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 billing, timely payments, and regulatory compliance.      

Trying to manage all this yourself presents major hurdles—complex Medicaid and insurance requirements, frequent claim rejections, a lengthy approval process, and the risk of fraud or penalties.  

Here’s the good news: A reliable attestation and claims management system can streamline the entire process and overcome these challenges.  

In this article, you’ll learn about common pitfalls in attestation and claims management, how to address these challenges, and how the right software can make life easier and more profitable.

Challenges in Attestation and Claims Management 

Every detail matters. 

From stringent compliance regulations, accurate documentation, and efficient workflows, attestation and claims management is complicated.  

Manual tracking leads to inefficiencies that result in claim rejections, financial losses, and operational delays.  

Here are the most common pitfalls: 

• Navigating complex compliance regulations (e.g., Medicaid, insurance, etc.)
• Missing or incorrect documentation, delayed reimbursements, and administrative burdens. 
• Wrong information can mean long processing times and disputes over service eligibility or documentation requirements with payers.  
• Numerous denials muddy your reputation, leading to penalties, legal consequences, and contract loss. 

Perhaps you use standard attestation software, but it can’t connect to key systems like Medicaid Administrative Services (MAS) or claims software, putting your reimbursements at serious risk.

Unlike standard management systems, Tobi’s attestation and claims management systems can integrate and sync seamlessly with third-party systems.  With geo-location tracking, driver and vehicle details management, and trip documentation, you can ensure accurate and efficient partnerships for successful attestation and claims. 

Read more to know why NEMT software is vital for claims and billing.  

Why Addressing Challenges is Critical 

Suppose you notice that one of your vehicles is not being tracked accurately.  

While it might seem like a minor inconvenience now, ignoring something as simple as vehicle tracking keeps you from adding this critical information to your attestation and claims, leading to denied claims and financial consequences.  

In 2023, healthcare providers—including NEMT fleet owners—incurred over $25.7 billion in costs related to claims adjudication—a 23% hike from the previous year.  

Inefficient attestation and claims management present significant challenges for healthcare providers, leading to financial and operational obstacles. 

The consequences of ignoring challenges in your NEMT business’s attestation and claims management can be costly. When claims are not accurately submitted, you could lose between $25 to $117 per denied claim.

Other adverse outcomes include:

• Delayed payments, straining cash flow, and impacting financial health. 
• Financial loss, security breaches, license revocation, business disruptions, and poor patient care. 
• Persistent errors and delays in claims processing can lead to dissatisfaction and damage your relationship with patients. 
  
  

Quickly addressing challenges is crucial for maintaining financial stability, ensuring compliance, reducing burdens, and preserving patient trust.  

How an Attestation and Claims Management System Can Help 

Dependable management software is the best way to avoid billing problems.  

Standard software handles your billing, but you must manually enter data into it. If you miss critical information for claim submission, the claim will be denied because it is incomplete.

Comprehensive attestation and claims management software helps you avoid such costly mistakes. This system will: 

• Automate documentation and compliance checks to ensure your claim meets Medicaid, Medicare, and private-payer requirements. This reduces the burden of manual compliance and ensures accurate submissions. 
• Enhance accuracy and efficiency by automating data entry, cross-checking information, and avoiding common mistakes that lead to denied or delayed claims. 
• Streamline the approval process by automatically verifying trip details, driver credentials, and service eligibility. Eliminating the need for continuous communication with payers improves efficiency and reduces administrative workload.  
• Provide real-time tracking to monitor claims and reimbursements, identify delays or issues immediately, and maintain transparency. 
  
  

Why choose Tobi’s Attestation & Claims Management System? 

How would you feel if you could simplify attestation and claims in a few simple clicks? 

Tobi’s attestation and claims management software improves your claim lifecycle at every step.  

• Automated compliance verification checks claims before submission, ensuring adherence to Medicaid and broker guidelines and reducing the risk of audits and penalties.  
• Seamlessly integrates with existing billing systems like Medicaid Administrative Services (MAS) and third-party claims software.  
• You can monitor claim statuses and reimbursements in one dashboard with real-time claims tracking.  
• Intelligently checks claims to reduce errors, minimize denials, and improve claim turnaround times.  
• It is specially designed to support your business’s unique needs with secure data management that prioritizes sustainable scalability. 

Build a Secure Future

A strong attestation and claims management process is essential to maintain financial stability, regulatory compliance, and operational efficiency.  

Tobi’s attestation and claims management software simplifies compliance, reduces errors, and accelerates reimbursements, ensuring your business stays stable.  

By leveraging Tobi’s integrated features, you can focus on delivering quality transportation services without worrying about claim denials.  

Are your systems ready to tackle attestation and claims management successfully?  

Are you curious how Tobi can help you run your NEMT operations more efficiently? Request a demo and experience how Tobi makes your business better at every turn.