Medicaid

Features & Benefits

• Direct claims submission to your Medicaid fiscal intermediary, based upon your own time schedule
  
  
• Extensive industry edits with documented adjudication criteria built into the system, with the ability to add customized edits based on your specific organizational needs
  
  
• Standard DSG Medicaid modules include UB04, 1500, LTC and RA reporting and posting to Accounts Receivable
  
  
• Automatic and manual combination of Mother/Baby claims
  
  
• Edits on CPT4 codes for Modifiers, Prior Authorization Request, Non-Covered Procedures and Remarks
  
  
• Special processing (including custom or site-specific edits) are available for:
  
  
• Inpatient claims
• Outpatient claims
• Rural health clinics
• Home healthcare
• FQHC programs (counties)

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