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medicaid billing agent number

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PMRNC:

--- Quote ---I understand that, but FLorida is because of the fee splitting crap. I'm a believer in specialties also. One of the things that I stress to anyone that I mentor to is to familiarize yourself with the medicaid rules of the state you are billing for. Each state has different rules. We have a Cap Medicaid program in NC. I don't know if any other state has that. If they do, it may be called something else, and the rules are different. I can be flexible in my border states and have plenty of business. I had a friend who took on a NC provider (she is from another state) and he does a lot of medicaid. She had to rebill those claims several times because she just wasn't familiar with how we do Medicaid in NC. Another reason as I stated, its just risky enough when you deal with providers paying you. I just prefer local providers personally.
--- End quote ---

I would tend to agree with you a few years back, however I've now had a nice taste of getting paid for my work so I'd never go back to % billing ever again, and I'm in NY so that fee splitting thing doesn't scare me off at all. It's great marketing tool actually because I've talked to providers who were completely unaware that entering into those contracts is illegal for them. Plus if you are In NJ or NY most likely you are going to work with both states because many who live in NJ commute to NJ to work and even visa versa. I also like the diversity, if you can deal with multi-state Medicaid, Workers Comp, PI, etc..you have an edge on the competition.

Pay_My_Claims:
Oh yes, I know the rules for various states for Medicaid (10 years of hospital insurance & authorizations). My issues is collecting. I want to be within BEATDOWN range for my money!! I'm doing well within NC (1 SC provider), I just don't extend outside of the States. Now if they contact me..LOL. Also I am glad I never did the %. When I got into the billing thats all I heard, but I'm glad that I ventured out on my owl little path and decided to develop a new methodology of payments. Everyone that I have dealt with in the past always talking about "well you can bring in this and that" OK, I just signed an Optometrist for AR-Recovery, guess what happens when I start to review his AR???? His staff was forgetting to post payments that were EFT'd to them. OK thats a no pay...I don't get paid for that. This is also why I charge a downpayment on AR--Recovery for cases such as this. You have to get paid for your time!!

PMRNC:
Today you shouldn't have problem getting paid, there are a ton of options now, credit card, direct withdrawal. I have direct deposit set up with my clients, they love it, I love it :) If you mean reimbursement from the various states, where you file them shouldn't make a difference. Maybe i misunderstood.

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