Frequently asked questions
Is being HIPAA and PCI compliant enough?
No. The 21st Century Cures Act goes beyond what HIPAA and PCI compliance require.
How much will this cost me?
MED Token is a cost neutral compliance solution easily deployed via our merchant processing platform.
How much are the fines for not being compliant?
Between $0 and $1,000,000 per occurrence, and you can even lose as much as 25% of your Medicare/Medicaid payments. Fines began being imposed after 7/31/2024.
Who do you currently work with?
Sheridan Solutions and our expert team work with the American Hospital Association and many state associations to help their member organizations stay current and compliant when it comes to The 21st Century Cures Act payrment processing requirement. Aspen Dental and Heartland Dental are also large clients using MED Token.
How long does it take to implement MED Token?
We can quickly help you implement MED Token in your hospital or health care practice. We encourage you to speak with us so we can help you determine the next steps.
Underpayment Audits for Healthcare
MED Token™ for Healthcare
What is the security surrounding the billing records needed to perform the review?
We do not access a client’s EMR or software. The ERA 835/837 is transferred in x12 5010 format from the clearinghouse to ADHC’s portal via SFTP.
What is the healthcare organization's total time commitment?
1 - 1.5 hours to provide 835 forms, 837 forms, and insurance payor contracts.
What systems would you need access to, in order to implement your solution?
We don't need access to any of your systems. This is a complete standalone forensic audit of underpayments. We will build you custom software to upload the necessary data for the audit.