Medicaid eligibility conversion and collections improved by optimizing enrollment processes.

Case Study

Medicaid eligibility conversion and collections improved by optimizing enrollment processes.

For this academic health system of 1,104 beds and $1.8B NPR, Medicaid eligibility processes were highly manual and workflow had not been assessed since their Epic transition. This resulted in fewer conversions, less than expected revenue and many referrals being placed in error, unnecessarily tying up resources. Inventory visibility was lacking which led to questionable value of accounts and the loss of potential ER revenue.