Each year, health care providers incur significant uncompensated care costs by providing services to clients who are uninsured, underinsured and have limited ability to pay. However, these clients may be eligible for Medicaid, local benefit programs, Charity Care, hospital discount programs, or may qualify for low-interest financing.

Many of the critical questions facilities face include ways in which they can: improve revenue generation, ensure regulatory compliance, and improve cost savings and customer service to provide an efficient system for their staff and patients.

• Automates the eligibility screening, submission, tracking and management of State mandated and hospital specific Charity Care programs
• Screens the applicant for the complete array of assistance programs for which the applicant may be eligible in a single interview session
• Utilizes “Quickscreen” technology to rapidly assess eligibility and allow for 24/7 coverage at all intake points
• Assesses eligibility for ALL household members reducing future uninsured encounter costs
• Links the screening results to the appropriate forms and populates them to expedite completion
• Supports optical scanning of supporting documentation via electronic checklists
• Maintains an electronic copy of all applications and supporting documentation
• Tracks the status of all applications
• Produces management reports that detail status of cases in defined date ranges, on worker productivity and performance
• Interfaces with internal hospital HIS systems (where applicable)

Our Solution: ESP utilizes dynamic technology to provide a mechanism for clients of MedAssist to receive optimum assurance for the recovery of costs of services provided to the indigent and uninsured population.

ESP will assist MedAssist and their clients

• Maximize revenue and assuring cost recoveries for the uninsured
• Reduce uncompensated care/bad debt costs
• Reduce average days in A/R
• Ensure that 100% of all self pay clients are screened for assistance
• Ensure compliance with all regulatory agencies in assessing eligibility correctly
• Assist providers in supporting their non-profit status
• Increase staff productivity
• Improve customer relations and better serve clients
• Provide for centralized records & detailed reporting including status reporting and the opportunity to track Medicaid, Disproportionate Share and Charity enrollment statistics
• Implement a means to share and manage this data across multiple sites