About Medicare Enterprise

Medicare Enterprise is a cloud-based revenue cycle management solution that can be used by hospitals, physicians and dialysis units. Key features allow users to automate the workflows, generate custom reports, verify and submit claims. The solution is also HIPAA compliant.

Medicare Enterprise supports automated verification processes to check non-covered services, unallowable services, expired coverage limits and data discrepancies. Users can assign individual and group claims and prioritize them.

Charts and graphs can be generated, which can assist users with analyzing potential areas of improvement and in benchmarking. The data generated in these reports can be exported to Excel or can be shared via email.

Medicare Enterprise offers services...


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Supported Operating System(s):

Web browser (OS agnostic)

13 Reviews of Medicare Enterprise

Average User Ratings

Overall

4.54 / 5 stars

Ease-of-use

4.5

Value for money

4.5

Customer support

4.5

Functionality

4.5

Ratings Snapshot

5 stars

(8)

8

4 stars

(4)

4

3 stars

(1)

1

2 stars

(0)

0

1 stars

(0)

0

Likelihood to Recommend

Not likely

Very likely

Showing 1 - 5 of 13 results

August 2019

Santin from Alternative Home Health Care, LLC

Company Size: 51-200 employees

Industry: Hospital & Health Care

Time Used: Less than 2 years

Review Source: Capterra


Ease-of-use

5.0

Value for money

5.0

Customer support

5.0

Functionality

5.0

August 2019

Easy to Use

I like using all the apps within ESolutions. I really like the MAVEN software for submitting ADRs and appeals.

Pros

I really like the ease of use between all the apps in Esolutions. The eligibility checks for monthly is a great feature to have.

Cons

Sometimes the eligibility takes a long period of time.

January 2019

Miriam from Citadel Healthcare / Damen Healthcare

Company Size: 201-500 employees

Industry: Hospital & Health Care

Time Used: More than 2 years

Review Source: Capterra


Ease-of-use

4.0

Value for money

5.0

Customer support

5.0

Functionality

4.0

January 2019

Third Company I've Brought Esolutions with Me!

My experience has overall been amazing. This is the third company I have "brought" eSolutions with me. My representative is beyond amazing and goes to the ends of the earth to make sure that the customer is satisfied. For sure that has kept me coming back every time I have moved to another corporate billing office. (Hopefully, I am here for a long time now.) The software is manageable and able to learn rather quickly. Again, customer support and technical support are always available. I also feel like the eSolutions people work as a team - particularly between technical support and customer service.

Pros

Broad scope of services, ease of use, fantastic customer support, fantastic technical support. Especially love the "live chat" option. The abilty to quickly and accurately correct claims that have been returned to provider (making corrections through Medicare Ace.). Love the Roster Billing. Love the ease to "create a claim" when needed. Also that there are prompts and scrubs when checking and fixing a returned claim. The ability to track ADRs is fantastic.

Cons

When there is an internet/technical problem with eSoutions or one of the intermediaries, eSolutions does not place a warning at the opening screen which would be extremely helpful. (Zirmed does doe this.) Because then time is spent trying to ascertain whether this is a corporate IT problem or a general internet/provider problem.

January 2019

Carmen from 24 Karat Ventures

Company Size: 51-200 employees

Industry: Hospital & Health Care

Time Used: More than 2 years

Review Source: Capterra


Ease-of-use

3.0

Value for money

3.0

Customer support

4.0

Functionality

3.0

January 2019

Software Review

We have used other platforms in the past; we made the switch to eSolutions and since then we have not entertained the possibility of any other platform. We appreciate our account and customer service representatives for providing the support we need, when we need it!

Pros

The interface is functional and easy to use; real-time responses and updates readily available within several of the modules within the Enterprise Package.

Cons

A fluid flow of information from one module to another seems to be lacking; for example ClaimRemedi/Polaris doesn't integrate with File Transfer Service. These two modules should be merged. Claims should be submitted from one module for any payer and remittances should be accessible in one module as well.

January 2019

Sandi from Accura Healthcare

Company Size: 1,001-5,000 employees

Industry: Hospital & Health Care

Time Used: More than 2 years

Review Source: Capterra


Ease-of-use

4.0

Value for money

5.0

Customer support

5.0

Functionality

4.0

January 2019

User Friendly with Great Support

The ease in which we can billing our claims saves so much time, if a claim goes through the scrubber and has an error the user can fix it immediately. Receiving the daily reports such as a Projected Payment Report, AR Rejection Report, ASAP-UB04 Crossover Reports and many others notify the user daily of the status of the claims moving through the billing cycle.

Pros

This software offers a number of different services. My company uses 10 services to manage all of our Medicare/Medicaid and Commercial Billing as well as supplemental insurances. It is very easy to use, it offers a number of different reports that the user can decide what they want to receive daily in the email inbox. It also has some of the best support I have had the experience to work with, they are very respondent to questions and issues are resolved very timely.

Cons

The Maven service allows the user to manage their Post Pay Reviews, RAC's ADR's CERT reviews, etc. I have problems flipping claims to the Appeals Manager within the Maven service, but it is probably because I don't use it enough to remember how to do that operation. But the pros out weight the cons with this service as the ease of electronically submitting the different reviews is very time saving and all your records are saved in one place within system.

January 2019

Debra from Emerald Communitites

Company Size: 201-500 employees

Industry: Hospital & Health Care

Time Used: Less than 2 years

Review Source: Capterra


Ease-of-use

4.0

Value for money

4.0

Customer support

3.0

Functionality

4.0

January 2019

Medicare Enterprise Review

Pros

I like how easy it is to transmit claims and to go back and correct if necessary. I like the that there is an option to roster bill and how easy it is to use it. Common Working files are another option that is quick and easy. I appreciate the daily reports that tell you if you have a claim in trouble or that is going to pay. Which claims crossed over.

Cons

When the Medicare remits are downloaded they are very difficult to identify them by date, which is important. You have to open several to find the one you are looking for when you get ready to post the payment or to look for a specific RA. I would like to see that changed. And the only other thing I don't like is Claim Remedi. There is nothing I like about that program. Our sales rep, is always very helpful. The actual support team is not always responsive.