October 2023

Don't Get SPOOKED ?? by Out-of-State Medicaid Claims

Why Outsource Out-of-State Medicaid Billing??

If you’re struggling with out-of-state Medicaid enrollment and/or billing in-house, it may be time to consider an alternative solution. Outsource out-of-state Medicaid enrollment and billing to a performance-based company that specializes in these claims.

Here are the top reasons to outsource out-of-state Medicaid enrollment and billing:

1. Lack of Internal Resources
2. Lack of expertise in complicated out-of-state Medicaid claims requirements
3. No standardization – there are over 50 Medicaid programs.
4. Occurrence is increasing, Medicaid Expansion, and Americans love to travel.
5. Return on investment – move to performance-based contingent fee pricing.
6. Improve A/R and see an increased remittance.

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All-In-One Coverage Discovery Solution

Discover unidentified true coverage for patients, self-pay or uninsured, with our all-in-one coverage discovery system. Verify billable commercial and government coverage that was previously unknown or forgotten. Post in your system through an HL7 interface, all within 72 hours!?

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Healthcare Industry Updates

No Surprise Act Update

Sept. 2023 - proposed rule released

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North Carolina Medicaid

Expansion to Launch Dec.1

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