Hospital Reimbursement and Receivables Management

• Medicaid eligibility enrollment, billing, denial management and appeals.
• Disproportionate Share (DSH) qualification, consulting and cost report review. 

Services to Optimize Reimbursement

• Full-Service Eligibility Enrollment – Our Eligibility Enrollment Service^SM specialists help uninsured patients achieve eligibility for Medicaid and other government healthcare programs to reimburse providers for healthcare services.
• QUICKReferral Out-of-state Medicaid enrollment – These are the fastest and easiest ways to turn out-of-state and other stalled and problem self-pay accounts into cash.
• Disproportionate Share Services^SM    – Human Arc’s experts ensure that hospitals receive appropriate funding through the state DSH pool in compliance with all requirements, and  review client Medicare and Medicaid cost reports to assure accuracy in future DSH distributions.
• PayerLogic^SM Out-of-state Medicaid Solutions  – Our PayerLogic specialists turn problem accounts into cash, from highly effective out-of-state Medicaid billing, follow-up and provider enrollment to payment verification.
• PayerLogic^SM Denial Solutions  – Human Arc PayerLogic experts solve health care providers' denial problems through 1) aggressive, accurate appeals, 2) focused client reporting on denials and how to address their root causes, plus 3) all the right inputs required to institute ongoing denial process improvements.
• PayerLogic^SM Legacy Conversion Advantage – Human Arc effectively and cost efficiently assumes management of all unpaid insurance receivables in your legacy system; our specialists are highly skilled with all kinds of systems including many proprietary PFM systems.
• PayerLogic^SM RAC Response - This service leverages Human Arc's experience in denials management and claims adjudication so you can prepare successfully for RAC reviews, track reviewed accounts within RAC guidelines, improve in-house processes to comply with RAC requirements and minimize future audits in areas of risk.  Clients also benefit from the industry’s most experienced denials appeal team.

2009 - 2010 Federal Poverty Levels by Family Size and Multipliers

• 2009 - 2010 Federal Poverty Level calculations are shown by family size, broken out into annual, monthly and hourly terms, and also presented in multiplied form (120%, 135%, 150%, 200%, 250%, 300%, 350% and 400%).