Eligibility Determination for Hospitals – Removing a Critical Pain Point

Improving your revenue cycle means eliminating the potential for bad debt.

The best way to do that?

• Know who your patients are before they set foot in your hospital
• Help them apply for the medical assistance programs for which they’re eligible

Today it’s more critical than ever for hospitals to bucket their self-pay patients correctly. It’s a job that needs to be done, a job that can be a drain on resources that are already stretched thin, but – at ClaimAid – a job that’s nothing less than our core competency.

That means you can focus on what you do best, while we take care of what we do best.

Our experienced advocates are specifically trained to help determine eligibility quickly and accurately. We do it by:

• Meeting patients wherever it takes, whether it’s at your hospital or in their homes
• Asking the right questions that elicit critical and relevant information
• Leveraging years of experience navigating the complexities of Medicaid and state-specific programs like the Healthy Indiana Plan

We then help patients apply to the right programs for them. We help them compile and – if needed – apply for the documents required for enrollment, including:

• Birth certificates
• Pay stubs and other wage verification documentation
• Social Security cards
• Proof of residency

Ultimately, you’ll know who is eligible for Medicaid and other programs, as well as who can pay and who can’t. And that means timely reimbursement and revenue for you.

Contact us today to learn more.