Each year, health care providers incur significant uncompensated care costs by providing services to clients who cannot afford them. However, these clients may be eligible for Medicaid, Charity Care, other assistance programs, or might have unidentified third party insurance coverage.

MAPS utilizes dynamic web based technology to provide a mechanism for health care providers to manage this complex eligibility assessment process as well as provide a means to ensure that facilities are in full compliance with internal and State policies.

Key Features:

• 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)

Key Benefits:

• Maximizes and assures cost recoveries utilizing a highly sophisticated yet easy to use interview and referral process to accurately IDENTIFY POTENTIAL ELIGIBILITY AT POINT OF SERVICE for Medicaid, Charity Care, and other benefit programs.
• Generates additional revenue and improves cash flow
• Reduces uncompensated care cost/bad debt write offs
• Streamlines the client intake process
• Ensures regulatory compliance
• Reduces denial rates by providing accuracy and consistency in the financial interview process
• Increases staff productivity for business office and financial counseling personnel
• Provides a vehicle to monitor the status of submitted applications and forms
• Provides a detailed reporting mechanism for management control and utilization