Hawkeye Medicaid Eligibility Analyzer is comprehensive software designed to review both inpatient and outpatient admissions, meticulously identifying patients who may qualify for Medicaid but were previously unrecognized in existing records. By analyzing admissions data against Medicaid eligibility criteria, this software uncovers potential missed revenue opportunities that might have been overlooked by billing teams or third-party vendors. This proactive identification process helps hospitals reduce uninsured and self-pay account balances, which can otherwise place a financial strain on both patients and healthcare providers.

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To ensure precision and reliability, the Hawkeye Medicaid Eligibility Analyzer performs monthly data matching with the state Medicaid database, capturing up-to-date eligibility changes and maximizing the identification of qualified patients. This frequent synchronization allows hospitals to make timely updates to patient accounts, reducing administrative burdens and supporting a smoother billing process.