Improving Your Bottom Line with GetixHealth Eligibility and Enrollment Services

At Americollect, we have always been Ridiculously Nice when it comes to early out services and bad debt collections, so when we were acquired by GetixHealth it opened our clients to a whole new world of Ridiculously Nice services, including Eligibility and Enrollment Services.

Who is GetixHealth?

GetixHealth is a leading provider of revenue cycle management solutions for healthcare providers, offering a comprehensive suite of solutions. Their capabilities are supported by robust technology tools, healthcare RCM subject matter expertise and three decades of experience.

Eligibility and Enrollment Services

For more than 30 years, GetixHealth has been helping hospitals with eligibility and enrollment services by identifying and applying for state and federal assistance programs in all 50 states. Bedside screenings allow our specialists to walk patients step-by-step through the process with rapid referral follow-ups, allowing them to be there from first contact to final resolution. Eligibility and enrollment services with GetixHealth removes the stress and confusion around paying for care, ensuring patients quickly access the programs they qualify for.

Services that fall under Eligibility and Enrollment Services include:

• In State & Out of State Medicaid Eligibility
• SSI/SSDI Eligibility
• Day One Inpatient
• Day One & Post Discharge Outpatient and Emergency Room
• Medicaid Eligibility Verification
• Retro Eligibility
• Financial Assistance Applications

Eligibility Identification

Identifying patients that qualify for these programs is done using GetixHealth’s customized workflow system, Artiva HCX, which has been tailored specifically to EPALS. It allows us to identify, screen, and qualify patients using tools modelled to your preferred practices.

Patient Screening

The GetixHealth screening tools include income and eligibility criterion, as well as comprehensive internal assessment questionnaires and guidelines. Because this process is so intimate for each patient, our staff are trained to build rapport with each patient while educating them to their role in the process, as well as ours, and the next steps to be taken. They use their investigative skills and ask open ended questions to ensure all information is properly covered.

When our staff is unable to screen patients for any reason, they continue their rescreening attempts while partnering with your case management team. They use a variety of tools to locate and gain the cooperation of patients to make sure we don’t miss patient eligibility.

What Do We Screen For?

Finding the right third-party program is an important step to the eligibility and enrollment services process. GetixHealth checks a variety of Medicaid categories in addition to disability and other programs. These include:

Medicaid Categories

• Parent/caretaker relatives
• Aged, blind, and disabled
• Medically needy
• Pregnant women
• CHIP programs
• Emergency/alien
• Long-Term Care (LTC)
• Qualified Medicaid Beneficiaries (QMB)
• Medicaid secondary
• Out-of-State Medicaid programs
• Breast & Cervical Cancer Program (MBCC)

Disability and Other Programs

• Social Security Disability, Supplemental Security Income (SSD/SSI)
• Crime Victim’s Compensation
• Financial Assistance Programs
• Indian Healthcare Programs
• State and County programs

Always on Call

In addition to our on-site screeners, GetixHealth has a dedicated call center that is centrally located to cover all U.S. time zones. Extended hours of operation maximize screening success rate and advanced dialer technology allows large volumes of inbound and outbound calls.

Conclusion

Now that Americollect is a part of GetixHealth, the goal is to make first patient contact and screen 100 percent of inpatients at their bedside on Day One. By helping hospitals identify and apply for state and federal assistance programs and walking patients through the eligibility and enrollment process, GetixHealth removes the stress and confusion around paying for care. Something that is Ridiculously Nice.