Simplify Compliance, Reimbursement with Attestation and Claims Management
What if your business was one of the thousands losing money because of denied claims? In 2022 alone, healthcare providers spent nearly $20 billion just to appeal them. In the non-emergency medical transportation (NEMT) world, claim denials delay reimbursements, increase operational costs, and kill your revenue. Proper attestation and claims management are critical to ensuring accurate […]
Navigating HIPAA Compliance for NEMT Operations
Imagine walking into your office one morning to find a legal notice and multiple fines against your non-emergency medical transportation (NEMT) business. You compulsively skim through the countless situations that may have led to this but can’t recall any situation that would even come close. What if we told you this was because you unknowingly […]
NEMT Regulations Every Provider Must Know to Stay Compliant
Did you know that regulatory fines can range from $100 to $50,000 in the non-emergency medical transportation (NEMT) industry? For providers, complying with NEMT regulations ensures reliable service, safeguarding patient care, and building trust in critical healthcare support systems. Compliance goes beyond operational standards. It encompasses stringent regulations on safety, documentation, billing practices, and driver […]
NEMT Compliance is Essential, But Ethics is What Sets You Apart
You meet the regulations. You follow the rules. You’re aligned with NEMT compliance standards. While this is commendable, compliance doesn’t make you stand out. How do you operate when the rulebook runs out? That’s where ethics comes in: unspoken guidelines that define your reputation and build client trust. So, here’s the big question: Are you […]
Consequences of Non-Compliance for NEMT Providers
As a non-emergency management transportation (NEMT) provider, ensuring compliance is an indispensable aspect of your daily operations. The repercussions of non-compliance can be severe, impacting both your financial stability and legal standing. This article highlights the importance of adhering to regulations, recognizes the difference between ordinary and gross negligence, and provides actionable insights to safeguard […]
NEMT Providers and Regulatory Audits: Understanding the Basics
Non-emergency medical transportation (NEMT) is an essential service within Medicaid, providing crucial transportation to beneficiaries who can’t arrange their own. However, investigations by the Medicaid Fraud Control Unit between 2015 and 2020 identified nearly 200 cases of fraud involving transportation providers across 25 states. These significant findings highlight the necessity of regulatory audits in the […]
HIPAA and Data Security in NEMT
Non-emergency medical transportation (NEMT) providers handle customers’ health information daily, making data security critically important. NEMT providers must comply with data security regulations and implement robust measures to safeguard patient information. This article provides practical compliance strategies and innovative approaches tailored to NEMT providers. We demystify complexities, debunk myths, and equip you with the knowledge […]