MedicoCX

Improving Healthcare Outcomes

Founded by Community-Based Physicians

MedicoCX is a group of independent specialists, primarily allergy/immunology, dedicated to providing evidence-based, standardized care while also utilizing cumulative buying power. Our goal is to assist providers both clinically and operationally in an effort to decrease the cost of medical supplies and medications, primarily biologics.

Medico Services:

  • Billing Services

    Our billing experts guarantee efficient and compliant billing, seamless integration and dedicated customer support:

    Claims review, submission, and follow up,

    Underpayment and lack of payment investigations and appeals,

    EOB submission to Copay portals for biologics,

    Patient inquiry fielding and patient statement send outs,

    Insurance aging and patient aging monitoring to ensure receipt of payment,

    Prior Authorization completion for HCPCS codes billed on medical claims (buy and bill),

    Please contact us for pricing details!

  • Medico Membership (General)

    Discounts and Rebates on Biologics and Extracts.

    Discounts on Extracts and Skin Testing Devices

    Access to Medico’s communities of knowledge and best practice advice including bi-weekly biologics coordinator discussion groups and physician education e-meetings.

    Medico Membership is based on a shared savings model:

    We share any EXTRA savings beyond what you were already saving and have no fees besides!

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    Management Services

    Review prior authorizations or other types of pre-service review

    Audits for biologics claims including review of EOBS (in house)

    Claim denial review and appeal assistance (in house)

    Buy and Bill claims support/follow-up

    Direction and assistance on copay program submission, processing and follow up (includes setting up EDI/ACH or EFT)

    Biologics patient appointment adherence audit

    Quarterly fee schedule support

    Contact us for Management Services Pricing!

  • Contract Biologic Coordinator

    Process therapy enrollment

    Obtain benefit investigations

    Complete Prior Authorizations

    Appeals and Disputes for PA’s

    Contact us for Contract Biologic Coordinator Pricing!

Medico’s Goal:

While we focus on core areas of improvement for our participant’s biologics and specialty medications, our overarching goal is to further operational efficiencies in clinical practice for all team members:

Wholesome Care

Focusing on underinsured and underserved patient populations, Medico aims to be the leading group in providing care and resources in the immunology and respiratory space.

Practice Solutions

Experienced team members can assist with analyses of potential gaps or identify solutions and solve common issues with the process of buy and bill.

Empowered Providers

Access to the community network of physicians and clinical staff to promote collaboration throughout the healthcare team.

Lower Costs

Group purchasing options provided and backed with data that is supported by a dedicated customer-centric distributor.

Staff Education

Education and resources provided to clinical staff working in or supporting the process of buy and bill and specialty medication access .

Buy and Bill Support

In depth training program for practices wanting to better operationalize biologics.