ELIGIBILITY SERVICES

Nobody turns self-pay into recovered cash like we do.
The comprehensive HCFS recovery system encompasses the greatest number of state and federal programs as well as those offered by commercial carriers. Being experienced with all of them, we don't skip revenue sources for lack of internal procedures, and never overlook a new source for lack of an existing plan. Even when your patient is Medicaid-covered, HCFS often finds additional non-Medicaid dollars.
Because HCFS is nationwide and not a government entity, no eligible entitlement program is beyond our power to pursue. We do all the reimbursement eligibility legwork, from assistance with the admission forms, to the identification of appropriate programs, the applications process, and expedited approval.
We do what your own employees do not.
In fact, HCFS does anything and everything sensible to accomplish the goal, including transporting patients and meeting them at home or wherever necessary.
We do what government Health Services workers cannot.
Including the acquisition of birth certificates or other necessary documentation…travel to landlords, employers appraisers, DHS offices, or wherever necessary…searching out and verifying other medical bills to meet clients Medicaid Spend-Down obligations…attending hearings and presenting evidence…providing a Medicaid billing number to the hospital for discharged patients…and more.
We do what our competitors simply will not.
HCFS works every account, not just the few with best prospects and highest returns. We begin as soon as the self-pay patient presents and can take it right through appeal and collection.
Our wholly professional on-site and field personnel work one-to-one, assisting and searching in whatever way necessary to assure that every possible account is worked, and worked well. HCFS incentives are structured to assure it - instead of a commission-based program that would encourage fraud, our employees are salaried.
HCFS people know the way.
These HCFS representatives perform only one job-establishing and securing third party payors, giving such information to the hospital as soon as possible. They are salaried professionals, with "people-person" qualities. Each follows individual patients through the entire documentation and claim process, meeting patients at home, after hours, or whenever needed to expedite the process.
Supported by our sophisticated database and reporting systems, they have specific knowledge of third-party payors, often having professional relationships with appropriate personnel. Our employees' experience includes Social Security Income (SSI) recovery, and our patient guidance includes claims and appeals in this area.
As an extension of the hospital, HCFS representatives dress and act appropriately, and never forget where we fit in the hospital's plans. Our experience in serving a wide range of hospitals means we have trained personnel ready to begin working for you.
And you'll know your results.
Timely, detailed reports on every patient account will aid the efficiency of your billing personnel, and let you see at any time exactly how we are doing.
Every account is internally audited by a separate HCFS department. Our reports describe the status of pending accounts and forecast eventual cash recovery. We display cash received compared to discharge balances expressed as a percent, monthly, quarterly, annually. And we do it all without prodding.
If desired, we will also bill all accounts assigned to us at no additional charge, freeing up your fulltime employees for other matters. Your billing process also benefits from our synergy and comprehensive expertise.
HCFS recovers more.
Without resorting to practices you could have to recover from.
Are you currently inviting fraud? Sooner or later, an on-site commission based employee may be tempted to speed his or her payment by taking an illegal "shortcut", such as forging an anticipated signature. Even just one infraction could have a highly disruptive effect on your image and operations. HCFS removes the temptation. Unlike some of our competitors, HCFS does not compensate on-site workers on a commission basis.
Rather than encourage improper practices, our incentives are designed to maximize the scope of our workers' efforts. The HCFS compensation structure assures that our workers are working every account. So you'll know that no available cash is being left on the table.
We verify this through timely on-premises audits of every account. It's your further assurance that HCFS will produce a more positive recovery picture for your facility, through practices that reflect positively on you.
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