Public
Healthcare

Revenue Cycle
and Billing

Eligibility Management

American Exchange Eligibility Services

  • Medical Necessity – EHR \ EMR docs, Physician Orders \ Notes, Labs, Imaging, Rx 
  • Income – State FPL Levels, Employment, Wage, Sliding Scale, Program reqs
  • Medicare \ Private Insurance – Procedure, EoB Cover, Limits, Dates, Co-Ins. \ Deductible
  • Medicaid – Procedure, EoB, Cover, Limits, Dates, Co-Ins. \ Deductible, Subsidies
  • Subsidy Programs – Federal \ State \ County, Service Lines (Vaccine, HIV, CHIP, Women)
  • Financial Mgt – Plan \ Budget, Rev. \ Exp. Mgt., A \ R Mgt., Productivity, Sustainability
  • Analytics – Detailed Analysis of Trends, Reporting, Claims, Networks, Service Lines, AI / BI

Please contact RCM@americanexchange.com for more information or into specific services.

Relevant Links and Articles

Revenue Cycle Overview

Credentialing Services