Pediatric Home Health Therapy relies on EMS and its 270 Power Generator software to ensure the last part. Read story…

 

ConnectiCare Solves Pending Claim Queue

A subsidiary of EmblemHealth, ConnectiCare leads the individual, Medicare and small group markets in the state of Connecticut. The company utilizes a claims management system that adequately adjudicates most claims automatically. But their system needed a way to better handle 837 rejected claim files. Read about our solution.

 

Automating 4010-5010 Conversions

Principal Financial is a top provider worldwide in the retirement and investment strategy business. Its presence in the dental insurance industry, however, led the company into a relationship with EMS for an add-on software solution to convert 4010 and 5010 files. Read details…

 

Making EDI Easier for KPH and Kinney Drugs

KPH Healthcare Services, owner of Kinney Drugs, ProAct, Health Direct Institutional Pharmacy Services and Noble Health Services chose the EDI Power Reader for EDI Excel conversion. Learn why it was the perfect fit, and why it might be for your organization, too.

Custom Software Skyrockets Efficiency for Midwest Payer

Duplicate records and errors caused during exchange enrollments can zap staff productivity and stir confusion with patients. Read how EMS’s custom software solution is helping a health plan serving patients in 20 counties .

 

Libertana Home Health:  Beverly Hills, CA

This innovative home healthcare provider provides one-stop shopping for integrated senior care services. It began partnering with EMS in January 2017 to help with its rapid growth.

 

University of Cincinnati (UC) Health System, OH

UC Health is part of one of the nation’s top 25 public research universities, and is an integrated system spanning the Tri-State area. Read how the organization has been tapping into the efficiency of EMS’s EDI Power Tools Suite since 2012.

 

The Argus Group: Bermuda,  Gibraltar, Malta
Even in balmy Bermuda, getting healthcare claim data processed can be a challenge. LEARN HOW we created solutions to automatically modify and simplify records, ensuring greater compliance by physicians and accuracy in payments.

 

PathGroup: Nashville, TN
PathGroup, a premier provider of anatomic, clinical and molecular pathology laboratory services, needed a revenue cycle management software to match its quality, efficiency and customer-focused approach. 

 

Wingspan Care Group: Lorain, OH

Wingspan Care Group promotes sustainability and advancement among its partner agencies by streamlining operations and eliminating redundancies. Read about how its seven locations rely on EMS and the EDI Power Reader to achieve those goals.

 

Jefferson University Physicians: Philadelphia, PA
Decade-long EMS partnership continues to boost outcomes for one of the Philadelphia area’s most respected practice groups.

 

St. Vincent’s Medical Center: Bridgeport, Connecticut
Read how an EMS custom programming solution came to the rescue for 12,000 annual transactions at a division of the largest not-for-profit health system in America.

BAYADA Home Healthcare: Moorestown, NJ

BAYADA, now a worldwide not-for-profit organization, began its work with EMS over a decade ago. BAYADA has expanded its use of EMS tools, including the EDI Power Reader and EDI Power Toolbox as it serves more people across the globe.