· Completing MassHealth/Medicaid application with the Resident/Family members/POA/Guardian and or Conservator · Assistance with all necessary documentation needed for the application process · Assistance in responses to all MassHealth inquiries for; Additional Information Requests, Denials, etc. · Filing MassHealth Appeals/Denials as necessary · Attending all hearings on your application with the MassHealth office · Free consultation with an Elder Law Attorney who specializes in MassHealth at your home, place of business, nursing home or our convenient office locations · We offer evening and weekend appointments
For the Nursing Home;
The application process is cumbersome at best and often requires many contacts with the client's family and MassHealth before the resident is approved - not to mention issues that cause further delays such as additional verifications, disqualifying transfers, trusts, etc. This obviously can severely impact the facility's financial performances by increasing A/R days and potential bad debt. Utilizing in house staff to process the necessary forms can take a significant amount of time, thereby creating additional expense and detracting from primary functions as business office staff, social workers, etc.
Outsourcing the applicaton process makes excellent sense for a number of reasons, among them including:
1) Removing the internal expense of the application process creaing additional FTEs;
2) Allowing the staff to supervise the application process as opposed to performing it;
3) Freeing up valuable staff time to concentrate on performing their primary job;
4) Placing the application in the hands of highly qualified professionals - ElderSource - concentrating solely on processing the application efficiently for quicker eligibility;
Outsourcing the application process through ElderSource makes excellent because of the following:
·20 years experience in Medicaid/MassHealth application services and A/R
·Team of highly experienced professionals providing client tailored services
·Immediate notification regarding any potential "red flag" eligibility issues
·NO cases are dropped - all cases managed through eligibility
·Weekly status updates on all MassHealth applications, via emails/fax or phone
·Preferred Pricing to those residents on spend-downs
· Service includes all filing and attendance at Fair Hearing appeals
· Corporate pricing available
· Admissions applications services available
We focus specifically on three areas that distinguish us from all other options available to you;
First, we are aggressive and proactive in pursuing timely and expedited approvals of all MassHealth application. We do not "sit on the sidelines" waiting for the process to complete, we provide detailed checklists to the responsible parties to ensure all necessary paperwork is being provided. We methodically contact those individuals to ensure the process is being moved forward. We anticipate potential hold ups and we file appeals on all denied applications.
Second, and probably most important, we communicate all progress with you and your staff every step of the way. We provide weekly tracking lists to you on each client and promptly respond to all requests for information.
Third, our costs are competitively priced and all inclusive. There are no hidden fees for pursuing appeals or interaction with the state on your applications, including attendance at all Fair Hearing appeals. No cases are dropped or closed until approved.
Finally, we are always evaluating ways in which we might improve our service to provide you with continued superior results. We appreciate your review of this general information and look forward to the opportunity to be your partner in navigating today's healthcare system!
