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Money matters: NEMT billing features you can't do without

An estimated 74 million Americans currently rely on Medicaid to fund their health care, according to U.S. News and World Report. And many of them use non-emergency medical transportation (NEMT) to get to and from their appointments.

For NEMT providers and the funding sources that broker these trips, settling reimbursement claims in a timely manner can quickly become complicated for several reasons:

  • Service-level agreements will vary by broker and provider, so contract management must be meticulous.  
  • Billing rates vary based on type of service, level of service, time of day and other factors, meaning providers need to track working hours with precision. 
  • Seamless integration between brokers and providers is needed to facilitate faster time-to-reimbursement. 

If executed manually, the above tasks are tedious and prone to errors and delays in payment processing.

But with Mobility-as-a-Service (MaaS) for NEMT brokers and providers, billing management effectively becomes automatic. Here are some of the key features that make this possible: 

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Automatic billing upon trip completion

One of the central features of MaaS is real-time trip progress. Dispatchers use an automatic vehicle locator (AVL) to track driver location in real time. The driver, meanwhile, can easily provide proof of pickup and proof of drop-off via mobile device so that everything is time-stamped and verified for the broker. Upon completion of the trip, any relevant billing data (miles traveled, rider signatures, vehicle identification number, or VIN) is already aggregated in one place. 

What’s more, this billing data is automatically generated based on the SLA with the trip source, meaning the right people always get accurate billing estimates as soon as the trip is complete. As a result, providers get paid faster, and brokers are given everything they need to quickly process payments. 

Secure integrations

A notable benefit of using MaaS with an open API architecture is that it facilitates seamless integration between providers and brokers, which saves time that might otherwise be spent exporting billing data for processing.

With that in mind, though, NEMT providers and brokers handle sensitive patient data, meaning they’re subject to HIPAA compliance as they store, process or transfer this information. As such, any MaaS platform used to automate the collection and transfer of billing data between providers and brokers must have data security protections in place, including:

  • Strong administrative controls.
  • User authentication. 
  • Data encryption. 

In other words, convenience should never come at the cost of compliance.

If it’s a best-in-breed NEMT MaaS solution, it will provide both in one package. Don’t settle for anything less. 

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