Delayed Reimbursements from Claim Denials

$10,000-$20,000/month from re-routing costs, behavioral incident response, potential Medicaid compliance issues, AR delays from trip denials • $10,000-$20,000/month from scheduling delays (reduced utilization), claim denials (unauthorized services), appeal costs, AR aging • $10,000-$25,000/month from delayed claims (40-50% of trips have EVV gaps), staff re-entry costs, appeal processing

Billing staff manually call Medicaid; payroll admin waits on phone for confirmation; temporary cash advances from owner • Caregiver Scheduler manually checks insurance eligibility/authorization via email before confirming trip; informal tracking; potential delays • Caregiver Scheduler manually checks Medicaid eligibility in email before confirming trip; coordinates with Transportation Coordinator on eligibility confirmation; informal tracking; delays scheduling