Medicaid Screening – Faster, Easier, More Accurate

Human Arc’s IQualify Medicaid screening option to its Eligibility Enrollment Service^sm makes it possible for you to achieve the most effective and cost efficient Medicaid screening as well as unequaled enrollment results.  IQualify combines our 27 years of eligibility enrollment expertise with the latest information processing technologies to support optimal community benefit, patient experience and reimbursement outcomes.  Web-based IQualify allows your staff to screen - quickly and accurately - their self-pay patients for Medicaid and charity care programs.

• Medicaid screening for 100% of your self-pay patients.
• Increasing your Medicaid reimbursement while lowering your bad debt and reliance on charity care.
• Lowering cost of service below those associated with traditional eligibility approaches.

Why IQualify Medicaid Screening is Especially Relevant

Hospitals today face many challenges just in correctly identifying uninsured patients, let alone securing their Medicaid or charity care eligibility.  These include rapid uninsured population growth, the pressure of healthcare reform in generating added need for Medicaid assessments, increasing scarcity of trained staff to negotiate the changing protocols of eligibility processes, steep opportunity costs of having to focus them on self-pay accounts, legal requirements to document consistent community benefit across patient populations, etc.  These factors easily can cost a hospital millions of dollars that could otherwise flow to the positive side of its balance sheet.  And these factors are what IQualify helps address.

IQualify Medicaid Screening – Key Features

Human Arc’s optional IQualify Medicaid screening and referral tool for the Eligibility Enrollment Service (EES) is a nimble, electronic assistant, always ready with program eligibility answers… right at your fingertips.  IQualify uses Human Arc payer program rules and subsequent eligibility determination algorithms perfected over a quarter century of experience in eligibility and enrollment, as well as technology already proven in dozens of customer sites. 

• Quick and Easy: Leading users through less than a dozen simple Medicaid screening questions, IQualify’s intuitive “Quickscreen” display and interactivity easily can deliver potential Medicaid and charity care eligibility determinations in fewer than five minutes.  That reduces strain on staff, improves efficiencies and upgrades work accuracy.  And in very tangible terms, you reduce per-patient administrative cost.
• Flexible: IQualify also can be configured optionally with a complete set of tools that allow you to process and disposition all of your charity care-eligible accounts... accurately, efficiently and customized to your facility’s specific program parameters.  These tools include prioritized work lists, auto-populating applications, document scanning/archiving and account-level status reporting to help you meet your Form 990 requirements.. 
• Inpatients, Outpatients, ED Patients: IQualify Medicaid screening technology is totally portable and works 24/7 to determine eligibility for inpatients, outpatients and ED patients… wherever you need it in your facilities.
• Quick Follow-up from Our End: Upon determination of potential Medicaid eligibility, as your “electronic screening assistant,” IQualify automatically transfers the account to a highly experienced Human Arc representative who will initiate follow-up and application enrollment support.  With IQualify, you and your staff are assured that there’s no unnecessary waiting, loss of data or mistakes.
• Minimum IT Impact at Your End: Human Arc IQualify Medicaid screening and referral technology uses HL7 integration protocols, the standard file protocols your own hospital systems use.  This means no expensive system integrations and minimized IT impact to you.
• 100% Compliance Guaranteed: We know how important compliance with HITECH and HIPAA requirements is.  IQualify is proven to meet those protected health information and proprietary hospital data requirements completely, without exception.

IQualify Medicaid Screening – Benefits Summary

• Improved performance of an eligibility and enrollment vendor at a lower cost of service.
• Optimized reimbursement from screening both inpatients and outpatients, anywhere and anytime, through internet connection or IT portal.  You miss no opportunities.
• Quickest reimbursement because we get your referrals quickly and automatically, we respond FAST, and your reimbursement is paid directly to you, never through us.
• Increased staff efficiencies through easy-to-use, automated screening and referral processes.
• Improved accuracy with no data collection omissions or transfer errors.
• Minimized IT impact due to modern, SaaS-based delivery model with standard HL7 system integration protocols.
• Built-in flexibility and adaptability to handle service expansion opportunities across points of service and new facilities.
• Maximum compliance by meeting 100% of HITECH and HIPAA requirements for PHI.
• Accurate management reporting of hospital fiscal, patient experience and documentable community benefits.

Human Arc, from its traditional back-end Medicaid eligibility enrollment support services to its newest IQualify eligibility screening technology, helps you meet your requirements and objectives for staff effectiveness, cost efficiency, reimbursement, quality of patient service, and fully documentable community benefit.

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