CLIENT PORTAL Company Health Plan Hospital Resources Members & Patients Contact Out-of-State Medicaid Centauri has more than two decades of experience in Out-of-State (OOS) Medicaid billing and account management. We offer unparalleled expertise in Medicaid and Medicaid Managed Care Plans. Through our targeted focus on OOS collections, we manage nearly $1.5 billion in claims annually for our clients. Understanding the complexities of each state's Medicaid program is a full time job. It can be difficult and time consuming for a hospital to keep on top of all of the changes. Our billing specialists learn the nuances of each state’s Medicaid rules so our clients don't have to. We look at all avenues for maximum recovery, and collect as many Out-of-State Medicaid claims as efficiently as possible. Our goal is to remove the strain from your team’s resources. Out-of-State Medicaid FAQs Out-of-State Medicaid Eligibility Verification Patient eligibility can be verified via our website 24/7. We obtain the correct amount of information from the online submissions and provide you with the most accurate results. As part of our eligibility verification process, clients are advised if authorization is required. Supplied contact information can be used to obtain a timely authorization. This minimizes the need for post-treatment authorization appeals. Claims, Billing & Appeals Clients can submit out-of-state Medicaid claims to us in a variety of formats and media. These include electronic (ANSI, print image, proprietary) and paper. If granted access, we can even pull accounts from their system. All claims that arrive with complete documentation and an active provider number with the specific Medicaid program are billed within one business day. We submit as many claims as possible electronically to Medicaid or MCO. We take all steps necessary to minimize the need to file an appeal. However, if an appeal is necessary, we will file it and follow up on our client's behalf. Reporting An extensive suite of reports is included with Centauri's Out-of-Medicaid solution. The reports provide accurate and up-to-date information about accounts both individually and collectively. Other reports enable clients to monitor our performance. Access to these reports is available 24/7 on our secure client site. RELATED RESOURCES Centauri Insights® Who Is Centauri? Corporate Brochure CONTACT US info@centaurihs.com Centauri Health Solutions is a healthcare technology and services company – powered by analytics. We are charting a new path in healthcare with power to solve and passion to serve. 888.447.8908 LinkedIn, opens new tab Facebook, opens new tab Twitter, opens new tab Instagram, opens new tab Centauri Sphere Quarterly Newsletter Signup We’d like to share our latest product and services news with you. First Name* Last Name* Company Name* Company Email* HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA). © 2019-2021 Centauri Health Solutions, Inc. All rights reserved. Website Design by Widely Interactive. PRIVACY TERMS OF USE DO NOT SELL MY PERSONAL INFORMATION