OUT-OF-STATE MEDICAID SERVICES

Billing for out-of-state Medicaid claims is a complicated undertaking. It requires enrollment of both the facility and providers in additional states, maintaining credentials, and overseeing the billing process. Our out-of-state Medicaid team has experience in all 50 states with this process. We enroll, bill and follow-up on all out-of-state Medicaid accounts on behalf of your hospital.

We Securely Handle All Aspects of Out-of-State Medicaid Enrollment & Billing

So you don't miss out on this substantial form of reimbursement

Our Process

OSM Process
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  • Facility/Physician Enrollment – applications complete, submit, and maintain at no additional cost
  • OPR Provider Enrollment – If you order, prescribe, refer, or render services for a Medicaid patient, you must be enrolled in the state program to which the patient belongs.
  • Maintenance and Monitoring – prevents expirations and deactivation
  • Contingent Fee Pricing & Facility Enrollment at No Charge – we don’t get paid, until you do
  • Real-Time Online Account Management Dashboard – always know the status of your accounts
  • Early determination and our single point allocation allow for more Medicaid conversions, higher remittance and quicker reimbursement with account transparency
  • Close all out-of-state Medicaid accounts in fewer than 180 days in most cases, aging report provides transparency for final determination

A PERFORMANCE-BASED EXTENSION OF YOUR REVENUE CYCLE TEAM

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Press Release EligibilityAdvocates Excels at Secondary Patient Eligibility Services FOR IMMEDIATE RELEASE: May 25, 2022 Walnut Creek, CA:  EligibilityAdvocates excels at secondary patient eligibility services. These services maximize reimbursement efforts…

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EligibilityAdvocates Blog Eligibility REDEFINED: EligibilityAdvocates Sets the New Standard in Patient Eligibility Posted on Tuesday, June 1, 2021 At EligibilityAdvocates, we are redefining patient eligibility and enrollment. Our Patient Advocates…

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Press Release EligibilityAdvocates – New Patient Eligibility Service Powered by HealthWare Systems FOR IMMEDIATE RELEASE: May 4, 2021 Elgin, IL:  HealthWare Systems has partnered with a new company, EligibilityAdvocates, which…

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Out-of-State Medicaid Reimbursement: Top Challenges & Solutions

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EligibilityAdvocates Blog Out-of-State Medicaid Reimbursement: Top Challenges & Solutions Posted on Friday, February 5, 2021 Out-of-state Medicaid reimbursement poses significant challenges to healthcare facilities. Many choose to write off these…

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