Out-of-State Medicaid Video Transcript

Narrator: Welcome to Elevate Patient Financial Solutions, your trusted partner in handling complex claims. With over forty five years of revenue cycle experience and more than twenty years dedicated to Out-of-State Medicaid services, we are experts in resolving claims.

Out-of-state Medicaid claims present some of the most complex challenges for hospitals and health systems. Every state operates under different eligibility rules, enrollment requirements, billing guidelines, and appeal processes. Managing those variations internally can strain staff resources resources and leave valuable reimbursement uncollected.

That's why providers nationwide partner with ElevatePFS. We specialize in out of state Medicaid enrollment and billing, helping hospitals and physicians recover revenue while reducing administrative burden and accelerating cash flow. We offer a full service strategic solution customized to your organization's needs.

From eligibility verification and provider enrollment to billing, follow-up, and appeals, our expert teams manage the entire Out-of-State Medicaid process from start to finish. Our unmatched expertise spans all 50 states.

Executive Vice President of Complex Claims Micaela Walls-Suarez: So the Out-of-State program, first and foremost, our people have the expertise and the knowledge across every single state, that has a Medicaid program, which makes us incredibly knowledgeable, not only in the provider enrollment process, but also all of the billing edits and requirements on that individual state level.

We stay current with evolving federal, state and county policies, allowing us to accurately validate coverage at the time services were rendered and pursue payment with speed, precision and compliance. Technology powers our results.

Micaela Walls-Suarez: Our team provides, coupled with the knowledge and the technology we have to track and trend all of provider enrollments that have been submitted, as well as all of our claims and the, technology we have to have edits specific to each state really makes a difference for us to be able to successfully bill and recover on those services.

Narrator: Our enrollment tracker technology provides real time visibility into enrollment status, effective dates, credentials and required documentation. Our proprietary electronic billing tools identify payer specific rules and guidelines to support clean submissions.

And our real-time screening and claim auditing tools automatically coordinate submissions, follow-up, and quality assurance, ensuring no opportunity is missed. Our comprehensive eligibility verification process uses multiple tools to identify Medicaid, Medicare, and other potential payer coverage, even in the most complex cases.

ElevatePFS actively manages over 450 Medicaid payer profiles and verifies coverage across all 50 states, delivering measurable outcomes and accelerating claims to resolution. At Elevate Patient Financial Solutions, we handle the complexity of Out-of-State Medicaid so your team can focus on what matters most.

Visit elevatepfs.com to learn how our Out-of-State Medicaid services can strengthen your revenue cycle. Elevate your revenue cycle with Elevate Patient Financial Solutions.