Understanding Medicaid Reimbursement: A Provider’s Guide

Did you know Medicaid spends $1.5 billion annually on non-emergency medical transportation (NEMT) services? Unfortunately, navigating and securing Medicaid reimbursements can be complicated, especially since they’re a primary source of income for NEMT businesses. Without timely and accurate payments, you can struggle to cover operational costs, pay your staff, and maintain high-quality services for patients […]
Improving Profit Margins with Smarter NEMT Billing Practices

Regardless of your size, billing can be challenging when running a non-emergency medical transportation (NEMT) business. While your day-to-day operations might be smooth, billing seems more complicated. Errors in invoices, delayed payments, and overlooked reimbursements could cost you more than you realize. What if a simple change in how you handle billing could drastically improve […]
How to Create a Strong NEMT Financial Forecast

Ensuring your business is financially stable in an industry that values timely service and operational efficiency is essential. Financial stability supports daily operations and lays the groundwork for long-term growth. This secures the future of your non-emergency medical transportation (NEMT) business and allows you to navigate challenges more effectively. By developing and maintaining an up-to-date […]
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 […]