Adam Rothman and John Anderson of Medicaid Done Right, a solution provider at the marcus evans LTC & Senior Living CXO Summit Fall 2015 and LTC & Senior Living CXO Summit Fall 2016, on improving the Medicaid application process. Interview with: Adam Rothman, Managing Partner & John Anderson, Managing Partner, Medicaid Done Right

1. Interview with: Adam Rothman,
Managing Partner & John Anderson,
Managing Partner, Medicaid Done
Right
“The most important thing you can do in
a long-term care (LTC) organization,
apart from giving care, is to get the
money through the door. However, the
people who are entrusted with that are
often burdened with many other tasks
that come with the job,” says Adam
Rothman, Managing Partner, Medicaid
Done Right.
“Organizations with many facilities must
really refine their system to execute the
best possible scenario at all times. With
the sheer amount of human resources
and dedication needed for Medicaid
applications, it would be more cost
effective to outsource the process,”
adds John Anderson, also a Managing
Partner at the company.
Medicaid Done Right is a solution
provider at the marcus evans LTC &
Senior Living CXO Summit Fall 2015
and LTC & Senior Living CXO Summit
Fall 2016.
Applying for Medicaid is often
complex and costly. How could LTC
and senior living facilities improve
the process?
Rothman - They could outsource the
process to a company with the right
infrastructure to handle it, so that their
employees, who have to multi-task the
process, have more time available.
Also, forms have to be submitted on a
timely basis and often they are not,
which causes bad debt or write-offs. If
facilities were able to meet the time
constraints as has Medicaid Done Right,
they would be more efficient.
Faster and more accurate approvals
lead to better cash flow, resulting in less
bad debt.
Why do some facilities not consider
the outsourcing option? What are
their unfounded concerns? Is this
about losing control?
Rothman - When it comes to their funds
and billing, most of them want to keep
control, which is not the most economi-
cal solution. It might give them a sense
of comfort, but it doesn’t pay the bills.
Anderson - For nursing homes with
multiple facilities, having one unified
way of processing applications and one
reporting system, leads to less
confusion. When you are managing
many facilities, improving cash flow can
be a game changer. Every penny
counts.
How is outsourcing more economi-
cal?
Rothman - A typical application takes
five to six hours. If you process six of
those at five hours each, that is one
employee’s 30-hour work load. If you
gave 30 hours to a business manager in
a facility, they could collect much more
from other payer sources than the cost
of outsourcing them to us. It would free
up enough time for them to go out and
solicit more.
Is this more important in an
environment of reduced reimburse-
ment?
Anderson - Cash is king. The faster you
get their approval, the faster facilities
get paid for their services.
As the trend of consolidation
continues in the healthcare
industry, how will it impact how the
application process is run?
Rothman - Medicaid rules are getting
more complex. There are now more
restrictions than last year, the paper-
work process is more involved and case
workers have less access. This will only
get worse. Facilities do not need to fight
the battle internally.
Improving
cash flow
can be
a game
changer
The Value of Outsourcing
Medicaid Applications

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LTC & Senior Living CXO Summit Fall 2015:
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About Medicaid Done Right
Founded in January, 2012, Medicaid Done Right (MDR) has unparalleled experience and success in the Institutional Care Plan-
Medicaid arena. Headquartered in Clearwater, Florida, Medicaid Done Right also operates in Indiana, Kentucky, Michigan, North
Carolina, Virginia and Wisconsin with plans seeded to expand Institutional Care Plan-Medicaid Services to other states.
Medicaid Done Right’s primary purpose is to assist nursing home residents and their families to obtain the care they need through
the application of Institutional Care Plan-Medicaid. Medicaid Done Right provides superior quality, more streamlined services, a
greater-depth of Institutional Care Plan-Medicaid knowledge, including ever-growing relationships with pertinent community
partners.
www.medicaiddoneright.com
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To view the web version of this interview, please click here: www.longtermcaresummit.com/AdamRothmanJohnAnderson