Easier Medicaid Billing

Introducing Claims Manager

By Nik Edlinger on Oct 14, 2019 in News

For many residents in senior living communities, Medicaid is a stable source of funding for care. But for just as many owners and operators, Medicaid is a source of billing frustration.

Since each state manages their own Medicaid programs, senior living providers can have wildly different processes for getting reimbursed for care among their communities. Some states require electronic claims submission – some make it optional. And not all states reimburse for the same services in the same way. Figuring out the who, what, where and how is enough to make some providers reluctant to accept Medicaid recipients.

But that’s all changing.

We’re excited to announce Yardi Claims Manager, the newest update to our Yardi Voyager Senior Housing platform. Claims Manager streamlines the claims submission process by automating the entire workflow. Staff no longer need to do manual paperwork for each resident and claim. Instead, the solution integrates directly with the resident’s record through Yardi Voyager, so all billing information is in one central place. Staff can then leverage state-specific billing templates to submit electronically and breeze through the complexities of Medicaid reimbursement.

Check out how Claims Manager can simplify electronic claims management for assisted living and memory care providers.

Save time: Less scanning and filing of Medicaid paperwork means more time back for your team to focus on other priorities. All your claim documentation is centrally located in Yardi, so there’s no shuffling between accounting systems or digging through the state’s Medicaid billing software for submissions and reconciliation.

Eliminate errors: If your staff must transfer claims information from one system to the next, reentering data and submitting directly, mistakes like typos, missing details or incorrect billing codes are bound to happen. With an average error rate of 28%, paper claims are no better. Claims Manager handles the transaction data for you, using real-time data to populate Medicaid forms so you can submit clean claims every time.

Reduce rejections: Claims Manager conducts pre-checks before you submit, verifying that resident claims are accurate and error free. This helps prevent claim rejections, claim rework and all the back and forth with the state. It also means you’ll have fewer gaps in your revenue due to delayed reimbursements.

Track statuses: Customizable dashboard and widgets allow you to keep an eye on the status of your Medicaid claims. With full visibility into all residents that are on Medicaid, from a high-level view down to transaction details, you can quickly see if anything needs a follow-up so you can keep claims moving through the Medicaid pipeline.

Maintain compliance: Create a clear audit trail without having to lift a finger. Claims Manager stores and safeguards all resident factors and qualifying conditions, ensuring that you’re HIPAA compliant throughout the electronic claims submission process. You can easily track leaves of absence as well to adjust your Medicaid billing by the right amount.

If you’re already a Yardi client, you can learn more about Claims Manager by contacting your sales rep or visiting Client Central. Not using Yardi yet? Get in touch to discover our single connected solution for senior living.