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Report 47: Detailed Title XIX Re-billing report
One of the many tangential benefits of concurrent management of the DSH revenue stream is the ability to identify Title XIX recipients who have been misclassified by the Hospital as to financial class status, and, before the State specific Medicaid billing window has been closed, bill the Medicaid program for the inpatient stay. In this case, not only will the Hospital increase its reported Medicaid eligible days component for DSH reimbursement purposes, it also receives the concurrent benefit of the net revenue generated by the reimbursement from Medicaid
To close the loop on the full set of services offered as an option to hospital clients, see the June 1, 2006 entry under “What’s New” that describes our newest system capability to perform EDI eligibility, claim status and claim submission transactions; not only can we identify those Title XIX members who have eligibility that is unknown to the hospital for DSH reporting purposes, we can bill Medicaid on behalf of the hospital to generate directly accretive supplemental net revenue.
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