RetroPay™ – Retroactive Medicaid Coverage

A surprising percentage of your self-pay and charity-care patients become eligible for Medicaid long after their initial visit. This is the result of retroactive Medicaid coverage available in most states, helping alleviate some of the financial burdens healthcare providers face.

Once patients successfully enroll, their retroactive coverage can apply to care provided in the months before enrollment. That turns uncompensated care into meaningful revenue for your organization. Using RetroPay™, we can ensure that your organization does not miss an opportunity to capture these retroactive Medicaid payments and help you maximize your revenue.

As your revenue-cycle partner, ltruis continually analyzes all of your self-pay encounters for the last 365 days. This identifies when a patient qualifies for retroactive coverage through Medicaid or an MCO. We then bill the encounters and collect every dollar for this previously uncompensated care. Our thorough process means that you do not leave any potential revenue on the table.

We deliver all payments to your organization just like any other insurance reimbursement, facilitating a smooth and efficient financial process.

Our RetroPay™ service is a pay-for-performance service, and you owe us nothing until the insurance provider pays you.

Real-World RetroPay™ Results:

In the first month of using RetroPay™, an Altruis client received an additional $500,000, increasing their Medicaid reimbursement by more than 2x. Working with Altruis, the client continues to realize $100,000 per month in increased revenue using RetroPay™.

Altruis RetroPay™ creates new revenue streams by automating Medicaid coverage identification and retroactive payer billing. It strengthens patient satisfaction while boosting revenue that would otherwise go to bad debt. RetroPay™ requires no set-up or integration fees, and no software installation, making implementation fast, easy, and cost-effective.

The impact of RetroPay™ extends beyond immediate financial gains; it cultivates a comprehensive approach to revenue cycle management. By streamlining billing processes, healthcare providers can concentrate on delivering exceptional patient care without the constant pressure of financial uncertainty. Improved cash flow allows organizations to invest in staff training, upgrade technology, or expand services, ensuring better outcomes for patients and stronger sustainability for the organization. Leveraging our RetroPay™ to identify retroactive Medicaid coverage sets the stage for ongoing financial health, allowing healthcare providers to thrive amid ever-evolving payment landscapes. A partnership with Altruis means securing essential revenue while prioritizing patient experience.

Benefits:

• Fast results – see gains in less than 30 days.
• Automated process searches new encounters daily.
• 100% contingency – we only get paid when you get paid.
• Better patient experience and results compared to traditional collection methods.
• Initial investment? One hour of your time.