AHS provided administrative services for the Louisiana Medicaid Hospice Program from 2010 – 2012. Services provided as part of this work included:

• Comprehensive reviews of all Notice of Elections and Certifications of Terminal Illness,
• Verification of Recipient Eligibility,
• Research of Eligibility Status,
• Comprehensive Data Entry for all Required Forms and Documentation,
• Document Scanning and Imaging,
• Mailings, and
• Prior Authorization Services (including receiving and reviewing all forms and documentation, contacting hospice providers for additional medical documentation, determining approval or denial, preparing summary reports, etc.).

Through AHS’ administration of this program, we improved the reporting provided to the State, developed analyses and reporting to track the impact of new policy changes, reinforced policy, and decreased the processing time for prior authorization review. As a result, we earned high praise from hospice providers who appreciated AHS’ timeliness.

“I received an approval letter for one of my hospice patients today and it has only been two weeks since this patient was admitted to our services. I want you all to know that I truly appreciate the speedy turnaround from your Department. In the past it was nothing to wait four, sometimes even six weeks or more for our paperwork. Kudos to the Automated Health Systems Team! Thank you for a job well done. I appreciate you.” - Guardian Hospice Care, LLC

“Thanks, we really appreciate your assistance in processing our patients’ NOEs. You and the other staff at AHS have been wonderful to work with.” - Pointe Coupee Hospice

“[AHS’ Hospice Staff] are always wonderful and pleasant and on top of things. No matter when I call to ask a question, they are diligent and get the job done.” - St. Catherine’s