Just like Medicare, Medicaid is also a federal and state program in the United States that helps in curbing the costs of healthcare and medical services for people typically with limited income and resources. Generally, the benefits that are not covered by Medicare, are covered by Medicaid, such as, it covers nursing home care, personal care services, etc. American citizens, whose income is not sufficient enough to bear the high medical bills and healthcare costs, can avail of the benefits offered by Medicaid, a public health insurance program.
There are no age restrictions for availing of the benefits of Medicaid, unlike Medicare, which is primarily for the elderly people over 65 years of age. Medicaid is run by the local and state governments by following the federal guidelines. For long-term healthcare coverage, Medicaid is highly dependable. A large spectrum of healthcare services are covered by Medicaid and the out-of-pocket costs that the insured sometimes have to bear are very less in amount. Like Medicare, Medicaid is also administered by the Centers for Medicare and Medicaid Services (CMS), which comes under the Department of Health and Human Services (HHS). As per their requirements, the American citizens can opt for Medicaid, or if eligible, may also opt for a dual health plan including both Medicare and Medicaid benefits.
Today, for Medicaid Batch Claims Processing, software or SaaS-based tools are used. There are software applications built for medical billing as well. Often codes are used to input data into the software to get the results. The data required include – healthcare providers’ information, patient’s information, data regarding the treatment procedures or services received by the patient, etc. Medicaid Batch Claims Processing allows processing payments for a large group of Medicaid customers together rather than billing each insured person individually, and hence, saves much time and effort. The claims are submitted by the healthcare service providers like hospitals, doctors, nursing homes, labs, etc., and the payment is directly made by the Medicaid authority to the inpatient providers and this process is quite lengthy. This process can be conveniently handled by using the SaaS-based tools available online. Also, for auditing claims, such tools are used.
Health Insurance 