$9K to $40K Monthly: How One Software Automatically Recovers Hidden Revenue for Health Centers
What if your health center is leaving $9,000 to $40,000 on the table every single month? In this episode, Jill Steeley sits down with Howard Archer, CEO of Fix HealthcareIT, to discuss how RetroCAID is helping federally qualified health centers (FQHCs) automatically recover hundreds of thousands—even millions—of dollars annually in retroactive Medicaid reimbursements.
Howard shares the shocking reality: 17% of uncompensated encounters become eligible for Medicaid reimbursement within timely filing, but most health centers are missing these opportunities because Medicaid eligibility is constantly changing. One of Jill's clients received a $58,000 check in their first month using RetroCAID—money that would have expired without automated monitoring.
Discover how this passive monitoring system works, why it requires zero EHR integration, and how health centers are implementing it in less than 60 minutes with guaranteed results.
Key Topics Covered:
What is Retroactive Medicaid? [5:30]
- How Medicaid differs from commercial insurance
- Why patients can be covered 60-90 days retroactively
- The complexity of Medicaid's fluid eligibility system
The Problem with Traditional Billing [10:45]
- Why "spot checking" eligibility misses more than it captures
- How benefit profiles change daily (coverage, payers, benefit scope)
- The cost of manual monitoring for thousands of encounters
How RetroCAID Works [15:20]
- Passive monitoring vs. active checking
- Daily monitoring of every uncompensated encounter for 365 days
- Sophisticated algorithms that filter out non-reimbursable claims
- Real-time alerts with complete billing information
Implementation Process [24:30]
- Less than 60-minute phone setup
- No EHR integration required
- Results within 48 hours
- How the custom reporting system works
Real Results & Case Studies [30:15]
- Average monthly recovery: $9,000 to $40,000
- Annual revenue increases: $120,000 to over $1 million
- 17% of uncompensated encounters become eligible
- Client success story: $58,000 first check
The Business Model [37:45]
- 100% contingency-based (no upfront costs)
- Month-to-month contracts (cancel anytime)
- $5,000 guarantee for FQHCs
- No setup fees, transaction fees, or hidden costs
Future of Retroactive Medicaid [42:00]
- Impact of work requirements and Medicaid churn
- Enhanced outreach tools in development
- Text and email automation for patient notifications
- Renewal tracking and lapse prevention
Key Statistics:
âś“ 17% of uncompensated encounters become eligible for Medicaid reimbursement within timely filing
âś“ $9,000 - $40,000 average monthly recovery for FQHCs
âś“ $120,000 - $1 million+ annual revenue increases
âś“ 5,000+ healthcare facilities served across 49 states
âś“ 1/3 of all FQHCs in the country use RetroCAID
âś“ 48 hours to first results after implementation
âś“ 60 minutes or less implementation time
âś“ 13 years in business serving community health centers
Resources Mentioned:
RetroCAID by Fix HealthcareIT
Schedule a free introductory call: www.jillsteeley.com/partners
Company website: www.fixht.com
RetroCAID's $5,000 Guarantee:
If RetroCAID cannot increase Medicaid revenue for any FQHC within the first 30-60 days of service, they will donate $5,000 to that facility or any charity of their choice.
Jill Steeley's CEO Bootcamp
Several participants used RetroCAID's guarantee to fund their bootcamp investment
About the Guest:
Howard Archer is the CEO of Fix HealthcareIT, a company he founded to help healthcare facilities navigate the complex Medicaid system. With nearly 30 years of experience in healthcare revenue cycle management, Howard developed RetroCAID after witnessing firsthand the challenges FQHCs face in capturing retroactive Medicaid reimbursements. The software was initially created and tested in an FQHC in Baltimore before launching officially in 2013. Today, Fix HealthcareIT serves over 5,000 facilities across 49 states, including approximately one-third of all federally qualified health centers in the United States.
About the Host:
Jill Steeley is a former FQHC CEO and leadership consultant who specializes in helping community health centers thrive. Through her coaching, training programs, and trusted partnerships, Jill provides health center leaders with practical strategies and proven solutions to overcome operational challenges and advance their careers. She carefully vets partners like RetroCAID to ensure they deliver measurable value to the health centers she serves.
Website: www.jillsteeley.com
Partners page: www.jillsteeley.com/partners
Email: [email protected]
Take Action:
Ready to see what RetroCAID could recover for your health center?
- Visit www.jillsteeley.com/partners
- Click on RetroCAID
- Schedule your free, no-obligation introductory call
- Within 48 hours of your 60-minute implementation, see your first results
Questions? Contact Jill at [email protected]
