After years of repeated denials and financial uncertainty, Guided Care stepped in with a focused strategy that turned a stalled Medicare claim into a full recovery. This case study highlights how persistence, expertise, and evidence-based advocacy can transform obstacles into meaningful results for care facilities.
Since 2009, Guided Care has been empowering healthcare facilities with support, guidance, and advocacy, ensuring that your organization receives maximum reimbursement.
For more than three years, the facility faced the ongoing challenge of an unresolved Medicare claim that had been denied multiple times. Each denial not only delayed the recovery of critical funds but also created a mounting sense of frustration among leadership and staff. The financial strain made it difficult to allocate resources effectively, limiting investments in patient care and daily operations. Over time, the case grew into more than just a financial setback kit became a source of uncertainty that weighed heavily on the team and disrupted the stability they worked so hard to provide.
For more than three years, the facility faced the ongoing challenge of an unresolved Medicare claim that had been denied multiple times. Each denial not only delayed the recovery of critical funds but also created a mounting sense of frustration among leadership and staff. The financial strain made it difficult to allocate resources effectively, limiting investments in patient care and daily operations. Over time, the case grew into more than just a financial setback kit became a source of uncertainty that weighed heavily on the team and disrupted the stability they worked so hard to provide.
“We’ve relied on Guided Care to take care of all our Managed Care needs for the past 4 years. Insurance updates, ERAs, address changes and CHOWs, they take care of it all.
Many times we’ve had an authorization crisis where we’ll reach out to multiple insurance departments (getting a serious run-around) and then watch as Guided Care steps in and makes it happen.”
Hadassa Spector,
Chief Operating Officer of Curis Services
“The regulations are ever changing, you need an expert who is focused with every detail. With the world evolving to Managed Care it’s crucial to get it done right. Guided Care ensures that we receive the contracts that we need with all details in place. When purchasing a new facility the responsibilities are endless, and we are relieved to have one aspect handled by experts. It gives the managers more bandwidth to handle their responsibilities.”
Sam Freedman,
CFO Accolade Healthcare
"Before I found Guided Care, I spent tedious hours on the phone with insurance companies and filling out applications. But Guided Care’s team made finding what plans would work best for our clients easy. They knew exactly what could be covered and made me feel supported and welcomed all throughout the process. I couldn't recommend them more."
Maggie Welsh,
Caton Park
"Guided Care partnered with us to ensure we had the most access and the best contracts for every situation. They made sure we had the best possible contracts in terms of rates, appropriate single case agreements and carve outs which ensured the best reimbursement and the lowest costs."
Michael Nudell,
Allure Healthcare Services
