How to Work with Patient Eligibility for Medicaid in Revenue Models

Determining patient eligibility for Medicaid is the first important step every healthcare provider should do when receiving uninsured patients. Failure to do so can lead to negative consequences for both the patient and the receiving practice. A patient advocacy system, such as one offered by DECO Recovery Management, can be useful in educating uninsured patients about their benefits under the ACA, and helping healthcare providers properly secure their revenues.

Healthcare claims can be denied if the patient cited inaccurate coverage information or simply lacks the authorization to enjoy medical services or treatments. These denials can hold up the revenue flow, stifling the payment due to the healthcare provider. Denied claims from uninsured patients can quickly add up over time, and can eventually lead to large losses for the practice involved.


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