APA has the expertise to guide patients through the complex applications of various health insurance programs including, Medicaid, CHIP, FAMIS, and many others.
Critical Enrollment Challenges
Navigating the complex Medicaid and Supplementation Security Income application process
Identifying and screening all eligible patients at any Point of Service, maximizing outreach
Providing access to all coverage options matched to unique patient needs
The APA Enrollment Solution
APA Enrollment Services go above and beyond simple Medicaid eligibility screening.
Key features of our services include:
APA Enrollment Advocates
Our Enrollment Advocates have the experience and skills to secure the right coverage for each unique patient need. Our Enrollment Advocates work as an extension of your health system’s staff, increasing resource efficiency.
APA Smart Screen
The industry’s most comprehensive and technically-advanced screening process that maximizes coverage opportunities, prioritizes payer sources, and creates a more efficient process for both the health system and the patient.
APA develops a flexible coverage and staffing model that is optimized to each client's unique situation. Our structure typically consists of onsite Enrollment Advocates, Enrollment Team Leaders, Client Directors, and a Customer Success Director.
Advocate 20/20™
Software that streamlines the enrollment process by managing applications and the information that is essential in securing approvals. Advocate 20/20 also tracks referrals, active applications, and patient information and significantly improves the speed-to-decision.
The A-Suite
APA Enrollment Service is one of the components of the A-Suite. It can be purchased separately or can be combined with other components to deliver even greater results.
Increased screening rates that result in increased approval rates yielding increased revenue
Prevention of future health costs due to Point-of-Service determinations
Increased internal resource efficiency
"APA’s Enrollment Advocate was there to support me and assist me in getting healthcare coverage so I could get the oxygen I needed."
Patient at a Regional Hospital in North Carolina
Our Advocates go beyond commonly recognized payer sources, such as Medicaid and county indigent plans. In fact, over 20% of secured coverage is outside of Medicaid.
Bob Gregory
Vice President, Enrollment Services
Advanced Patient Advocacy
Our comprehensive screening approach delivers results above and beyond our competition. By casting a wider net of self-pay referrals, we have increased approvals at one new client by 36%.
This resulted in improved cash flow of $100,000 monthly.
