Healthcare Eligibility & Advocacy Services

Ensuring Eligibility Starts with Patient Advocacy & Experience

The greatest impact to your bottom line is identifying and securing patient eligibility. Patients struggle to make sense of new healthcare regulations. Medical expenses are overwhelming and sometimes difficult to pay. Working with patients and explaining their responsibility reduces the number of surprises, alleviates negativity and significantly increases patient experience.

Female Patient Being Reassured By Doctor In Hospital Room
Patient Advocate

  • Ensuring patient eligibility requires time, knowledge of payment systems, and patient advocacy
  • Inpatient/Outpatient on-site face to face interaction increases conversion rates, improves patient satisfaction and reduces A/R
  • Home visits and transportation are provided when necessary
  • On-site and off-site staffing available
  • Disability process for initial reconsideration and ALJ/ODAR
  • Routinely conduct in-services with other departments within the hospital to review SSI updates, Medicaid updates, process changes, and new developments in healthcare

Technology Tools

  • Daily scrub for existing coverage on all referrals
  • All transmittals are tracked to ensure timely processing and payment
  • Integrated data exchange – referral files and auto note upload

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Additional Support

  • Dedicated SSI department and MVA department
  • TAR, authorization, and retro-authorization
  • Patient Contact Center
  • Financial Counseling – Educate your patients on their financial options, provide POS, screening and charity applications
  • ACA – Provide ACA Enrollers in the specified state’s exchange and an ACA department that monitors policy changes
  • HPE – Hospital Presumptive Eligibility screening, full application, follow-through, and compliant reporting

Request a FREE, no-obligation Eligibility Service Impact Analysis TODAY!

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