Recover 1-5% of your hospital’s uncompensated care accounts.
Our data mining technology identifies patient accounts covered by Medicaid or SSI benefits at the time of service. We also monitor all accounts monthly for up to 3 years to determine if an account has Medicaid eligibility that the provider or its vendors has missed. eScan helps you discover additional Medicaid coverage after all other internal and third party eligibility processes are run.
We’ll help you find money in many different places.
eScan identifies additional inpatient days that can be included on your Disproportionate Share (DSH) Report - we’ve found thousands to date. We also discover Medicare/Medicaid dual-eligible accounts for your hospital’s Indigent Medicare Bad Debt Report. Bottom line, our solutions ensure your hospital will be reimbursed wherever possible.
Find money whenever - wherever - it’s owed to you:
No process changes required.
eScan runs seamlessly with all existing hospital and third-party systems. There’s no need to change current processes - so you can stay focused on your hospital’s core business.
We don’t get paid until you do.
You only pay eScan a percentage of the Medicaid remittance actually received for eScan discovered accounts. Until we find you money, you don’t owe us a thing.
The eScan Near Billing Deadline Report reduces the number of Medicaid accounts that miss the timely filing deadline.
eScan software monitors your Medicaid eligible accounts, tracking those that have not been submitted successfully to Medicaid. When an account is within 30 days of its filing deadline and its claim is still not on file at Medicaid, eScan places the account on the Near Billing Deadline Report.
Your hospital receives a weekly report of all Medicaid eligible accounts that are near their billing deadline but have not been billed properly. This ensures you'll get more of what's due to you from Medicaid.
The eScan Medicare Bad Debt Report saves you the trouble of searching through thousands of Medicaid patients looking for Medicare-Medicaid dual eligibles on the Indigent Medicare Bad Debt section of your Cost Report.
Using your Medicaid Electronic Remittance and the full set of Medicaid payments you've received, eScan software compiles a list of all dual-eligible patients and reports the exact write-off amount for each account. The output even matches Form CMS-339 Exhibit 5.
You'll receive a monthly list of dual-eligible accounts remitted by Medicaid in the previous month that can now be placed on your Medicaid Bad Debt log. You'll also get our Crossover Audit Report, which alerts you to any Medicaid secondary claims that Medicare failed to cross over to the Medicaid payer.
The eScan Disproportionate Share (DSH) Report provides a detailed list of all of your DSH eligible patients in a given cost report year.
eScan software considers each account individually, verifying both that the service itself is for inpatient acute services and that the Medicaid coverage is Title XIX DSH eligible. The report also lists patients covered by Medicaid and Medicare Part B only. In eligible states, clients will receive a list of patients eligible for Medicare part A and Medicaid SSI.
The DSH Report is delivered twice a year - one month after your cost report year ends and one month before your cost report is due. It's also available upon request anytime.