The missing link Hospitals need to… Compensate for their Uncompensated Care!

The Self-Pay Challenge

Each year hospitals lose millions in uncompensated care by not recognizing or fully exploiting Retroactive Medicaid reimbursements.

While a patient may not have had Medicaid coverage on their date of service, many times that same encounter can go on to become eligible for Retroactive Medicaid reimbursement long after the date of service or discharge.

This presents a challenge for Institutional Health Providers since institutions can have tens of thousands of self-pay encounters within their Patient Accounting Systems, with more being added every month. Any of those encounters can potentially become eligible for Retroactive Medicaid, but unfortunately many will expire beyond their respective timely filing periods before they’re discovered.

The Self-Pay Challenge

Each year hospitals lose millions in uncompensated care by not recognizing or fully exploiting Retroactive Medicaid reimbursements.

While a patient may not have had Medicaid coverage on their date of service, many times that same encounter can go on to become eligible for Retroactive Medicaid reimbursement long after the date of service or discharge.

This presents a challenge for Institutional Health Providers since institutions can have tens of thousands of self-pay encounters within their Patient Accounting Systems, with more being added every month. Any of those encounters can potentially become eligible for Retroactive Medicaid, but unfortunately many will expire beyond their respective timely filing periods before they’re discovered.

What About The ACA?

A report by the National Association of Public Hospitals and Health Systems projects that by 2019, hospitals will see $53.3 billion more in uncompensated care costs than originally estimated when lawmakers approved the ACA.

Even with the millions of people who have gained coverage under the ACA and the great strides that have been made to facilitate the Medicaid enrollment process at the point of care, many patients begin their application process long after their initial visit. Regardless of where the application process begins, eligibility determination in most states can take 30-90 days, if not longer. When patients are slow to provide the necessary documentation, and additional time is required for those who appeal their denied applications, the final determination date can stretch well beyond six months.

What About The ACA?

A report by the National Association of Public Hospitals and Health Systems projects that by 2019, hospitals will see $53.3 billion more in uncompensated care costs than originally estimated when lawmakers approved the ACA.

Even with the millions of people who have gained coverage under the ACA and the great strides that have been made to facilitate the Medicaid enrollment process at the point of care, many patients begin their application process long after their initial visit. Regardless of where the application process begins, eligibility determination in most states can take 30-90 days, if not longer. When patients are slow to provide the necessary documentation, and additional time is required for those who appeal their denied applications, the final determination date can stretch well beyond six months.

You Might Be Thinking…

``We Have Benefits Coordinators / Navigators.``

Many hospitals have put measures in place to help with their Self-Pay burden, including the hiring of third party private companies to provide uninsured patients with on-site Medicaid enrollment assistance. These Navigators have become an essential part of a hospital’s daily business routine, but many patients leave the ER, or get discharged, long before they’re able to provide the necessary documentation required to complete their applications.

This leaves Navigators with the impossible task of tracking hundreds, if not thousands, of pending and partially completed applications. Many of these patients will go on to be treated at other providers and some will eventually complete their applications at other facilities.

RetroCAID Tracking compliments the Navigator process by providing a tool for tracking every single Self-Pay encounter, whether an application is pending, partially completed, or even where the application process wasn’t initiated by your team.

Whether your facility has 500 or 500,000 self pay encounters annually, each patient and their respective encounter is tracked daily for the full length of its timely filing period. No matter where the patients application process begins or where its completed, your facility will immediately be alerted the moment an encounter becomes eligible for Retroactive Medicaid reimbursement. RetroCAID Tracking provides a safety net that Institutional Providers simply cannot afford to be without!

``Our Team Checks Self-Pays Regularly.``

Manually tracking thousands of historic self-pay encounters on a daily basis to determine retroactive Medicaid eligibility status is not only impossible, its impractical and cost prohibitive to even try.

With tens of thousands of potential Self-Pay and Sliding Fee encounters within their systems, Institutional Providers lose millions of dollars in retro-Medicaid every single year simply because they’re unable to keep up. Capturing retro-eligible encounters before they expire beyond their timely filing periods requires the ability to track every single Self-Pay and Sliding Fee encounter on a daily basis for the full length of each encounters respective timely filing period.

With millions of dollars in retroactive Medicaid at stake, and a limited period of time in which a healthcare provider can be retroactively reimbursed, it’s critical to have an effective and economical solution for tracking self-pay and sliding fee encounters daily to ensure every single retroactive reimbursable encounter is caught and collected.

You Might Be Thinking…

``We Have Benefits Coordinators / Navigators.``

Many hospitals have put measures in place to help with their Self-Pay burden, including the hiring of third party private companies to provide uninsured patients with on-site Medicaid enrollment assistance. These Navigators have become an essential part of a hospital’s daily business routine, but many patients leave the ER, or get discharged, long before they’re able to provide the necessary documentation required to complete their applications.

This leaves Navigators with the impossible task of tracking hundreds, if not thousands, of pending and partially completed applications. Many of these patients will go on to be treated at other providers and some will eventually complete their applications at other facilities.

RetroCAID Tracking compliments the Navigator process by providing a tool for tracking every single Self-Pay encounter, whether an application is pending, partially completed, or even where the application process wasn’t initiated by your team.

Whether your facility has 500 or 500,000 self pay encounters annually, each patient and their respective encounter is tracked daily for the full length of its timely filing period. No matter where the patients application process begins or where its completed, your facility will immediately be alerted the moment an encounter becomes eligible for Retroactive Medicaid reimbursement. RetroCAID Tracking provides a safety net that Institutional Providers simply cannot afford to be without!

``Our Team Checks Self-Pays Regularly.``

Manually tracking thousands of historic self-pay encounters on a daily basis to determine retroactive Medicaid eligibility status is not only impossible, its impractical and cost prohibitive to even try.

With tens of thousands of potential Self-Pay and Sliding Fee encounters within their systems, Institutional Providers lose millions of dollars in retro-Medicaid every single year simply because they’re unable to keep up. Capturing retro-eligible encounters before they expire beyond their timely filing periods requires the ability to track every single Self-Pay and Sliding Fee encounter on a daily basis for the full length of each encounters respective timely filing period.

With millions of dollars in retroactive Medicaid at stake, and a limited period of time in which a healthcare provider can be retroactively reimbursed, it’s critical to have an effective and economical solution for tracking self-pay and sliding fee encounters daily to ensure every single retroactive reimbursable encounter is caught and collected.

100% Contingency • No Integration Required • Month-to-Month Agreement • No Software to Install

RetroCAID^® provides a safety net that
Institutional Providers simply cannot afford to be without!

100% Contingency
No Integration Required
Month-to-Month Agreement
No Software to Install

How Does It Work?

Learn how our 100% Contingency service is implemented by phone in less than 60 minutes with no integration required or complicated software to install.

Schedule a Conversation!

We promise..., no long winded sales pitches or PowerPoint presentations. Just a straight forward conversation about your facility and what we provide for facilities just like yours around the country.

Contact Us

How Does It Work?

Learn how our 100% Contingency service is implemented by phone in less than 60 minutes with no integration required or complicated software to install.

Schedule a Conversation!

We promise..., no long winded sales pitches or PowerPoint presentations. Just a straight forward conversation about your facility and what we provide for facilities just like yours around the country.

Contact Us