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The Dilemma: DECO began providing eligibility services for a facility in Texas in July 2009. Shortly thereafter the case management staff contacted DECO and expressed concern for an in-house patient that had been admitted in April 2009 and was unfunded/uninsured. The patient had been previously screened and was determined to be ineligible for benefits. The DECO Difference: Upon receiving the account, DECO’s team of specialists mapped an innovative approach to navigate the patient through the complex Disability and Medicaid process. After eight months of diligent follow-up, the patient was awarded full benefits and was retroactive to the original admission date. The Delivered Results: Due to DECO’s efforts, the medical center received the highest reimbursement for a single account to date.
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- Medical Assistance Eligibility Program
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- Social Security Disability
Advocacy Program - Patient Account Rank Order (PARO)
Risk-Assessment Scoring - Third-Party Liability