Customer Success Stories
Discover How Much Revenue Your Hospital Is Missing
See Real Results from North Carolina Hospitals Using RetroCheck
Every month, hospitals across North Carolina leave thousands of dollars in Medicaid reimbursements unclaimed. The patients who generate this revenue have already been discharged, but they later became Medicaid-eligible—creating recovery opportunities that most hospitals never discover.
The question isn’t whether these opportunities exist in your bad debt files. The question is: how much revenue are you missing?
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Case Study 1
Hospital Discovers $500K+ in Missed Medicaid Revenue
The Challenge
A North Carolina hospital had never implemented a systematic 365-day Medicaid eligibility lookback process for their bad debt accounts. Like many hospitals, they were unaware that patients often become Medicaid-eligible after discharge due to changes in financial circumstances.
The Discovery
While working with this hospital on HASP debt relief compliance, RetroCheck discovered they weren’t capturing retroactive Medicaid reimbursements. We offered a complimentary analysis of their bad debt files to demonstrate the potential.
The Results
Our analysis uncovered hundreds of thousands of dollars in immediate Medicaid reimbursement opportunities that had been sitting in their bad debt files. The hospital was able to file these claims right away, generating substantial cash flow.
The Impact
The recovered revenue from this single analysis will pay for more than 10 years of RetroCheck’s monthly service. Essentially, our client is now receiving ongoing Medicaid discovery as a free benefit while continuing to recover additional revenue each month.
From the customer
“We had no idea how much money we were leaving on the table. RetroCheck’s discovery process immediately improved our cash flow.” – Hospital CFO
Case Study 2
Hospital Saves $100K+ Annually by Switching to Flat-Fee Model
The Situation
A regional hospital was already running 365-day Medicaid lookbacks through a competitor who charged a 10% contingency fee on all findings. While they were recovering some revenue, the costs were substantial and difficult to predict.
The Problem
The hospital was paying over $100,000 annually in contingency fees and spending administrative time auditing charges to ensure accuracy. The unpredictable costs made budgeting difficult.
The Solution
RetroCheck demonstrated how our flat monthly fee model could deliver the same (or better) results at a fraction of the cost. The hospital made the switch within a few months.
The Savings Breakdown
- Previous annual cost: $120,000+ in contingency fees
- RetroCheck annual cost: $18,000 flat fee
- Annual savings: $100,000+
- Additional benefit: Eliminated administrative overhead of auditing contingency charges
The Bottom Line
This hospital now saves over $100,000 annually while receiving the same quality Medicaid discovery service, plus they’ve freed up their billing staff from the burden of auditing contingency fee calculations.
Our Core Solutions
Retro Medicaid Revenue Recovery
Convert bad debt and charity care into recoverable revenue through our advanced Medicaid eligibility discovery system.
Key Benefits:
Average Cash Recovery: $1M annuallyFlat Monthly Fee Pricing30-Day ImplementationNo Disruption to WorkflowsRetro Medicaid Debt Relief
Ensure compliance with North Carolina’s Debt Relief mandates by identifying Medicaid eligibility for bad debt files while maintaining incoming payments for ineligible debt.
Key Benefits:
Review Of All Existing Patient Debt (for the past 10 years) Monthly Reporting To Maintain ComplianceOngoing Regulatory UpdatesServing North Carolina hospitals for over 20 years with expertise in Medicaid discovery and billing support.