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Reimbursement solutions that identify and recover overlooked revenue for your hospital.

GET STARTED Accident Claims Management   |   Payment Integrity Management

Insight

MRA shows how taking a granular approach to identifying additional sources of revenue is now critical for hospital’s success

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Info

9 Great Stats to Help you Understand MVA and its Impact on Your Revenue Cycle

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Blog

In-Sourcing Doesn’t Make Sense: The Hidden Complexity of Accident Claims Management
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Experience MRA

As the industry’s leading and most experienced provider, MRA handles the hassles of complex claims so you can better focus your internal resources.

Specialty Payer Expertise Specialty Payer Expertise

Seamless Process Integration Seamless Process Integration

Patient Experience Extraordinary Patient Experience

Business Analytics Robust Business Analytics

Unwavering Compliance Unwavering Compliance

Team Dedicated Team

Acciclaim

AcciClaim™ is MRA’s
Accident Claims Management Solution
that identifies and recovers alternative
sources of payments for accident-related
hospital bills. The benefits include
guaranteed billing compliance,
improved reimbursement rates,
fewer billing headaches and
increased patient satisfaction.

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Integrity

MRA Integrity™ is our
Payment Integrity Solution
that detects underpayments from
Government and Managed Care payers.
With a payer-facing perspective
that spans more than 15 years
as RAC auditors and analysts,
our team understands the intricacies
of today’s payer systems.

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Acciclaim

AcciClaim|AutoTM Getting paid for claims that result from an automobile accident is hard…really hard. The manual work required to get fully-reimbursed for these claims is chaotic and time-consuming. Hospitals seldom have the expertise, resources or bandwidth to correctly bill and manage these claims. MRA does…and our experience really pays off for our clients. MRA’s AcciClaim solution provides hospitals with a comprehensive, single-source solution that simplifies management of Motor Vehicle Accident claims. The results of our experience are clear:

  • Higher Reimbursement
  • More Revenue
  • Fewer Denials
  • Reduced Self Pay Debt
  • Reduced Compliance Risk
  • Improved Patient Satisfaction

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Acciclaim

AcciClaim|WorkCompTM MRA delivers a complete solution for Workers’ Compensation accident claims management. Our dedicated team gets the most from each claim, billing correctly up-front and aggressively managing all underpayments and appeals. Plus, we simultaneously ensure compliance and timely filing by meeting all State & Federal regulations and Workers’ Compensation carrier and TPA requirements. MRA’s AcciClaim solution provides hospitals with a single-source solution that simplifies billing for all Workers’ Compensation accident claims. The results of our experience are clear:
  • More Revenue
  • Reduced Aging
  • Fewer Denials
  • Fewer Underpayments
  • Staff Redeployment

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Integrity

Medicare Underpayments The MRA Integrity™ team brings an extensive payer perspective as a result of more than two decades of working as auditors and analysts for one of the nation’s highest performing RAC organizations. Today, that team deploys many of the same data-driven thought processes, knowledge and experience previously used to help payers identify overpayments to now help hospitals identify and recoup underpayments from Government payers. Integrity’s proprietary, data driven, algorithmic approach analyzes 100% of closed claims within statutory and/or Federal guidelines, including Medicare claims up to 4 years old. The results of our experience are clear:

  • More Revenue
  • Revenue Leak Mitigation
  • Process Improvement
  • Peace of Mind

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Integrity

Managed Care Underpayments The MRA Integrity™ team brings an extensive payer perspective as a result of more than two decades of working as auditors and analysts for one of the nation’s highest performing RAC organizations. Today, that team deploys many of the same data-driven thought processes, knowledge and experience previously used to help payers identify overpayments to now help hospitals identify and recoup underpayments from Managed Care payers. Integrity’s proprietary, data driven, algorithmic approach analyzes 100% of closed Managed Care claims within statutory and/or Federal guidelines. The results of our experience are clear:

  • More Revenue
  • Contract Management System Enhancement
  • Revenue Leak Mitigation
  • Process Improvement
  • Peace of Mind

