ELIGIBILITY DETERMINATION FOR HOSPITALS

In economic terms, generating reimbursement revenue comes at a cost – you pay a vendor or you pay a salary.  But it’s not an apples-to-apples comparison.  Because the difference between a vendor invoice and a salary package is measured less by what you pay and more by what you get.  ClaimAid helps you get more.

Eligibility determination is our core competency, and the only job of a ClaimAid consultant assigned to your business office…not that you’d see them at their desk very much.

Success in eligibility determination relies on complete and accurate information gathered to meet precise guidelines.  That means two things:  One, we have to get out to talk to patients -- during their stay, in their homes, wherever we can.  And two, we have to ask the right questions.

Our consultants are both highly-considerate interviewers and keenly-aware Medicaid experts.  The applications we submit are approved at significantly higher rates than our clients who were previously relying on staff.

That means more revenue, more staffing options, and less uncertainty. 

Along the way you’ve reduced receivables, preserved dollars for charity care and helped more patients stop worrying about how they were going to pay, and focus on getting better.

See, we said it was really about people.  Some of them happen to be CFOs.