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:

• Review of patient data for accuracy and completeness
• Use of proprietary technology and processes to match all true Self-Pay accounts for possible insurance coverage
• Screen all patient accounts for 3rd Party insurance coverage and government assistance program
• Identify, qualify & enroll patients under the Federal/State Medicaid Expansion Program
• On-site financial counseling
• Provide field service representatives to assist patients in qualifying for Medicaid and Charity Care with portable imaging technology
• 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
• Update all insurance on Client’s system for claim submission
• Follow-up on submitted claims with payers for timely disposition
• Manage payment arrangements with patient friendly reminders
• Utilize predictive dialing and call recording technology to maximize patient contact and ensure quality
• Apply Risk Factoring across each performance grade (Patient Scoring) to enhance outcomes
• Monitor accounts using aging reports to ensure accounts are actively being worked
• Provide monthly liquidation reports to ensure performance meets or exceeds industry standards. Provide monthly payment reports to clearly identify areas of reimbursement
• Provide feedback through monthly meetings to assist Customers with revenue cycle improvement initiatives
• Assist Customers with Key Performance Metrics to provide revenue cycle outcomes related to Self-Pay accounts

Expected Outcomes:

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