Advanced Reimbursement Management

Advanced Reimbursement Management offers a suite of services encompassing Medicaid reimbursement. These service lines include: Medicaid Eligibility Assistance Services – ARM provides both on-site team members to assist with I/P and O/P enrollment of your Self Pay Patients in Medicaid as well as centralized eligibility support team members who do follow up work from our central business office. Accounts Receivables Management – ARM handles a variety of services from initial Medicaid claims billing to follow-up of aged claims at 60,90,120+ days. We use our clinical audit nursing staff to do our own in house reviews when submitting claims for reconsideration. This is an included part of the service at no extra charge. Clinical Auditing Services – ARM provides a variety of clinical auditing services in addition to claims review as part of A/R management. This includes RACs, Defense Audits (all payers), Stop Loss / Carve Out, Charge Hold / Lost Charge. In all situations, ARM provides trending feedback to the hospital in an effort to provide long term solutions. ARM can do both hourly pricing or contingency rate pricing, depending on your preference. Post Payment Review (Zero Balance) – ARM can review all of your Medicaid claims for variance from expected reimbursement amounts, and provide detailed trending, The best part is that we are budget positive because this is truly “found money”