Using standard data exports from your existing EHR, we identify and recover KanCare Medicaid revenue before filing deadlines pass and denials go unappealed. No integrations. No IT projects.
Every engagement follows the same four phases. Each builds on the last. By month three, you have a self-sustaining revenue navigation system — and we're the ones running it.
We analyze your encounter data against KanCare eligibility records to surface every gap — missed coverage, expired PAs, retroactive eligibility, self-pay mismatches.
Every week, we deliver a Navigation Report with specific recovery actions — claims to file, denials to appeal, PAs to submit — prioritized by dollar value and deadline.
Recovery data reveals root-cause process failures. We redesign registration workflows, denial management, and eligibility verification — so you stop losing revenue at the source.
The system runs itself — with us behind it. Monthly CFO reports prove ROI. Quarterly KanCare policy updates keep your team ahead of regulatory changes.
This is a continuous system, not a consulting project. But the heavy lifting is ours. Here's what the week actually looks like for each side.
Monday morning, your team runs three standard EHR exports and sends them to us. That's it.
We run analytics across denials, eligibility gaps, and filing deadlines — cross-referencing all three MCOs against your open encounters and KanCare policy rules.
Your team receives a Navigation Report and Patient Action Worklist — every action item prioritized by dollar value and deadline urgency. Ready to execute.
We're available for questions, help with appeals, and assist on any recovery actions that need extra navigation through MCO portals or KanCare policy.
Every recovery action is tracked. Results feed back into the next cycle. Your monthly CFO report shows exactly what was recovered, what's in progress, and ROI.
↻ This cycle repeats every week, 52 weeks a year
We carry the analytical workload so your team can focus on patient care.We work with standard data exports your EHR already produces. No APIs to configure, no systems to connect, no vendor calls to schedule. If your EHR can export a CSV, we're ready to start.
No ambiguity. You'll know exactly what you're getting, when you're getting it, and what to do with it.
| Deliverable | Frequency | What It Does |
|---|---|---|
| Revenue Leakage Assessment | At Kickoff | Baseline analysis of where revenue is being lost — eligibility gaps, denial patterns, filing risks — with dollar estimates |
| Navigation Report | Weekly | Prioritized list of recovery actions across all three MCOs, with dollar estimates and deadline dates |
| Patient Action Worklist | Weekly | Excel file your team works directly — each row is one patient, one action, one deadline |
| CFO Scorecard | Monthly | Executive summary: dollars recovered, pipeline, trends, ROI calculation vs. engagement cost |
| KanCare Policy Brief | Quarterly | Regulatory changes, MCO updates, and rate shifts translated into action items for your revenue team |
| Process Redesign Specs | As Needed | When root-cause patterns emerge, we deliver specific workflow changes to stop leakage at the source |
Schedule a 30-minute walkthrough. We'll show you the data architecture, the reports, and what recovery actions would look like for a hospital your size.
Schedule a WalkthroughFree. No commitment. You'll see the process before you decide.