Are You Losing Thousands of Unclaimed Retroactive Medicaid Reimbursements?

I get contacted by vendors all the time asking to show me how they help FQHCs with this or that. Most of the time, I make a mental note of it, or put it in my health center resource list, and only mention it to clients who need help solving that specific problem.

So, when the CFO from Fix Healthcare Technology (Fix HT) scheduled a call with me, I didn't think much of it. I have always been a big believer in having a professional network, so I was happy to jump on the call, but had no idea how impressed I would be with the software his company has developed, and the results they are getting for FQHCs all across the country.

Healthcare facilities across the country are leaving significant money on the table every single day. The culprit? Retroactive Medicaid claims that go undiscovered until it's too late.

The Hidden Revenue Challenge

If you manage billing for a healthcare facility, you're likely familiar with this scenario: A patient comes in as self-pay, but later becomes eligible for Medicaid retroactively. By the time you discover this eligibility change, the timely filing window has closed—and those potential reimbursements are gone forever.

This isn't just an occasional problem. Every day, potentially billable encounters within your system become eligible for retroactive Medicaid reimbursement. And every day, these opportunities expire because they aren't caught and billed in time.

Beyond Simple Eligibility Checks

The traditional approach of periodic eligibility checks simply doesn't work for capturing retroactive Medicaid opportunities. Why? Because a patient's Medicaid benefit profile is constantly in flux:

• Initial denials may be appealed and approved months later
• Patients might be slow to provide proper documentation
• Eligibility can be lost or gained
• Scope of benefits can expand or decrease
• Secondary and tertiary payers can be added and removed

This fluidity demands more than just checking eligibility—it requires continuous monitoring of each patient's benefit profile.

Introducing RetroCAID®: Your Retroactive Medicaid Safety Net

That's where RetroCAID® by Fix Healthcare Technology comes in. Acting as a safety net, this innovative solution monitors the eligibility status of every unpaid encounter within your system on a daily basis for 365 days, or until it expires past timely filing.

If an encounter becomes eligible for retroactive Medicaid at any point within timely filing, it's immediately caught and reported back to your billing team with all the information needed to submit the claim.

The RetroCAID Advantage

What makes RetroCAID truly stand out is its:

• Daily tracking of every uncompensated encounter for the full timely filing period
• Automated email alerts whenever eligibility or benefit profiles change
• Comprehensive billing detail with all essential information required for reimbursement
• No integration required - implemented by phone in less than 60 minutes
• 100% contingency-based model - you pay nothing unless they find billable encounters and you get paid

Risk-Free Implementation

Perhaps most compelling is their commitment to results: RetroCAID operates on a 100% contingency basis. You only pay after your facility is reimbursed by the payer. They even offer a $5,000 guarantee—if they don't find you at least $5,000 in retroactive claims, they'll compensate you for the difference.

Who Benefits From RetroCAID?

This solution is perfect for a wide range of healthcare providers:

• Federally Qualified Health Centers (FQHC)
• FQHC Look-Alikes
• Rural Health Centers (RHC)
• Community Health Centers
• Healthcare for the Homeless Facilities
• Hospitals and Health Systems
• Behavioral Health Centers (CCBHC)
• Substance Abuse Treatment Centers
• Laboratories and Toxicology Facilities
• Community Dental Care Facilities

Take Action Today

Stop leaving money on the table. Schedule a no-obligation consultation with RetroCAID today to learn how they can help your facility capture every retroactive Medicaid reimbursement opportunity.

>>>Schedule Your Consultation Now<<<