Patient Medicaid eligibility check could be boon to midsized hospitals

Midsized hospitals can increase revenue recovery by identifying insured patients who are also eligible for Medicaid, suggests a TransUnion Healthcare analysis.

The analysis, released Feb. 12 at the HIMSS 2019 conference, found that this identification can increase revenue recovery tied to Medicare bad debt and secondary Medicaid by more than $500,000 over three years.

"When hospitals limit their insurance discovery strategy to self-pay patients, they are missing an opportunity to maximize reimbursements from insured sources," Dave Wojczynski, president of TransUnion Healthcare, said in a statement. "A complete revenue recovery approach that looks for additional combined coverage for Medicaid, Medicare and commercially insured patients can increase revenue, decrease costs and prevent bad debt."

The analysis included more than 50,000 cost reports over a 10-year period from more than 100 hospitals with 250 to 350 beds. 


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