Patient Eligibility Tracking - Monitor HMO Coverage
As part of our commitment to your agency’s success, HEALTHCARE
first innovates solutions that not only empower you and your patients, but protect.
The patient tracking software in Business Intelligence is designed and supported exclusively for agencies like yours. It ensures your reimbursement and your patients’ proper care through comprehensive, proactive reporting that gives you advance notice of any change in Medicare patient eligibility and empowers you to act.
HMOs are targeting your patients in record numbers. When a region is under HMO siege, patients are inundated with a battery of coordinated television, radio, direct mail, and telemarketing
campaigns. These tactics are working – and HMO enrollees are growing at exponential rates. Often patients are not even aware they have elected HMO coverage, nor that their choice may limit their Home Health Care benefits.
By the time agencies like yours learn that a patient has enrolled in an HMO, often the patient’s window to revert back to Medicare Home Health Care coverage has expired. Worse, agencies are finding that in cases where the HMO has limited or no benefits, they may have already provided months of care that will never be reimbursed. Agencies have already lost hundreds of thousands of dollars due to unnoticed changes in patient eligibility.
This patient tracking software notifies you as soon as information that a patient has elected HMO coverage enters the Centers for Medicare and Medicaid Services system. This advance notice allows you to implement patient education strategies to return the patient to Medicare. More importantly, armed with the Patient Eligibility reports, you can make adjustments to keep from providing care that will not be reimbursed.
Contact HEALTHCAREfirst
today, and learn how
Patient Eligibility in Business
Intelligence can help your patients well-being and your hard work.