One aspect of third-party eligibility that is likely not getting enough attention from your vendor or in-house team is SSI/SSDI reimbursements. This is where we see significantly more at-risk dollars and, when followed through properly, makes up the bulk of conversions recovered for our hospital clients. Based on data we collected firsthand, while SSI/SSDI makes [...]
By now, secondary eligibility has made a name for its self in the Hospital Revenue Cycle, but depending on your experience with this service there may be some mixed feelings about it. Typically, secondary Medicaid eligibility is used as a safety net behind primary vendors or in-house teams to maximize revenue recovery opportunities that may [...]
Losing self-pay dollars is not a fight you should walk away from. Whether your facility manages eligibility in-house or has partnered with a vendor, there are still parts that need monitoring to make sure you and your patients come out the winners. We have been asked to perform hundreds of eligibility audits to determine if [...]