$9K to $40K Monthly: How One Software Automatically Recovers Hidden Revenue for Health Centers cover art

$9K to $40K Monthly: How One Software Automatically Recovers Hidden Revenue for Health Centers

$9K to $40K Monthly: How One Software Automatically Recovers Hidden Revenue for Health Centers

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Guest:

Howard Archer

CEO, Fix HealthcareIT

Website: www.fixht.com

Episode Description:

What if your health center is leaving $9,000 to $40,000 on the table every single month? In this episode, Jill Steeley sits down with Howard Archer, CEO of Fix Healthcare Technology, LLC, to discuss how RetroCAID is helping federally qualified health centers (FQHCs) automatically recover hundreds of thousands—even millions—of dollars annually in retroactive Medicaid reimbursements.

Howard shares the shocking reality: 17% of uncompensated encounters become eligible for Medicaid reimbursement within timely filing, but most health centers are missing these opportunities because Medicaid eligibility is constantly changing. One of Jill's clients received a $58,000 check in their first month using RetroCAID—money that would have expired without automated monitoring.

Discover how this passive monitoring system works, why it requires zero EHR integration, and how health centers are implementing it in less than 60 minutes with guaranteed results.

Key Topics Covered:

What is Retroactive Medicaid? [5:30]

  1. How Medicaid differs from commercial insurance
  2. Why patients can be covered 60-90 days retroactively
  3. The complexity of Medicaid's fluid eligibility system

The Problem with Traditional Billing [10:45]

  1. Why "spot checking" eligibility misses more than it captures
  2. How benefit profiles change daily (coverage, payers, benefit scope)
  3. The cost of manual monitoring for thousands of encounters

How RetroCAID Works [15:20]

  1. Passive monitoring vs. active checking
  2. Daily monitoring of every uncompensated encounter for 365 days
  3. Sophisticated algorithms that filter out non-reimbursable claims
  4. Real-time alerts with complete billing information

Implementation Process [24:30]

  1. Less than 60-minute phone setup
  2. No EHR integration required
  3. Results within 48 hours
  4. How the custom reporting system works

Real Results & Case Studies [30:15]

  1. Average monthly recovery: $9,000 to $40,000
  2. Annual revenue increases: $120,000 to over $1 million
  3. 17% of uncompensated encounters become eligible
  4. Client success story: $58,000 first...
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