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Acciclaim AcciClaim is an Accident Claims Management Solution that identifies and recovers alternative sources of payments for accident-related hospital bills. The benefits include guaranteed billing compliance, improved reimbursement rates, fewer billing headaches and increased patient satisfaction. peer-reviewed
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Acciclaim AcciClaim I Auto Getting paid for claims that result from an automobile accident is hard…really hard. The manual work required to get fully-reimbursed for these claims is chaotic and time-consuming. Hospitals seldom have the expertise, resources or bandwidth to correctly bill and manage these claims. MRA does…and our experience really pays off for our clients. MRA’s AcciClaim solution provides hospitals with a comprehensive, single-source solution that simplifies management of Auto Accident Claims. The results of our experience are clear:

  • Higher Reimbursement
  • More Revenue
  • Fewer Denials
  • Reduced Self Pay Debt
  • Reduced Compliance Risk
  • Improved Patient Satisfaction

LEARN MORE

Acciclaim AcciClaim I WorkComp MRA delivers a complete solution for Workers’ Compensation Accident Claims Management. Our dedicated team gets the most from each claim, billing correctly up-front and aggressively managing all underpayments and appeals. Plus, we simultaneously ensure compliance and timely filing by meeting all State & Federal regulations and Workers’ Compensation carrier and TPA requirements. MRA’s AcciClaim solution provides hospitals with a single-source solution that simplifies billing for all Workers’ Compensation Accident Claims. The results of our experience are clear:

  • More Revenue
  • Reduced Aging
  • Fewer Denials
  • Fewer Underpayments
  • Staff Redeployment

LEARN MORE

Integrity MRA Integrity™ is a Payment Integrity Solution that detects underpayments that contract management systems miss and recoups the revenue from Government and Managed Care payers. Having spent more than a decade with the nation’s highest performing RAC, we are a partner with an unsurpassed perspective.
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Integrity Medicare Underpayments The MRA Integrity™ team brings an extensive payer perspective as a result of more than two decades of working as auditors and analysts for one of the nation’s highest performing RAC organizations. Today, that team deploys the same data-driven thought processes, knowledge and experience previously used to help payers identify overpayments to now help hospitals identify and recoup underpayments from Government payers. Integrity’s proprietary, data driven, algorithmic approach analyzes 100% of closed claims within statutory and/or Federal guidelines, including Medicare claims up to 4 years old. The results of our experience are clear:

  • More Revenue
  • Contract Management System Enhancements
  • Revenue Leak Mitigation
  • Process Improvement
  • Peace of Mind

LEARN MORE

Integrity Managed Care Underpayments The MRA Integrity™ team brings an extensive payer perspective as a result of more than two decades of working as auditors and analysts for one of the nation’s highest performing RAC organizations. Today, that team deploys the same data-driven thought processes, knowledge and experience previously used to help payers identify overpayments to now help hospitals identify and recoup underpayments from Managed Care payers. Integrity’s proprietary, data driven, algorithmic approach analyzes 100% of closed Managed Care claims within statutory and/or Federal guidelines. The results of our experience are clear:

  • More Revenue
  • Contract Management System Enhancements
  • Revenue Leak Mitigation
  • Process Improvement
  • Peace of Mind

LEARN MORE

MRA has the resources, technology and experience to get you paid what you deserve for the care you provide.

But don’t take our word for it.

system “MRA meets our needs perfectly. They are a seamless addition to our business office, with experts that take the time to resolve each claim in a professional, patient-friendly manner.”

Hayley Studer, ProMedica

trauma

“MRA manages each of our accident claims from start to finish. Not only have they significantly improved our financial results, they have also provided assurance that we are in full compliance billing these complex claims.”

Level One Trauma Center

billing office

“MRA removes all the manual processing I had to do before. They are a huge time-saver that generates significant new revenue, and their customer service is second to none.”

Centralized Business Office

Looking for a career opportunity? Learn how MRA could be the perfect fit for you.
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Please complete this form and a member of our Senior Leadership team will reach out to you to arrange a time to understand your needs. In addition, we are happy to provide you with a RISK FREE Reimbursement Review so that you can see the results you can expect by focusing on this often overlooked segment of your revenue cycle. We look forward to talking with you!

 

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Stuart C. McWhorter

Stuart C. McWhorter, Chairman

Mr. McWhorter is Chairman of the Board for Medical Reimbursements of America, Inc. and remains a principal investor since forming the company in 1999. Mr. McWhorter currently serves as the President and CEO of the Nashville Entrepreneur Center and is a Partner of Brentwood, TN based Clayton Associates, an investment management company primarily focused on venture capital in the healthcare services industry.

