Our best practices mindset allows for our operations to use all channels to qualify and enroll self-pay patients and continue the necessary revenue stream that our partners rely on throughout the year.

Our Patient Advocacy and Self-Pay Receivable Management Service includes:

• Screen self-pay patient for eligibility in governmental assistance programs
• On-site financial counseling at bedside
• Home field visits with portable scanning technology.
• Assist patients in applying for Medicaid, SSI, & SSD
• Obtain valid Medicaid, Medicaid Managed-Care, and Medicare number through automated process
• Identify & qualify patients under the Medicaid expansion program
• Assist patients towards qualified State of Health insurance carriers that best fit our client’s needs
• Work within new regulations of the Accountable Care Act to maximize reimbursement.
• Screen all patient accounts for 3rd Party insurance coverage and government assistance program
• Routinely follow-up with Medicaid offices on submitted applications through disposition
• Reconcile the number of Charity Care priced claims against the number of approved Charity Care applications to ensure all applications are submitted to the fiscal intermediary timely
• Institute a Dual Eligibility Outreach Program to assist elderly patients in obtaining secondary coverage through Medicaid
• Utilize predictive dialing and call recording technology
• Apply Risk Factoring across each performance grade (Patient Scoring) to enhance outcomes

Expected Outcomes:

• Convert Self-Pay into insurance revenue
• Increase insurance repeat revenue
• Improve accuracy of patient data and insurance information
• Improved Cash from uninsured/underinsured patients
• Decrease Bad-Debt placements and costs to collect
• Lower days in Self-Pay Accounts Receivable
• Improved reporting and key performance indicators
• Improve patient communication and satisfaction