{"title":"拿州外的医疗补助报销来套现!","authors":"M De Frasia-Lackey, D Matzelle","doi":"","DOIUrl":null,"url":null,"abstract":"<p><p>In summary, billing out-of-state claims can be time-consuming but productive. It just takes time, information from the states and consistent follow-up. Unicare Corporation began billing out-of-state accounts in 1989. Providers referred accounts to us that they normally would have written off--either because the balances were too small, they were not enrolled, or they did not have a large enough staff to dedicate time to this payer. In 1997, Unicare recovered more than $92 million for our clients. We accomplished this by focusing on uninsured admissions, medical necessity and out-of-state claims processing for providers.</p>","PeriodicalId":79748,"journal":{"name":"The NAHAM management journal","volume":"24 5","pages":"18"},"PeriodicalIF":0.0000,"publicationDate":"1998-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Cashing in on out-of-state Medicaid claims!\",\"authors\":\"M De Frasia-Lackey, D Matzelle\",\"doi\":\"\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>In summary, billing out-of-state claims can be time-consuming but productive. It just takes time, information from the states and consistent follow-up. Unicare Corporation began billing out-of-state accounts in 1989. Providers referred accounts to us that they normally would have written off--either because the balances were too small, they were not enrolled, or they did not have a large enough staff to dedicate time to this payer. In 1997, Unicare recovered more than $92 million for our clients. We accomplished this by focusing on uninsured admissions, medical necessity and out-of-state claims processing for providers.</p>\",\"PeriodicalId\":79748,\"journal\":{\"name\":\"The NAHAM management journal\",\"volume\":\"24 5\",\"pages\":\"18\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"1998-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"The NAHAM management journal\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"The NAHAM management journal","FirstCategoryId":"1085","ListUrlMain":"","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
In summary, billing out-of-state claims can be time-consuming but productive. It just takes time, information from the states and consistent follow-up. Unicare Corporation began billing out-of-state accounts in 1989. Providers referred accounts to us that they normally would have written off--either because the balances were too small, they were not enrolled, or they did not have a large enough staff to dedicate time to this payer. In 1997, Unicare recovered more than $92 million for our clients. We accomplished this by focusing on uninsured admissions, medical necessity and out-of-state claims processing for providers.