To receive timely and accurate payments from Medicaid the hospital must identify the eligible patient population, the appropriate program source, and must be in strict compliance with Medicaid requirements. The Medicaid program reimbursement is based on the patients eligibility, date of eligibility and service, which can be difficult for a facility if staff is not adequately trained or familiar with the requirements and process of the programs.
In order to receive timely and accurate payments from Medicaid a hospital must identify the eligible patient population, the appropriate program source, and must be in strict compliance will all of the Medicaid requirements.
ELIGIBLE MEDICAID PAYMENTS EQUATE TO RECEIVABLES
The payment of services provided to eligible Medicaid recipients equates to an accounts receivable resolution, provided claims are submitted accurately and timely. PF Concepts expertise in the area of qualifying eligible patients for the various available Medicaid programs, removes the guess work and accurately identifies patients to the right programs. We provide our years of experience and knowledge of the Medicaid program eligibility and process requirements. Our experiences and assistance alleviates the difficulties that are experienced by facilities. As an added value, PF Concepts has the systematic ability to discover Medicaid eligible patients that have been classified into other financial classes. These accounts are mined out of the general population of the receivable and are identified to our clients with an eligible recipient identification number, indicating eligibility for the respective date(s) of service. We can design this service and its flexibility to the exact needs of the client from the point of service through payment resolution.
Typical Improvements include:
Increased Medicaid Reimbursement
Increase in “DSH” fund eligibility
Reduced Accounts Receivable
Decrease in Bad Debt Write Offs and Expenses
Medicaid has many programs that may be of benefit to your patient population. The SSI programs are areas of missed opportunity, if you are not effectively screening and monitoring this area.
The ultimate satisfaction of our clients is a requirement of our corporate objective.