Georgia FQHC Case Study


  • Month by month snap shot over the past two years.
  • 15,753 self-pay/sliding fee encounters tracked daily.
  • 470,000 eligibility inquires per month.
  • Over $416,000 in Retroactive Medicaid recovered.

Retroactive Medicaid captured and reimbursed as a result of RetroCAID

Year Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec TOTAL
2021 $39,652 $35,356 $15,644 $14,834 $57,999 $82,569 $61,450 $30,727 $20,591 $47,730 $19,728 $35,662 $472,121
2022 $39,617 $24,443 $29,380 14,146 $84,245 $28,730 $51,732 $67,287 $39,941 $42,080 $34,245 $48,422 $504,268
$976,389

RetroCAID® is monitoring more than 100,000 self-pay/sliding fee encounters for this GA FQHC.   The Medicaid status of each encounter is monitored daily for 365 days or until it expires beyond timely filing.  The moment an encounter becomes eligible for reimbursement, the facility is notified and provided with all of the pertinent billing information required for submission.


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

There's truly nothing to Lose...

...and thousands in Retroactive Medicaid to gain!

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Case Study 1 was last modified: June 27th, 2023 by Howard