Software to simplify your operations. Rule compliance.
Software to address the rules and regulations of your program so you can grow your operations with ease. From Medicaid billing and eligibility to regulatory compliance, we have you covered.
Medicaid Billing and Compliance
Keeping modern HCBS organizations running smoothly and resiliently
Not frazzle. Dazzle! Get paid quickly. Sail through audits.
Medicaid Billing Trends in HCBS
See what over 2,000 HCBS providers across the country had to say about the state of Medicaid Billing in 2018 from a recent Annkissam survey. Read more here.
Our Medicaid billing systems provide:
- Speedy claim payment
- Batch Medicaid eligibility checks in real-time
Our compliance systems support:
- High volume LEIE checks
- Manage Fiscal/Employer Agent policies and procedures
- Track regulatory updates
Case Study
EDI Autoclaim helped Tempus improve cash flow with automations that saved over 500 hours a year in staff overtime alone and helps them reconcile all claims to the penny each week.
Case Study
Using FMS Engine helped CDI serve more people and maintain their signature personalized approach.
EDI Autoclaim
Get your Medicaid claims paid quickly, submit claims electronically and automatically, and bill fee-for-service, managed care and other payers.
HTSgo
Connect directly to Medicaid eligibility systems for high-volume verification in real-time.
F/EA Blueprint
Sail through audits and readiness reviews with a customizable, pre-loaded manual for Fiscal/Employer Agent policies, procedures and internal controls -- all online.
OIGinator
Crush your monthly exclusion screening process. The speed you need for LEIE state and federal Medicaid compliance.