Cashing in on out-of-state Medicaid claims!
In summary, billing out-of-state claims can be time-consuming but productive. It just takes time, information from the states and consistent follow-up. Unicare Corporation began billing out-of-state accounts in 1989. Providers referred accounts to us that they normally would have written off--either because the balances were too small, they were not enrolled, or they did not have a large enough staff to dedicate time to this payer. In 1997, Unicare recovered more than $92 million for our clients. We accomplished this by focusing on uninsured admissions, medical necessity and out-of-state claims processing for providers.
De Frasia-Lackey
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Unicare Corporation, Cleveland, OH, USA.
Matzelle
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D000289:Admitting Department, Hospital / Q000191:economics*; D017408:Guidelines as Topic; D006801:Humans; D007344:Insurance Claim Reporting / Q000592:standards*; D019458:Insurance Coverage; D007349:Insurance, Health, Reimbursement; D008484:Medicaid / Q000191:economics* / Q000458:organization & administration; D013219:State Government; D014481:United States