Out-of-State Medicaid Services

With more than two decades of experience in Out-of-State (OOS) Medicaid account management, Centauri (formerly NHI Billing) provides unparalleled expertise for 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.

Centauri understands that it is difficult for hospitals to stay on top of the complexities of each state’s Medicaid program. That’s why our billing specialists are fully proficient in the nuances of each state’s Medicaid rules.

Our objective is to collect as many out-of-state Medicaid claims as efficiently as possible, while looking at all avenues for maximum recovery—without a time-intensive drain on your team’s resources.

 

Eligibility Verification

Our clients can verify a patient's eligibility via our website 24 hours a day, 7 days a week. Online submissions allow us to obtain the correct amount of information to 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,  minimizing the need for post-treatment authorization appeals.

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Claims, Billing & Appeals

Clients can submit claims to in a variety of formats and media including electronic (ANSI, print image, proprietary) and paper. We can even pull accounts from your system if granted access.

All claims that arrive at with complete documentation and an active provider number with the specific Medicaid program are billed within one business day. As many claims as possible are submitted to Medicaid or MCO electronically.

It is our goal with our clients to take all steps necessary to minimize the need to file an appeal. However, if an appeal is necessary, we will file and follow up on your behalf.

Reporting

We offer an extensive suite of reports, designed to provide accurate and up-to-date information about your accounts individually and collectively. Other reports are designed for you to monitor our performance. Access to these reports is available 24/7 on our secure client site.