Prior to forming MRA, Mr. McWhorter was a founding member of OrthoLink Physicians Corporation where he served as Vice President of Managed Care and later as Vice President of Acquisitions. OrthoLink was later acquired by United Surgical Partners (Nasdaq:USPI). Prior to OrthoLink/United Surgical Partners, Mr. McWhorter served in various operating roles with Brookwood Medical Center in Birmingham, Alabama, a Tenet-owned hospital system.

Mr. McWhorter is also Chairman for privately held Censis Technologies, a member of the Board of Haven Behavioral Healthcare, a member of the Board of FirstBank of Tennessee, the largest community bank in Tennessee, and a Board Member of Belmont University.

Mr. McWhorter received his Master’s degree in Health Administration from The University of Alabama-Birmingham and B.S. in Management from Clemson University.

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Chad Powers

Chad Powers, Vice President & General Counsel

For the last eight years, Mr. Powers has worked for Franklin, TN-based Medical Reimbursements of America, Inc. In his current role, he leads the Legal Department of MRA supporting Account Management, Operations, and the overall business of providing accident claims investigation and liability billing services for over 250 hospitals across the country. A sought-after presenter and author, Mr. Powers oversees a legal team of licensed attorneys, paralegals, and support staff. In addition to his corporate legal responsibilities, Mr. Powers advises on operational issues including managed care, ERISA, Medicare/Medicaid, MSP Compliance, workers’ compensation, and third-party recoveries as well as HIPAA/HITECH compliance.

Prior to joining MRA, Mr. Powers clerked for the Honorable Steve Dozier, Davidson County Criminal Court, Division I. He also practiced for the Law Firm of Smith & Tomkins in Nashville, Tennessee, in the area of insurance and workers’ compensation defense litigation. Mr. Powers received his Juris Doctorate degree from the Nashville School of Law and his Bachelor of Science in Accounting from Samford University. He is a licensed attorney and member of the Tennessee Bar Association.

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Leanne Erwin

Leanne Erwin, Vice President – Payment Integrity

Leanne is a registered nurse with over 15 years of experience in health care audit and recovery operations. Prior to joining MRA, she was responsible for MicroVu’s ARMS© (Audit Recovery Management Software) and responsible for all aspects of audit with her team of professional health care auditors in MicroVu’s Florida-based operations office. As former Director of Audit & Recovery for Vista Healthplan (now a Coventry company) she managed all overpayment identification and recovery efforts including oversight of all data mining, medical and pharmacy record review, overpayment recovery, and vendor relationships. Her role encompassed all aspects of the recovery audit for the Plan with paid claims over $1 billion annually, and her team’s average annual recovery was in excess of $50 million. Leanne brings a wealth of knowledge to MRA’s Payment Integrity business. In addition to being a Registered Nurse, an MPA, and a graduate of the Wharton School of Business, Leanne has experience as a public health nurse, a health care informatics consultant, and an audit & recovery specialist in both a manager and director capacity.

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Lawrence Rosenberg

Lawrence Rosenberg, Executive Vice President 

Prior to joining MRA, Mr. Rosenberg spent 4 years as CEO of the Blackmaple Provider Recovery Group, a national payment integrity and underpayment recovery business that he co-founded. He spent the previous 16 years providing overpayment recovery services to Managed Care companies and Government contractors. He served as EVP and COO for HealthDataInsights (acquired by NASDAQ: HMSY), the healthcare claims auditing company that won the first CMS Recovery Audit Contractor (RAC) program for Region D. Beginning in 2007, he managed one of the three initial CMS pilot RAC programs, and successful performance in this pilot RAC program served as a critical factor in the formal Region D contract award. He also developed the company’s pharmacy auditing program, securing overpayment recovery contracts with three of the nation’s largest managed care companies. Prior to HDI, Rosenberg was VP of Operational Auditing and Financial Recovery for Vista Healthplans. He also directed the Information Technology Department for HealthNet’s Florida operations. Mr. Rosenberg’s education includes three degrees from Florida International University: A Doctorate of Education AB.D., a Master of Science, and a Bachelor of Science.

