Non-Emergency Medical Transportation (NEMT) services ​

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Non-Emergency Medical Transportation (NEMT) services are essential for ensuring patients, particularly those with chronic conditions or limited mobility, can access the healthcare they need. However, the billing process for NEMT services is notoriously complex and riddled with potential pitfalls. From navigating the maze of Medicaid regulations to dealing with denied claims, the challenges can be overwhelming.

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Accepting Medi-Cal beneficiaries can be a win-win for both NEMT providers and the communities they serve, leading to sustainable business growth and improved public health outcomes.

• Increased Revenue Stream:

• Consistent Payment:

• Long-Term Client Relationships:

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Benefits to the Community:

• Improved Access to Healthcare

• Support for Vulnerable Populations

• Community Health Improvement

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Allow Open Door Billing to assist NEMT providers in becoming Medi-Cal Fee-for-Service providers, ensuring they meet all necessary requirements and successfully navigate the enrollment process. The ultimate goal is to enable NEMT providers to offer transportation services to Medi-Cal beneficiaries and receive reimbursement for those services.

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Services Provided by Open Door Billing:

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1. Initial Consultation and Assessment:

• Conduct a comprehensive assessment of the NEMT provider’s current operations, compliance status, and eligibility for Medi-Cal FFS enrollment.

• Provide a detailed report outlining the steps required to achieve Medi-Cal FFS provider status.

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2. Credentialing and Enrollment Support:

• Assist in the preparation and submission of all necessary documentation for Medi-Cal FFS enrollment, including but not limited to:

• NPI (National Provider Identifier) registration.

• Provider Enrollment Application (DHCS 6204).

• Supplemental documentation such as business licenses, vehicle inspections, driver qualifications, and insurance requirements.

• Monitor the status of the application and provide updates to the NEMT provider.

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3. Billing and Reimbursement:​

• Offer ongoing support to resolve billing issues and ensure timely reimbursement.

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By partnering with Open Door Billing, you can alleviate the administrative burden, reduce the risk of claim denials, and ensure your NEMT business remains financially healthy and compliant. Ultimately, this allows you to focus on what matters most—providing safe and reliable transportation services.

 

Schedule an appointment, below!

 

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