Human Arc's Eligibility Enrollment Servicesm (EES) employs
very systematic, proven protocols and follow-ups to help patients
successfully achieve eligibility for Medicaid and other government
healthcare programs.
Why EES is Relevant
In the United States, the number of people lacking healthcare insurance coverage
rose to 47 million in 2006, or 15.8% of the population, up from 44.8 million, or
15.3%, in 2005, according to the U.S. Census Bureau.
They often don't seek adequate healthcare or don't have availability to it.
There is too much pressure on emergency rooms to function as doctors' offices
for the uninsured. Hospital staffs too often view the uninsured only in terms of
their charity care cost. Also, many healthcare providers do not have the
expertise or staff time to tackle the job of Medicaid eligibility and
enrollment. To address these important issues, EES provides a comprehensive,
proactive approach and the right resources to determine potential Medicaid
insurance eligibility and then arrange that eligibility through interviews (even
at bedside or patients' homes), application assistance and all required
interface with Medicaid offices and other relevant governmental agencies. The
result increases the insured population and significantly expands access to
quality healthcare services.
Major EES Benefits
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Maximized revenue stream - with reimbursement typically secured on more than
75% of accounts accepted for processing, in some cases even up to 95%.
-
Improved cycle - with AR cycles commonly shortened by 10 or 20%, sometimes
more.
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Minimized cost profile - with bad debt postings often reduced by 5%,
sometimes 15% or even more.
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Optimum public service and image - with outreach to more than 20% of
patients we've interviewed with valuable shelter, rent assistance, food,
utilities, medicine, clothing, infant and other needs at no cost to them or
their providers.
 The
Next Generation of Eligibility Solutions
For those
hospitals wishing to improve the effectiveness and efficiency of their
in-house eligibility/enrollment, Human Arc is introducing a unique,
Internet-based eligibility screening and enrollment solution that
improves the healthcare experience for uninsured patients and
increases reimbursement and account processing efficiencies for hospitals.
This part of the expanding suite of Human Arc hospital offerings is joined
by custom process consulting and financial counselor training as well as an
on-demand version of our industry leading Eligibility Enrollment Service.
Users of the system not only improve service
to their uninsured patients but also realize increased reimbursement and the
cost savings inherent with higher operating efficiency and accuracy.
In addition, this solution allows hospitals to conclusively demonstrate and
document high levels of community benefit.
The Human Arc Edge
Human Arc gives you an unmatched array of advantages:
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Experience - Human Arc has over two decades of experience with Medicaid
eligibility and enrollment. Since 1984, we've submitted hundreds of
thousands of Medicaid applications, and our eligibility-related services have
produced a billion dollars in incremental cash flow for our clients. We conduct
thousands of eligibility-related interviews every month.
-
Focus - Healthcare eligibility and enrollment are and always have been our
core business. We are - and will be - focused on our clients' reimbursement
success and their clients' healthcare access. They are our reasons to
be.
-
Very flexible, consultative approach to your business - We use individually
tailored processes to optimize fiscal success for inpatient, outpatient,
low-dollar and other accounts.
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Comprehensiveness - Human Arc doesn't just interview or process applications
for Medicaid programs or disproportionate share funding; we provide total
support from insurance verification through billing and follow-up services for
all approved accounts.
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Making business human - We actually interview a vast majority of self-pay
patients prior to their discharges. And our fundamental belief in promoting
patient dignity throughout these processes translates into a more satisfied
customer base.
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Knowledge plus - Our complete reporting insures our clients they will know
what we're doing, when and how well, account by account, so there's no
guesswork about our partnered eligibility efforts.
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Security - Human Arc is 100% trained in HIPAA requirements. You can be
totally assured that your patients' privacy and information confidentiality are
fully protected
EES Case Studies
Nothing speaks like proof, so here's how EES has actually helped its
clients.
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