Solutions to Today’s Hospital Reimbursement and Health Plan Revenue Enhancement Issues
- Providing eligibility and other reimbursement recovery solutions to healthcare providers.
- Enhancing revenue/capitation and member retention for health plans.
- Helping people improve access to healthcare and other community resources.
Hospital Eligibility Screening and Enrollment Solutions
For 25 years, we’ve helped hospitals by helping hundreds of thousands of their uninsured, disabled and other patients with special needs to cover hospital costs through Medicaid, disproportionate share (DSH) and other government funded and charity care programs. We are an innovation leader with special technologies to help hospitals make their own eligibility enrollment work as effective, comprehensive and cost efficient as possible. We provide solutions from initial self-pay patient identification and screening to reimbursement program enrollment and even successful denial appeals of all kinds.
Health Plan Revenue Augmentation
Focusing on member retention, we help health plans nationwide get reimbursed for the protection they provide millions of senior citizens, disabled and other special populations. We provide benchmark-setting Medicare Advantage dual eligibility outreach, enrollment and retention initiatives as well as Medicare Part D Low Income Subsidy enrollment programs. We are the technology leader in serving Medicaid health plans with effective SSI and SSD eligibility services, special needs plans with dual verification and re-determination services, and commercial plans with Medicare conversion projects.
Making America Healthier
Our purpose is to improve the fiscal health of our clients and partners in the marketplace while improving access to healthcare and quality-of-life benefits for our nation’s most at-risk populations. To do that, we put the most experienced and committed people together with the latest information technologies to solve complex problems faced by healthcare providers, insurers and the tens of millions of people with special needs who depend upon them. We partner with other companies and non-profit organizations to leverage and magnify the benefits we bring to our communities and our nation at large.