When it comes to charging passengers for NEMT trips, there are many options. You can set a flat rate for all trips, or you can charge by the mile. While charging per mile may be more efficient for long trips, flat rates are also good for local trips. This way, your passengers know exactly how much to expect from every trip.
The process of billing NEMT trips starts when you receive a trip request. From there, you have to schedule the trip and dispatch the driver. The final step is billing. This is the most crucial part of running your NEMT business, and a mistake can cost you business. Here are a few important tips to help you bill NEMT trips correctly.
Firstly, verify the patient’s coverage. It’s important to know whether the patient is on Medicaid or private pay, so you can make sure to bill them appropriately. This way, you can avoid any issues with billing. Also, make sure you get the passenger’s information, including whether he or she is on Medicaid. Knowing this information can make the process go more smoothly and ensure you receive reimbursement.
Secondly, make sure you are credentialed with your provider. You need to be licensed by the state or county government to provide NEMT services. Moreover, you must also have a license to operate a ground ambulance. You can find out more about this requirement by visiting the department of transportation’s website.
Lastly, remember that non-emergency stretcher transports that are accompanied by a medical attendant are eligible for reimbursement. Besides, all NEMT drivers should enroll with the Minnesota Health Care Program (MHCP) by January 1, 2023. This way, they’ll get an UMPI number. Without this number, the claims will be rejected.
It is important to note that when you’re billing for no-load transportation, you need to create a separate line item for each no-load trip. This line item must include the appropriate mileage code, and the TP modifier, which indicates that the trip is no-load. It’s important to include the point of origin and destination modifiers as well. The point of origin should be in the first position.
It’s important to note that NEMT is only permitted for transporting eligible members to Health First Colorado provider service locations. You should confirm that the provider you’re sending the member to is enrolled and licensed by the state. You should also note that non-medical transportation providers are not required to have an ambulance or PUC license. NEMT reimbursements will be paid for the least expensive mode of transportation for the member’s condition.