School-Based Medicaid Billing

Unmatched technology solutions, expertise and customer service in school-based Medicaid Claiming and Billing.

We Are Industry Leaders of School-Based Medicaid Claiming and Billing

Since 1993, the experts at NEMB have worked with schools to sharpen our approach to school-based Medicaid claiming and billing. Our comprehensive approach integrates Financial and Special Education personnel to thoroughly compile every aspect of essential claim data information.

Assistance at All Levels of School-based Medicaid Billing

Our team can assist with all levels of the Medicaid billing process, from the tools for capturing the required documentation of services to the submission and processing of Medicaid claims.

Our services include:

Direct Service Claiming (DSC)

Provider Eligibility

Student Eligibility

Provider Service Documentation

Quarterly (Interim) Billing

Direct Service Cost Reporting

Administrative Activity Claiming (AAC)

Administrative Cost Reporting

Medicaid Eligibility Enrollment Reports

Random Moment Time Study (RMTS) Monitoring

RMTS Quarterly Updates

Training

Data Analysis

Security – NEMB is HIPAA and FERPA compliant

Critical Integration – Technology that Provides So Much More

1 + 1 = MORE

SIMPLE NOTE, our FREE proprietary software, simplifies the daily task of IEP services note taking for your staff. 100% HIPAA and FERPA compliant, our software meets all state and federal guidelines with the ability to customize by state.

Simple Note Demonstration

Administrative Task Relief

Through our technology and dedicated staff, we take the administrative burden of tracking IEPs out of your hands. Eligibility checks, information tracking, working denied claims are all taken off your shoulders. We pride ourselves on our dedication to “roll up our sleeves” to save you and your staff time and money.

Random Moments Surveys 

Meeting your state requirements can be a daunting task. With NEMB at your side, you can rest assured your district will best positioned to meet the 85% RMTS Compliance Requirement. Through our technology systems we send daily reminders to staff to answer questions making it a simple task to quickly answer a question and move on with their day. We track your district’s submissions and can report where your district is at any point in time. 

Our Process

  • Your providers input data using our proprietary system, SimpleNote, or your district’s service documentation software.
  • Billing information received by NEMB
  • Claims are submitted
  • Eligibility is tracked and confirmed
  • Clean claims are submitted 
  • Rejections are worked in a timely manner
  • Custom reports are provided 
  • Reimbursement

We take the complexities out of school-based Medicaid billing.  Our simple process removes the administrative burden from your staff members and yields high reimbursement rates all while maintaining HIPAA and FERPA compliance.

Additionally, we are happy to set up the system and processes to add new reimbursable services as needed or as state guidelines permit. NEMB routinely reviews, monitors, and pursues other areas of opportunity for maximizing reimbursement.

REQUEST A CALL BACK

Need more information or have questions on any type of billing we do?

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Get In Touch 

 

888 - 771 - 6115
508 - 297 - 2068

19 Norfolk Avenue
South Easton, MA 02375

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