Operator Financial Services
The current state and federal budgetary environment has led to significant cuts in reimbursement rates. Nursing facility operators are challenged to manage systems to maximize revenue potential and control costs. GCS utilizes a combination of experience and innovative technology to support operators in this endeavor. Our specialists, unlike most facility staff, do not have multiple duties and responsibilities and are able to put their focus on the Medicaid pending cycle. They are trained to follow a structured process with clearly defined performance goals.
Medicaid Pending Management
The purpose of our methodology is to manage the entire Medicaid application process. GCS Medicaid specialists include past HHSC Medicaid eligibility workers and know how to position applications for approval. We aggressively pre-screen each referral to reduce denial potential. Our data verification is unique and surpasses that usually conducted at the facility level. Applications are electronically produced and submitted. GCS Medicaid specialists use a proactive process of reaching out to HHSC case workers. The end result is fewer denials, early detection of pending denials and a shortened pending cycle. By outsourcing the Medicaid application process to GCS, you will reduce your uncollected receivables and improve your overall cash flow.
GCS can assist your operations in collection efforts. Success in these efforts is greatly enhanced when real property is known to exist. By pre-screening your referrals, we are able to identify such assets. Often, a family will settle an outstanding account to avoid a lien on real property owned by the family. Our collection and recovery staff can augment your in-house system or work independently. This service is available to our clients on a contingency basis with no up-front fees.
Typical Pending Cycle Comparison
Why would I want to hire GCS when we can do Medicaid applications ourselves?
Answer: GCS has former HHSC case workers who know how to position the Medicaid applications for faster approvals. You can leverage our competitive advantage and make it yours.
Why would I want to add more costs at a time when I am trying to control expenses?
Answer: Sometimes it is wise to spend a dime to save a dollar. Our systems reduce Medicaid denials, which in turn reduce write offs and decrease costs of labor, food, and supplies. Results – enhanced profitability and cash flow.
What can GCS do that my own staff can’t do to reduce my accounts receivables?
Answer: GCS systems are designed to gain efficiency and deliver a consistent approach to manage the Medicaid application process. Our past HHSC specialists are experienced and have the advantage of innovative technology to assist them.
How can GCS help increase my census?
Answer: GCS has financial advisors/Medicaid specialists who know how to strategically assist families in getting their loved one approved for Medicaid, which in turn, keeps the resident in the facility.
Last year we had to write off $800,000 in uncollected receivables related to Medicaid. What could GCS do to help us?
Answer: By using GCS to manage your Medicaid application process and collections, you can expect to trim 35% to 50% off uncollectables. More reduction is possible.