Translate[Archived] Question # 57: Regarding Medicaid revenue collections, how does the City of Alexandria compare with neighboring jurisdictions? Is there any additional Medicaid revenue that could be collected?
Question:
Regarding Medicaid revenue collections, how does the City of Alexandria compare with neighboring jurisdictions? Is there any additional Medicaid revenue that could be collected? (Mayor Wilson , Councilman Aguirre)
Response:
The City of Alexandria collected approximately 76% of Medicaid revenue in FY 2019. This compares to Loudoun County who collected 74% of Medicaid revenue, Prince William County at 82%, and Arlington County at 80%. The Loudoun County collection rate increased by 14% in six months (to 88%) after hiring full-time staff to handle appeals and denials associated with claims. In the current FY 2020, the City of Alexandria has increased Medicaid revenue collection to 82% of potential revenue due to the addition of temporary staff and the improvement of documentation and follow-up protocols.
In FY 2021, the City of Alexandria’s Medicaid revenue collection is projected to increase to a rate of 86% or above with the addition of two permanent staff. These two additional staff will assist in ensuring revenue maximization by focusing on appeals and denials. They will also focus on completing pre-authorization and eligibility screening, which are the most critical elements in fully collecting Medicaid revenue. The increase in revenue collection could help offset State-mandated budget cuts and bring in additional collections of approximately $500,000.