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Medicare/Medicaid Reimbursement & Eligibility Tool
A comprehensive tool for Reimbursement Officers working in Illinois DHS facilities. Performs eligibility assessments for Medicaid long-term care benefits, coordinates Medicare Part B coverage, calculates patient liability amounts, and tracks account adjustments and collections. Built to demonstrate understanding of financial responsibility investigations, benefit coordination, and healthcare reimbursement processes.
Active Cases
247
Pending Reviews
12
Monthly Collections
$142K
Facility
Mabley DC
Individual Information
Enter the resident's identifying information
Financial Information
Income and asset details for eligibility determination
Include SSI, SSDI, pension, wages
Bank accounts, investments, cash value life insurance
Home (if returning), one vehicle, burial funds
Insurance & Benefits Status
Medicare, Medicaid, and third-party coverage
Illinois Medicaid Reference (Projected 2026)
Individual Resource Limit
$2,000
Spousal Resource Allowance
Up to $154,140
Personal Needs Allowance
$30/month
Home Equity Limit
$713,000