Healthcare Eligibility and Case Management Solutions

As the number of uninsured Americans grows and employer sponsored insurance declines, health care providers need new solutions to ensure that patients get treatment and their bills are paid.

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CONSILIUM HEALTH GROUP

Consilium Health Group – helping hospitals obtain coverage for the uninsured

Consilium Health Group is the premier provider of eligibility solutions for healthcare providers. Our expertise spans multiple federal and state programs that provide reimbursement for medical services to uninsured patients. While eligibility for the web of public programs can be complex and frustrating for patients and providers, Consilium has the right solutions, expertise, and focus to help ensure that your patients receive health coverage and that your institution is reimbursed.

SERVICES

Business Process Outsourcing

BPO for eligibility and case management services with particular focus on Medicaid and the soon-to-be-created Health Exchanges.

Consulting

Consilium can consult with your organization on the technology, process, policy, and organizational aspects of the health care industry. We bring specific expertise in quality assurance for eligibility services, the financial return for accurate eligibility identifications, and process modeling.

SOLUTIONS

Eligibility

Consilium provides eligibility determination services for Medicaid and other public health programs.

Outreach

Consilium can reach out to prior patients and patients with accounts in arrears to educate them on coverage options that may be available to them.

Case Management

The eligibility requirements and administrative processes for applying to public health programs are quite complex. Consilium can assist by providing follow up and tracking of applications once submitted to the relevant government agency.