Med-Enterprise, LLC Uses Technology to Facilitate Claims

by | Mar 10, 2014 | PKF Texas - The Entrepreneur's Playbook®

Russ: This is PKF Texas Entrepreneur’s Playbook. I’m Russ Capper, this week’s guest. And today I’m here once again with Jay Comeaux, Director of Business Development for Med-Enterprise. Jay, welcome back to the Playbook.

Jay: Thank you. Good to be back.

Russ: Okay, so last time you were here we talked about what you guys do, and that’s finding lost money in the healthcare maze. How do you do that?

Jay: We do it through a proprietary technology process. It’s actually called CIRCA, which is Claims Intensive Revenue Cycle Analysis.

Russ: Okay.

Jay: Through this process we are able to break apart, if you will, the invoicing between the provider and the carrier and then back to the provider from the carrier in our analysis.

Russ: Okay, and you can sit there and you can see where your client has not received money that they should get.

Jay: On a timely basis, mm-hmm.

Russ: Okay, well, now some people might think, “Well, maybe this is just a sophisticated collection agency.” Is that right?

Jay: That’s not exactly collect. You know, certain collection agencies do serve a purpose for the various providers in healthcare, but ours is a level of sophistication higher than that. We really get into the complexities of the billing cycles, if you will, between the providers and the carriers.

Russ: Okay. Would the collection agent actually potentially work with you at some time maybe or-?

Jay: Perhaps, yes.

Russ: Okay.

Jay: There could be some parallel efforts that go on between the – for the benefit of the provider, yes.

Russ: Okay. Well, I really appreciate this business completely; it sound exciting and definitely needed in healthcare.

Jay: It definitely is. Definitely is.

Russ: All right. Thanks a lot, Jay.

Jay: You’re welcome.

Russ: This has been another Thought Leader production brought to you by PKF Texas Entrepreneur’s Playbook. Tune in next week for another chapter.

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