EMP Medical Services, Inc. We make it our business to care. Home Health Care Management

Our operational processes set us apart from the competition. Due to patient care processes and operational system, EMP insists on “One Point of Entry” for all referrals. Our multi-lingual representatives are trained to ensure that all ancillary services are coordinated to maximize the home care service experience. EMP works closely with the home care team in a cohesive effort that not only looks out for the patient’s well being, our commitment to customer satisfaction helps us achieve our common goal of improving patient outcomes.

 Medical Necessity Determination

   Clinical In-Take

  Verify Eligibility
  Confirms Benefit(s)
  Obtains Approval For Any Extra Contractual Benefit(s)

   Proprietary Utilization Management Processes

  Ensure Patients Have Their Medically Appropriate
    Equipment/Supplies
  Ensure Medicare Guideline Compliance
  Confirm Continued Need/Use of Equipment/Supplies

   Quality Improvement Programs

   Hassle Free Authorization Process for Providers

 Network Development/Management

   Reputable Community Based Providers With Proven Clinical And
     Management Teams

   Providers With Quality Assurance Activities Which Include Clinical
     Record Reviews, Audits, Customer And Provider Satisfaction Surveys

   Medicaid Providers

   Medicare Providers

   Accredited Through JCAHO or CHAPs

   Year Round Accessibility, 24 Hours A Day, 7 Days A Week

   An Interdisciplinary Team Approach To Care With Strong Physician
    Interaction

 Claim Processing

   Delegated Service With Several Health Plans

   Electronic Claim Submission Capability

   Currently Processing over 10,000 claims monthly

  All Contracted providers receive a weekly confirmation
    list of all claims received/in process
  Claims paid within 21 days of receipt
  100% claim adjudication in 30 days

   Timely Submission of all Required Encounter Data

   HIPPA Compliant Claim Process