MEDICAID BILLING TRENDS

IN HOME & COMMUNITY-BASED SERVICES
Home and Community-Based Service (HCBS) providers offer care that is critical to the communities they serve. Yet there’s increasing pressure to do more with less as long-term support needs grow and Medicaid funding lags.

To meet this challenge and maintain quality services, HCBS providers are streamlining their administrative functions, including billing Medicaid claims electronically.
HCBS PROVIDERS BILL THE MAJORITY OF THEIR CLAIMS ELECTRONICALLY
Over 100 HCBS providers across the country shared the percentage of Medicaid claims they bill electronically.

Percentage of Claims HCBS Providers Bill Electronically

WHY DO HCBS PROVIDERS BILL ELECTRONICALLY?

HCBS providers choose to bill electronically for a variety of reasons. From across the country, providers share their top reasons for eschewing paper forms for electronic billing.

SAVES STAFF TIME
60%
GET PAID FASTER
51%
PAYER REQUIRES IT
48%
IT'S MORE EFFICIENT
44%
GET PAID MORE ACCURATELY
37%

WHAT METHODS DO HCBS PROVIDERS USE TO BILL MEDICAID CLAIMS?

HCBS providers bill Medicaid claims electronically using a variety of formats. Less commonly, paper forms including the CMS 1500 and UB-04 papers are also used.
837 File
54%
Manual Entry to Payer Portal
61%
Clearinghouse
39%
Paper Claims
13%

WHEN HCBS PROVIDERS DO NOT BILL ELECTRONICALLY, WHY DON'T THEY?

The data collected and presented is from a 2018 Annkissam survey sent to over 2000 HCBS providers across the country.

See how Annkissam supports Medicaid Billing in HCBS