Hospitals
Find coverage and increase conversion rates for inpatient, outpatient and emergency visits
Clinics
Cover more visits, anchor patients, one-click reports, and manage member coverage
RCMS
Enhance or replace your existing enrollment tech, increase conversions, and decrease costs
Developers
Integrate PointCare Qualify API into your current systems
We followed two hospitals implementing PointCare over a 12 month period. Both submitted more applications, had more approvals and covered more visits, leading to an increase in revenue while decreasing costs.
We followed two hospitals implementing PointCare over a 12 month period. Both submitted more applications, had more approvals and covered more visits, leading to an increase in revenue while decreasing costs.
We followed an RCM customer implementing PointCare over a 12 month period. More applications were submitted per representative, leading to more approvals and covered more visits. The results were an increase in revenue at a 29% decrease in FTEs.
We followed an RCM customer implementing PointCare over a 12 month period. More applications were submitted per representative, leading to more approvals and covered more visits. The results were an increase in revenue at a 29% decrease.
81% of patients in expanded states and 25%-50% in non-expanded states qualify for Medicaid. In addition, 67% or more qualify for other coverage options.
Why it is time to invest in your enrollment department
Converting self-pay patients quickly results in more covered visits, more revenue and higher patient satisfaction scores.
Adapt to the ever-changing coverage landscape, instantly.
PointCare is a breakthrough coverage management platform for enrollment teams – allowing them to accurately qualify and enroll patients into coverage, faster.
With Total Coverage Management (TCM) the enrollment process is further streamlined with automatic alerts when patients are approved or have fallen out of coverage. This results in quicker reimbursements, more PCP selections and covered visits, as well as stronger patient relationships.
10,000,000 qualifications and counting
Content enabled workflow
All the information you need to complete enrollment. Qualify helps choose where to apply and Verify automatically checks for Medicaid coverage.
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Improve enrollment success
Qualify your members confidently. PointCare has up-to-date information on every public and private coverage program managed by our in-house eligibility experts.
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Integrated tracking and reporting
Monitor productivity and enrollment team success. Identify areas of improvement to increase efficiency and approvals.
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Content enabled workflow
All the information you need to complete enrollment. Qualify helps choose where to apply and Verify automatically checks for Medicaid coverage.
Learn More
Improve enrollment success
Qualify your members confidently. PointCare has up-to-date information on every public and private coverage program managed by our in-house eligibility experts.
Learn More
Approval Notifications
PointCare closes the communication gap between health systems and payers with automatic approval notifications! Stop scrubbing websites and notify patients of an approval even before Medicaid does.
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1,000s of Training Hours Saved
Hire and spin up a new enrollment user instantly. PointCare eliminates the need to research local programs and eligibility rules.
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Retain Members
Clinics can execute Member Coverage Management for redeterminations, coverage churn, and PCP selections. PointCare’s Enrollment Intelligence tells you what to do and when to do it.
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Integrated tracking and reporting
Monitor productivity and enrollment team success. Identify areas of improvement to increase efficiency and approvals.
Learn More
