Navigating NEMT Medicaid Rates & Maximizing Reimbursements
Did you know an estimated 70 million individuals, approximately 21.2% of the U.S. population, received Medicaid or CHIP in 2022? The programs accounted for $829 billion, 19.5% of the overall health consumption expenditures. Next to private insurance and Medicare, Medicaid is a key pillar of the U.S. healthcare system. It finances the delivery of primary […]
How NEMT Providers Can Avoid Online Billing Errors
Online billing errors can be a costly and frustrating problem for non-emergency medical transportation (NEMT) providers, causing delayed payments and strained client relationships. Fortunately, there are proven strategies to minimize these mistakes and streamline your billing process. What would you do if an unnoticed error resulted in financial losses or even legal complications? This scenario […]
Guide: Government Funding and Grants for NEMT Providers
Government funding for improved healthcare access is a lifeline for non-emergency medical transportation (NEMT) providers. For example, President Joe Biden gave the Centers for Medicare and Medicaid Services (CMS) a $53 billion funding increase in 2023. Specialized funds and grants like these allow providers to bridge the gap between patients and essential medical care. […]
How to Increase Your NEMT Clean Claim Rates
Did you know, according to the Experian Health 2024 State of Claims survey, claim denials across healthcare have grown by 31%? Approximately 65% of denied claims are never re-submitted, causing providers permanent financial losses. This includes non-emergency medical transportation (NEMT) services that rely heavily on Medicaid reimbursements to fund operations. Claim denials substantially impact the […]
A Step-by-Step Map of the NEMT Billing Lifecycle
The non-emergency medical transportation (NEMT) billing lifecycle is much more complex and layered than you might think. It consists of multiple steps, from the initial filing of the claim to possible denials and appeals to payout. These steps determine whether an NEMT business will have a steady cash flow. If you are worried about your […]
5 Simple Tips to Improve Your NEMT Billing Process
As a non-emergency medical transportation (NEMT) provider, one of your primary concerns is ensuring a smooth and efficient billing process. While NEMT billing can involve intricate rules and regulations, navigating these stringent guidelines can enhance your business’s financial health. A proficient billing process simplifies your financial network, reduces the risk of errors and payment discrepancies, […]
Top 5 Medicaid Billing Issues and How to Prevent Them
Billing is one of the primary aspects of non-emergency medical transportation (NEMT) businesses. However, Medicaid billing issues and discrepancies continue to create challenges and hurdles for these organizations. While NEMT businesses have significantly improved services for Medicaid recipients, getting paid for these trips can be tricky. One of the best ways to deal with this […]
Mastering Common Billing Errors: A Definitive Guide for NEMT Providers
If the day-to-day gauntlet of running a non-emergency medical transportation (NEMT) company isn’t enough, experiencing a mountain of billing errors can haunt your business. Incorrect trip data, mismatched codes, and delayed reimbursements can chip away at your profit margins. Unfortunately, billing errors are a common yet preventable issue in the NEMT industry. Recognizing and addressing […]
Navigating the NEMT Billing Maze: Common Pitfalls and Fixes
Non-emergency medical transportation (NEMT) services facilitate transportation for individuals unable to travel to medical services independently. Billing for these services involves multiple stakeholders, including healthcare providers, transportation providers, Medicaid, and other insurance entities. The complexity arises due to each entity’s varying requirements and regulations, especially the state’s specific Medicaid guidelines, which can be intricate and […]
Understanding the Role of NEMT Insurance Brokers: How They Protect Your Business
Imagine one of your vehicles gets into an accident or a client files a lawsuit against your non-emergency medical transportation (NEMT) business. Without robust insurance coverage, such incidents could be financially devastating. In the NEMT industry, where each ride carries unique risks, having the right insurance coverage is not just a safety net—it’s essential for […]