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.
• IQualify Medicaid screening and referral - The IQualify option gives our Eligibility Enrollment Service clients an advanced, web-based technology to make their Medicaid and charity care screening markedly faster, easier and more accurate.
• Charity Care Advantage with IQualify technology - We offer this easy-to-use, web-based software solution that lets you screen eligibility for, process and then disposition self-pay accounts for your facility’s specific charity care program, all in as little as 10 minutes or less per patient.
• 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 Denials Management Solutions  – Human Arc PayerLogic experts solve healthcare providers' denials management 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.

2012 Federal Poverty Levels by Family Size and Multipliers

• 2012 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%).

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