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Michael Ford

Michael Ford, Co-Founder & Executive Vice President

Mr. Ford is an attorney with a deep understanding of the relevant legal, operational, and compliance challenges related to complex accident claims.  He is a senior leader who works with MRA’s business development team to drive organic growth across the United States. As a co-founder of the company, his broad experience includes having led MRA’s Operations, Product Development, Legal and Relationship Management teams. He, along with the entire MRA legal team, offers counsel and insight related to the legislation that impacts healthcare providers.

Prior to joining MRA, Mr. Ford clerked with the Honorable Judge Thomas A. Higgins in the U.S. District Court for the Middle District of Tennessee. He is a healthcare attorney actively involved with the American Bar Association’s Health Law Section, AHLA and the HFMA. His background includes corporate law, workers’ compensation, insurance law, and bodily injury claims/suits.

Mr. Ford received his Juris Doctorate degree from Samford University’s Cumberland School of Law and a B.S. in Business Administration from Samford University in Birmingham. He is a licensed attorney and member of the Tennessee Bar Association.

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Lyle Beasley

Lyle Beasley, President

Mr. Beasley serves as President of Medical Reimbursements of America, Inc. overseeing strategic direction for revenue growth including product management, sales, marketing, and general business development.

Prior to MRA, Mr. Beasley co-founded West End Holdings in 2011, and spent the previous ten years as founder and CEO of IXT, the nation’s leading healthcare consumer payments firm, which he successfully transitioned to Emdeon in 2008. He acquired a predecessor asset in 2001, a regional print|mail services firm, which he successfully repositioned, grew, and ultimately sold to Emdeon (NYSE: EM). The platform developed by IXT now powers the healthcare industry’s leading consumer payments platform, processing patient payment volumes in excess of $1 billion annually.

Prior to founding IXT, Mr. Beasley co-founded and served as CEO of Biopage (1999-2000), an internet startup focused on consumer infomediary services. Prior to this startup experience, he spent five years in investment banking at J.C. Bradford (1995-1999) leading institutional equity sales efforts in New York. Prior to J.C. Bradford & Co., Mr. Beasley served as General Manager of Berlitz Translation Services (1992-1995).

Mr. Beasley received his E.M.B.A. from the Owen Graduate School of Management at Vanderbilt University and his B.S. in Engineering Science from Vanderbilt University.

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Bob Rolfe

Bob Rolfe, Chief Executive Officer

Mr. Rolfe holds the position of CEO of Medical Reimbursements of America, Inc. setting the vision and overall strategic direction for the company. He provides MRA extensive CEO experience earned in both healthcare services and other niche industries. In addition to his CEO role, Mr. Rolfe currently serves as the company’s Chief Financial Officer, overseeing the accounting and finance functions, and leads MRA’s Operations with responsibility for delivery of all products and services. Since joining MRA, Mr. Rolfe has championed the development and rollout of the industry’s first technology-based solution dedicated exclusively to the resolution of complex accident claims.

Prior to MRA, Mr. Rolfe co-founded West End Holdings in 2011 and spent the previous six years as CEO and Chairman of MyOfficeProducts, Inc., a $125 million office supplies distributor that he grew and sold to strategic buyer HiTouch, Inc. (privately held). Prior to leading MyOfficeProducts, he purchased majority control of ProClaim, Inc., a leading Medicare Part B Claims processing company. He grew the company and successfully exited in 2003 via a sale to strategic buyer Gulf Coast Medical (NASDAQ: GSMS, now PSSI). Prior to purchasing ProClaim, Mr. Rolfe served as Executive Chairman of The Potomac Group (TPG), a portfolio of healthcare information services companies, including Medifax EDI, healthcare’s leading provider of electronic eligibility services. Mr. Rolfe repositioned TPG’s various portfolio companies in order to maximize shareholder value and orchestrated the sale of TPG to a financial buyer in June 2000. Before leading TPG, Mr. Rolfe spent 18 years as an investment banker at J.C. Bradford and Co. Inc., specializing in project finance, executing more than 200 transactions with a combined value in excess of $1.5 billion.

Mr. Rolfe received his E.M.B.A. from the Owen Graduate School of Management at Vanderbilt University and his B.S. from the University of Alabama’s School of Commerce and Business Administration.

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