Health insurance is a complex subject, especially when it has a retroactive period attached to it. So what exactly is Medicaid retroactive eligibility, and how does it change? Is there anyone who is automatically eligible for this retroactive coverage? We'll answer these questions, and more, below.

We all love free things. But when we think of outsourcing, we typically think of letting go of a process or department; we don’t think of gaining anything. Fortunately, by outsourcing your medical billing and collections services with Emerald A/R Systems, your company can gain more than you ever thought, and for free! That’s right, Emerald A/R’s flat free pricing means all the company’s additional services are free. Let’s look at just a few freebies you can get when you outsource your billing and collections.

Since Medicaid is a program that is jointly run by the federal and state governments, the billing requirements will vary from state to state. It's important that medical administration personnel in charge of billing understand the rules and protocols, especially where it relates to patient coverage. If a patient is denied Medicaid on the basis of failure to renew benefits, it may still be possible to receive Medicaid coverage through the program's reinstatement process. Note that this is different from situations in which a patient is denied Medicaid on the basis of income or has been otherwise excluded from Medicaid eligibility.

There are so many ways that a Medicaid claim can slip through the cracks of everyday hustle and bustle of a fast-paced clinic. Every year each health center misses millions of dollars in Medicaid payments. In fact, Emerald AR Systems has located over $2 million dollars of missed Medicaid for just 1 rural health center! Imagine what you could do with an extra $2 million dollars? There are so many reasons that these payments are missed and not paid by Medicaid.