Out-of-state Medicaid Billing and Follow-up
- Turning difficult, stalled and backlogged healthcare accounts into cash.
- Specializing in out-of-state Medicaid billing, follow-up and provider enrollment.
The Human Arc PayerLogic
SM
Out-of-state Medicaid Solutions service turns difficult, stalled and backlogged open healthcare accounts into positive cash flow. We are recognized experts in out-of-state Medicaid billing, follow-up and provider enrollment.
Why PayerLogic Out-of-state Medicaid Solutions is Relevant
A few percentage points on a balance sheet can spell the difference between economic viability and fiscal difficulties in today's health care environment. Because of this, attention to cost and income criteria is critically important to hospital management. Staffing from admissions through account management and finance is always under examination. Staff training time and dollars are scarce. Couple this with the expanding complexity of public and commercial payer procedures, plus the fast pace at which they're modified. Finally, information technology is changing rapidly too, and system conversions by hospitals often increase the time accounts sit as receivables and reduce cash flow. The PayerLogic Out-of-state Medicaid Solutions service works as an experienced and totally up-to-date extension of healthcare providers' own business office staff; we specialize in untangling the difficult cases, turning idle receivables into cash and freeing client staff professionals to work more efficiently and effectively within their core areas of expertise.
PayerLogic Out-of-state Medicaid Solutions also provides additional reimbursement (often "adjusted off") to providers on out-of-state Medicaid patients. We do this by:
- Verifying recipient eligibility, and, when necessary, assisting the patient with eligibility enrollment and/or re-certification.
- Accurately completing the often lengthy state provider enrollment applications.
- Ensuring the provider number is obtained in a timely fashion.
- Obtaining required pre-certification or retro-certification.
- Submitting claims electronically for most payers.
- Verifying payment accuracy.
As a result, we provide additional dollars to clients and an increase in their disproportionate share. PayerLogic Out-of-state Medicaid Solutions also provides its clients with up-to-date, state-by-state provider matrices containing valuable and easy-to-reference information.
Major Benefits of PayerLogic Out-of-state Medicaid Solutions
- Maximized revenue stream - with reimbursement secured on up to 90%, and in some cases even more, of viable unpaid and past-due accounts. That means more money in.
- Minimized accounts receivable cycle - known to be shortened by 10 or 20%, sometimes even more. That means more money in - faster.
- Optimized operational efficiencies - with the right outside staffing, easy to implement, and representing an excellent knowledge pool our clients can tap to leverage their own efficiencies.
The Human Arc Edge
Through Human Arc PayerLogic Out-of-state Medicaid Solutions, you enjoy an unmatched array of advantages:
- Experience - Human Arc has well over 15 years of experience with the widest variety of claims management efforts. Our staff has the business and clinical depth to understand both sides of these issues, and we have certified coders and nurses to quickly spot and understand the most complex details.
- Breadth of Capability - PayerLogic Out-of-state Medicaid Solutions turns problems into solutions - and cash - on a wide variety of client concerns, including ongoing billing and follow-up, out-of-state Medicaid, A/R cleanups, system conversions, system reconciliation, payment verifications, appeals and more.
- Minimum Risk - PayerLogic Out-of-state Medicaid Solutions clients do not need to invest in expensive software or other in-house capacity that only obsolesces over time. We emphasize leveraging our expanding expertise and technologies rather than risking your capital.
- Optimal Intelligence - Human Arc is famous for the depth, flexibility and functionality of its reporting to client management, exactly what you need, in the right form, right when you need it at your fingertips, so you are 100% up to date and able to make the best account management decisions.
- Security - Human Arc is 100% trained in HIPAA requirements. You can be totally assured your patients' privacy and information confidentiality are fully protected
PayerLogic Out-of-state Medicaid Solutions Case Studies
Nothing speaks like proof, so here is how PayerLogic Out-of-state Medicaid Solutions has actually helped its clients.