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Eligibility Solutions
CHESS
OOS
Undocumented Alien Program
TPL
Presumptive Charity Scoring Solutions (PARO®)
Denials Management & Appeals
Specialty Accounts Receivable Solutions
Pre-Bad Debt Solutions
Early Out / Self Pay Collection Solutions
Revenue Cycle Consulting





 
OUT-OF-STATE BILLING AND ENROLLMENT
We Have Expertise in Morocco So You Don't Have To Be In Timbuktu

Cardon regularly qualifies patients from all over the country, so we've got the experience in each location necessary and the resources to handle any difficult situation. We have the knowledge, contacts, and resources to make the out-of-state reimbursement process more thorough and efficient in all 50 states.

Our dedicated Out-of-State Medicaid Billing and Enrollment Unit focuses exclusively on out-of-state Medicaid enrollment and billing. Our unique offering helps our clients with the complicated task of obtaining Medicaid reimbursement from other states. This specialized group works out of strategically selected regional offices providing you both a high impact control center and dedicated local response capabilities that distinguish our solution from anyone else's. At a minimum, our Out-Of-State Billing & Enrollment Solutions will:

  • Significantly increase hospital reimbursements on out-of-state cases
  • Reduce out-of-state Medicaid AR days
  • Decrease the amount of outstanding out-of-state Medicaid receivables
  • Ease the burden for admitting, case management, billing and cash posting hospital and business office staff
  • Provide a separate tracking mechanism for out-of-state Medicaid reimbursement and enrollment
  • Ease the burden on hospital contracting staff that would normally have to keep each enrollment and active provider number current with each state in the country
  • Identify additional disproportionate share (DSH) dollars for patients with out-of-state Medicaid coverage.

We have the people, technology, and time it takes to work these accounts. It requires a massive effort and we are experts at doing it.

Contact us to learn about our Out-Of-State Billing & Enrollment Solutions and everything that our third party eligibility solutions can do for you.

 

 
 
 
 
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* HFMA staff and volunteers determined that this product has met specific criteria developed under the HFMA Peer Review Process. HFMA does not endorse or guaranty the use of this product.