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4 Important Concessions to Know When Billing Out-of-State Medicaid Hospital Claims

The complexities for billing Out-of-State Medicaid are due to many factors. Before you can overcome them, you must first identify the exceptions associated with billing these claims.

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  • "Choosing EnableComp was an easy decision for our hospital. They have maximized our workers’ comp claim revenue and have allowed us to reallocate trained team members to other areas of our RCM department. Any burn center or trauma center who manages large workers’ compensation claims would financially benefit from their service and expertise."

    Vice President, Revenue Cycle

    Regional One Health

  • "I can highly recommend EnableComp. They have highly delivered on their promises of what their company can do, and we have experienced a huge decrease in aging in the Workers’ Comp category."

    System Director

    Lee Health

  • "Who wouldn’t want to do this? I had nothing to lose and everything to gain. Even if we had the people who could manage it, EnableComp would still find more. They are the experts. It’s that simple."

    Executive Director, PFS

    University of Tennessee Medical Center

  • “Prior to deciding to outsource our Work Comp claims business to EnableComp, Methodist Le Bonheur Healthcare had always kept our billing and collections work in-house, and our numbers indicated we were very successful in doing so. Initially, we agreed to enter into a 'project relationship' in which EnableComp would work only our zero balance claims. After a year into that project, we were particularly impressed by the fact that we found the staff was very easy to work with, responsive to any requests we made and extremely professional in this business relationship. We monitored the progress of their work throughout that year and were more than ready to secure a contract with them when we saw they returned a gross revenue to MLH over $1M from the zero balance claims.”

    Sr. Director Revenue Cycle

    Methodist Le Bonheur Healthcare

  • "Workers’ compensation accounts take an extraordinary amount of time and require a unique skill set to manage. It simply made sense to me to reallocate my resources and let EnableComp focus on managing this complex revenue class for us."

    Director of PFS

    Cookeville Regional Medical Center

  • "EnableComp found thousands of dollars in lost reimbursement when they reviewed workers’ comp accounts that had already been reviewed by another company. I have found that having a niche vendor for this type of accounts really pays off. The EnableComp staff know the complicated WC rules and the best methods to obtain payment."

    VP Revenue Cycle

    St. Vincent’s

  • "I would highly recommend EnableComp because of their excellent client interaction and communication, their willingness to assist with any issues, and their successful and innovative collection efforts."

    Manager, Business/Patient Accounts

    Emory Healthcare

  • “We first partnered with EnableComp on our workers’ compensation claims and their performance exceeded our expectations. When they became a complex claims company, it was an easy decision to expand our services and include motor vehicle accident and veterans administration claims processing. Last month, they collected double what our previous vendor had collected for VA claims. Their team has proven why they are the right partner and industry leader to manage these complex claims.”

    Asst. Vice President Revenue Cycle

    Jackson Hospital

  • “EnableComp is truly our department down the hall as they handle our Veterans, Tricare and TriWest/Optum claims. We have experienced immediate improvement in our financial results. Our staff is relieved to have a solid partner with the resources and relationships to drive cash collections while reducing our A/R. Our team has been freed up to focus on more standardized payer classes. Thank you EnableComp for becoming part of our team at WellSpan!”

    Senior Director, PFS

    WellSpan Health

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