At RCA we understand that assisting with I.H.S claims can be cumbersome, which is why you need a vendor who not only comprehends the process, but has a proven track record in saving at-risk dollars from improper filing by vendors who are not knowledgeable. We understand the intricacies and requirements of I.H.S, which has led us to partner with many of the Native populations in Oklahoma and facilities that need further assistance in properly filing claims.
We realize that you want to see proof of what is possible through an RCA partnership and we believe that our results speak for themselves. Within the first 5 months of our partnership with Osage Nation, we successfully enrolled 81 tribal members with charges totaling over $163,000 in Osage Clinic. These accounts are now being billed for payment that otherwise would have been adjusted as Indian Beneficiary. In 2019, RCA obtained Medicaid coverage on over 154 accounts for over $9.1 million in Muskogee Creek Nation (MCN) Contract Health. In our partnership with MCN we have had over 300 dates of service totaling over $400,000 in charges for disability.
Moreover, RCA has obtained Medicaid coverage on over $3.2 million in charges at HMC/HHS to protect I.H.S PRC funds, which resulted in $225,222 in refunds to Cherokee Nation PRC. Our diligence in our partnerships has also led to 175% increase in third-party revenue collections per month, and more than $13M in PRC funds protected from being used.
We understand your needs when it comes to I.H.S claims and we specialize in assisting Native patients who are admitted to your facility. Our knowledge and diligence ensure that your Indian Health notifications will always be sent properly…can your current vendor say the same?
Let us help protect your Native patients and your bottom line!