Capture Your Out-of-State Medicaid Claims Revenue
Dealing with Medicaid claims across state lines is a real headache. Every state has its own maze of rules and requirements, and keeping providers properly credentialed is a constant juggling act. Your revenue cycle teams have their work cut out managing all these moving parts.
Let us help you. Our advanced tech platform with intelligent automation works alongside our US-based team of experts to handle everything across all 50 states—from billing, appeals, and proactive provider credentialing—ensuring maximum reimbursement and compliance.
The results? A 95% success rate for qualified placements.
Partnership Powered by Results
Revenue Protection
Speed to Revenue
Excellence Delivered
How We Deliver More
We go the extra mile with smart automation and expert support to make out-of-state Medicaid claims easier, faster, and more successful—so you get more reimbursements with less hassle. How much revenue is your hospital leaving on the table?
Advanced Proprietary Technology
Compass, our technology platform, streamlines Medicaid claims across all states. Fee schedules and program rules are managed to drive clean claim rates, reduce denials, and maximize reimbursement for out-of-state Medicaid claims.
Dedicated Account Management
Your dedicated client success director guides you through every step of the out-of-state Medicaid claims process—from seamless implementation to ongoing training, strategic optimization, and detailed performance tracking.
Expert Provider Credentialing
Our expert team handles all facility and physician enrollment for State Medicaid and MCO programs. Our comprehensive approach reduces claim denials and eliminates enrollment complexity, letting you focus on patient care.
Medicaid & HMO Claims Education
We provide specialized training in Medicaid and HMO claims, ensuring adherence to billing guidelines across all programs. We’ll handle the process to minimize errors, improve compliance, and maximize claim approval rates.
Claims Investigation & Authorization
With full responsibility for refining the investigation, notification, and authorization processes, our team ensures claims are accurately and promptly submitted. Our first-pass acceptance rate ultimately accelerates payments.
Insurance Verification Specialists
Your team’s workload is lightened by our expertise in managing the ever-changing complex state requirements across all 50 states. We ensure full compliance while optimizing Medicaid and MCO revenue recovery.
Our US-based team includes:
Clients we work with
We work with domain experts to improve roadmaps, project portfolios processes and practice for long-term success.
We work with leaders to improve innovation and strategy for sustainable growth and profit across horizons.
We support a network of like-minded consultants and advisors that want to help their clients innovate and sustain effective development.
Sensaco provides technical due diligences, software and product assessment, as well as second opinions for investment cases and M&A.
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