Meet the Medicaid Experts

Automated and customized solutions for:

Meet the Medicaid Experts

Automated and customized solutions for:

MEDS

The Medicaid Eligibility Decision System: Interfaces with EDITS to automate the entire processing cycle for Nursing Home, MLTC, and community/hospital (non-MAGI) Medicaid recipients in New York City. Best in class client service ensures any case entered in the system that should be approved has the coverage put up correctly for billing.   MORE...

Batch Eligibility Inquiry System

Automated Medicaid status checking for entire census (nursing home) or member list (health plan) for monitoring ongoing coverage. Compare coverage changes between months, track cases that lose coverage, and identify recerts due.   MORE...

Consulting Services

Complete revenue cycle management. High success rate of getting difficult/rejected Medicaid cases approved. A/R system audits to ensure all dollars are collected, and at the correct rates.   MORE...

Billing Services

Correction and re-billing of rejected Medicaid and Managed Care claims. Collections services for private and NAMI bills.   MORE...