tell me this isnt a government operation...
my latest work headache:
last monday i drove down to jefferson city to attend a seminar on medicaid billing. at work, they've decided that i need to be more involved in the billing process, and we've had some trouble with our medicaid claims as of late (especially with submitting claims electronically). so naturally, it makes sense to send the inexperienced girl who hardly knows a thing about medicaid to learn how to solve our problems.....right?
fortunately, i'm awesome. i didnt get that raise for nothing.
much of the seminar was a little beyond my knowledge, but i did pay close attention to the computer demonstrations for claims submission. as of today, my claims are going through at probably a 50% success rate....which is phenominal considering the former success rate was close to around 5%.
i'm still experiencing a lot of problems, but at least i'm solving a few. i've managed to get payments in that we've been trying to get for over a year....and that makes me kind of proud, like i'm actually helping people. i just wish that the medicaid system itself wasnt so frustrating. it seriously is like trying to fit a square peg in a round hole...
last monday i drove down to jefferson city to attend a seminar on medicaid billing. at work, they've decided that i need to be more involved in the billing process, and we've had some trouble with our medicaid claims as of late (especially with submitting claims electronically). so naturally, it makes sense to send the inexperienced girl who hardly knows a thing about medicaid to learn how to solve our problems.....right?
fortunately, i'm awesome. i didnt get that raise for nothing.
much of the seminar was a little beyond my knowledge, but i did pay close attention to the computer demonstrations for claims submission. as of today, my claims are going through at probably a 50% success rate....which is phenominal considering the former success rate was close to around 5%.
i'm still experiencing a lot of problems, but at least i'm solving a few. i've managed to get payments in that we've been trying to get for over a year....and that makes me kind of proud, like i'm actually helping people. i just wish that the medicaid system itself wasnt so frustrating. it seriously is like trying to fit a square peg in a round hole...
posted by suz at 5:15 PM
3 Comments:
I had to deal extensively with Medicaid billng and approvals back when I was working in the health care field. It drove me nuts. I can certainly relate...
I imagine there must be a lot of rules associated with this process--is it a problem of knowing all of them and their exceptions, or is it just dealing with random errors over which you have no control? In any case, I agree that a 1000% increase in efficiency is definitely awesome.
one of the problems is that i just dont know why some go through and others dont. i do them the same way every time... unfortunately, the call center for medicaid is manned by roughly 12 people, and they dont put you on hold...you have to call in over and over until you finally get one of them. i've gotten through once, but that was before i had electronic subumission questions. i'm still trying as of today.
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