Optometric Billing Solutions does insurance billing for optometrists in over 40 states, so we are very familiar with insurance payers in all parts of the country. Because we deal with so many different payers, we’re accustomed to dealing with the occasional quirkiness that just comes with the territory. It seems nearly every state has at least one carrier with a weird rule that’s outside of industry norms. However, while an occasional commercial plan may have some random weirdness, a lot of state Medicaids have unusually demanding filing requirements that can make claim payment difficult if you don’t know how to traverse the red tape.
Not long ago, a large group our billers were in the break room when the subject of Medicaid came up, and many had horror stories about the lengths they have to go through to get their Medicaid claims to pay. Common problems were rules outside of normal billing standards, short timely filings, website with antiquated software, difficulty getting representatives on the phone, long wait times, time-consuming forms to fill out for corrected claims, Medicare crossovers not working, and long wait times for payment–just to name a few.
However, if your practice has a Medicaid AR that is out of control, we have good news! Regardless of how many rules your Medicaid payer has, our billers know how to get your Medicaid claims to pay. We are experts at tracking down filing requirements, reading provider manuals, calling reps, and following procedures for even the most demanding Medicaids. If you need help with your Medicaid claims, we invite you to call us. We can help!
