Eligibility and follow-through for any and all government-funded healthcare programs. We specialize in all types of federal, state and county assistance programs, including but not limited to: Medicaid, SSI, Victims of Violent Crimes, Aged & Disabled and much more.

Our bilingual staff visits patients in the hospital, collecting detailed information to determine eligibility for third-party assistance in paying for their medical bills. Trained to identify the best possible resource for each patient and the hospital, our experts make a quick determination of potential eligibility, often within three hours of referral. We immediately return ineligible accounts back to the hospital so financial counselors can explore other options while patients are still in the facility. We average 91% certification of all accounts initially determined to be eligible.

We minimize processing time and errors by providing step-by-step application assistance to patients before they leave the hospital. After ensuring that all forms are complete and correct, we file the applications, maintain documentation of the filing and actively work each account through certification approval. After providing the hospital with billing information, we continue to monitor each account until payment is received.

We maintain continuous contact with patients and family members throughout the certification process, offering support and ensuring compliance with eligibility requirements. We help patients obtain additional documentation, schedule appointments with agency caseworkers and ensure attendance, providing free transportation or attending appointments when necessary. We review any denials and actively work them through the appellate process if the patient was given a wrongful denial.

Compatible with all IT systems, our ongoing State Eligibility Scan Program is a batch filing system you can use to identify Medicaid-eligible patients and recover any missed payments. Since you only pay on accounts when you receive a payment, it is a cost-effective way to never miss another Medicaid dollar.

RCA will initiate and submit out-of-state Medicaid enrollment applications for all 50 states. In addition, we will bill all out-of-state Medicaid claims and appeal any claims that have been denied.

RCA has developed a proprietary, in-house computer software system that is custom designed for third party self-pay eligibility and disproportionate share. This system can create tailored reports to meet the individual needs of our clients.

RCA will file all liens with appropriate courts, and notify appropriate insurance providers and attorneys of the filed liens. Settlement claim status will be monitored through the insurance provider and/or attorneys.

If an application is denied, we will immediately review each denial and proceed with any necessary filings to correct any wrongful denial. Patients can sign a limited Power of Attorney allowing RCA to represent them in all appellate proceedings.

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RCA will utilize all necessary means to locate patients who have been discharged from the hospital, including making home or field visits to secure signatures, vouchers or documentation and to locate unresponsive patients.

RCA will verify that the patient has means of transportation, and when necessary, will provide adequate transportation for government agency appointments. This service is provided at no additional cost to the hospital or patient. RCA’s bilingual and multilingual staff is equipped to communicate in virtually any language.