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Looking for more examples of how HFI can make a difference at your facility? Feel free to contact us and we would be more than happy to provide with additional case studies on how our services get you results.
Case Study #1:
A patient had been “stuck” at a Client Hospital since for close to a year and had a total bill of $800,000. The patient needed to be discharged, but could not be until Medicaid was established.
The patient had an attorney who was difficult to work with and was uncooperative in working with the hospital, Medicaid and HFI.
Over the past few years, the patient had lived in three different states and the lookback requirements required HFI to track down verifications on all transactions and bank accounts from each state.
HFI’s resources were put to the test.
The patient’s attorney reluctantly agreed to meet with our attorney. In this face-to-face meeting, we obtained a commitment to work together towards coverage. Using our limited “Power of Attorney” (POA), we were able to obtain records from three different banks and the Social Security Administration.
HFI is pleased to announce that with our intervention, we were able to get the patient covered. In addition, the Client Hospital should expect to see approximately $90,000 in Medicaid DSH payments! This is a tremendous victory for the patient, the client and HFI.
Case Study #2:
An uninsured male psychiatric patient was admitted into a Client Hospital ED. The patient was working with a Community Mental Health Organization (CMHO), trying to complete and submit a Medicaid application, when he had a psychotic episode.
His psychiatrist from the CMHO called HFI and asked if we could help her patient. HFI’s on-site Social Worker intervened and using our limited “Power of Attorney” (POA) talked to his family and physicians to obtain the required verifications.
HFI’s extensive “crisis intervention” training helped to give us the edge in not only establishing trust with the patient, but with the patient’s family, to get the information necessary to expedite applications.
Through sheer persistence and with the cooperation of Medicaid, HFI was able to get the patient approved and the patient did not have to be discharged to the street.
The subsequent ED and outpatient admissions were covered by Medicaid.
Case Study #3:
An uninsured, homeless substance abuse patient with six recent admissions presented in a Client Hospital ED, but was in no condition to complete a medicaid application.
HFI’s Social Worker, through outreaching in the community, was able to make contact with a family member. We kept persevering and met with the patient and completed an application.
Even with our limited “Power of Attorney” (POA) and social work skill set, it was a difficult case to get approved. HFI assisted the patient in gathering required verifications and maneuvered the application through the disability determination process.
Through HFI staff knowledge and expertise, we were able to get the patient approved and $8,266 from Medicaid collected.
