Receivables
- Review and Recover All Medicaid Receivables
- Business Office Operations Review
- Interim Aging Report Clean Up
- Training
- Short Term Staffing
- Follow Up
Review and Recover All Medicaid Receivables
In today's environment of an ever-tightening budget crunch, receiving payment for all days a resident is in a facility is critical to the bottom line. H.C.R.S. will identify all recoverable Medicaid days for which a facility has not been paid, determine and take those actions that must happen, and follow up until payment is credited to the clients account.
This can be a one-time process. However, for long-term effectiveness, we find that financial review should be combined with a thorough review of procedures and some amount of follow up.
The resulting quick infusion of cash provides management with opportunities not previously available.
This review generates maximum receivables when combined with a complete Nursing review and TILE assessment. Please refer to our Nursing section.
Business Office Operations Review
No one would intentionally loan money to a very wealthy friend at no interest. Yet that is exactly what is happening when Medicaid receivables are not in the clients' account. The name of the game is Cash Flow! We do not want to leave Cash On the Table.Effective policies, procedures, organization, quality controls, and accountability are the keys to minimum A/R balances. To reach and maintain minimum A/R balances, we will conduct a review of business office operations for these items and make appropriate recommendations.
The Texas Medicaid payment system, TDHConnect, is designed to pay ONLY those amounts the facility and the Medicaid Eligibility workers have appropriate forms in place to support. Thus, Medicaid debits on an Aging Report are virtually always a result of mis-booking and are not real. H.C.R.S. in concert with approved facility accounting guidelines can identify and correct incorrect bookings. Implementation of these corrections and the supporting identification procedures will provide the facility with accurate A/R information with which to manage the business.
Turnover of personnel in our industry is horrific. Bookkeepers are no exception! And now with Texas implementing yet another payment system for Long Term Care (CMS to TDHConnect), there are very few options for new personnel to become competent in Medicaid receivables.
H.C.R.S. can help fill this void with thorough training of those involved in all aspects of Medicaid receivables: TDHConnect (MESAV, Claims, Claims Status Inquiry, R&S, etc), CFS (3618, 3619, 3652 forms), Provider Billing, and all other resources including the appeals process. Special emphasis is placed on the cooperative interface between the business office and nursing, but we don't forget admissions' special contributions either.
Training is available one-on-one, for one facility's staff, or as a seminar/workshop for multiple facilities.
H.C.R.S. can provide staff for all Medicaid related requirements on a short-term basis.
Our goal is to have all client facilities fully functional with their own staff. Thus our follow up services are intended to refresh and supplement items covered in previous on-site visits.
After our initial visit, a 60-day follow up is usually recommended. Experience has taught us that it takes only one to three of these quick reviews to accomplish the desired results, though some facilities prefer to keep up reviews as long as corrections are necessary.
Thereafter, an annual bookkeeping review and a semi-annual Nursing review are recommended to maintain maximum Medicaid revenue.
Following all work done by H.C.R.S.; we conduct an exit conference followed by a written report itemizing our findings and recommendations.
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