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