H.E.S offers a wide range of services that help hospitals receive maximum reimbursement. In addition, our excellent customer service can continue to positively promote your hospital’s image within the community it services. Since there is no cost to patients for our services, patients appreciate community hospitals offering a free Medi-Cal Eligibility Program.
Services
Our specialists are trained to screen and identify which program is best fitted for the patient. Their extent knowledge and many years of service focuses on obtaining Medi-Cal eligibility quickly ( under 30 days) for patients. This quick turn around, increases you cash flow and lowers your bad debt.
H.E.S. specializes in the following services:
- Screening patients for Medi-Cal and other government funded programs
- Seeing patients at bed side if needed or locate patient after discharge
- Serve as the Authorized Representative for the patient through the Medi-Cal process
- Complete Medi-Cal application for Secondary coverage and HPE patients for ongoing Medi-Cal
- Assist patients with Medi-Cal denials and SSI denials / appeals
- Assist the patients to complete all applications & documents
- Prepare patients for the Medi-Cal Fair Hearing process
- Complete PRUCOL applications
- Send a field representative to the patient’s home if needed
- Treatment Authorization Request (TAR)
- Hospital In-Service Training for Staff
Specialty programs:
- California Children Services (CCS)
- Genetically Handicapped Persons Program (GHPP)
- Breast & Cervical Cancer Treatment Program (BCCTP)
- Prostate Cancer Treatment Program (IMPACT)
