All States Medicaid, Inc. provides hospitals and physicians with the best Medicaid account management solution available. As a dedicated partner in collecting out-of-state Medicaid claims, we pride ourselves in providing efficient and effective services, which makes us one of the most reliable companies in the industry.
We specialize in Massachusetts Medicaid billing but work with all Medicaid programs throughout the United States, Puerto Rico and Canada.
The services we provide our clients:
Credentialing, Enrollment & Revalidation
All States Medicaid, Inc. offers a wide range of services specifically designed to relieve the burden of facility and professional contract preparation from our client base. We work closely with our partners to ensure any new and existing provider numbers are kept active and in good standing. We identify and prepare enrollment applications for all 50 states and Puerto Rico. We also work with hospitals to enroll physicians per the ACA guidelines for ordering, prescribing, referring, and attending professional providers. Our dedicated staff works closely with each state Medicaid program to ensure the most current applications and requirements are met, allowing applications to be approved in a timely manner.
Follow up, denial Management & appeal processing
All States Medicaid, Inc. has over 40 years of experience working closely with the Title XIX plans and their Managed Care partners. One of our primary goals is to resolve various trends and denials that have historically frustrated providers, resulting in increased reimbursement. We work closely with our plan contacts to ensure the highest percentage of previously unpaid services are overturned through the appeal process, when necessary. Senior staff perform rigorous audits on all appeals to facilitate the reversal of even the most difficult denials.
Eligibility & authorization verification
Our staff is specifically trained to validate coverage with the various Medicaid plans, and determine whether member’s services require a prior approval, thus, reducing the need for post denial appeals. Our staff has the ability to process eligibility inquiries for all 50 states including Puerto Rico. We identify patient’s managed care plans as well and notify hospitals when an authorization is required. All claims are reviewed for individual plan coverage requirements prior to submitting claims.
We have the ability to submit claims under various media types and methods, guaranteeing the most efficient processing time available. All services are submitted through our rigorous pre-screening process to ensure the highest rate of clean submissions possible, within one business day. We submit utilizing the electronic 837 format on providers behalf whenever possible to ensure timely claim receipt. We also have portal access to key claims via direct data entry.