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Gina Cancilla Director, Revenue Cycle and Reimbursement

Gina Cancilla Director, Revenue Cycle and Reimbursement

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CenterLight PACE trips should follow the same procedure as all other trips for CAD In order to be reimbursed for a CAD please follow the procedure below. Failure to follow this procedure will result in a non-payment. CAD Procedure: Use every available resource to contact the member (calling, going to the door, etc…). If no contact can be made or if the member states they are not going, call NMN immediately. Utilize our dedicated provider line by dialing and press 1. Please do not call any other NMN line or it will delay your hold time further. Assistance will be provided by our dedicated staff members when calling our provider line. Speak to a dedicated NMN representative. At that time our NMN representative will confirm the address and make a last attempt to contact the member. The NMN representative will then note the trip in our system and release your vehicle. Kindly note, you will not receive a CAD reimbursement if you arrived at the pick-up address more than 15 minutes late. Proper record keeping is also necessary for reimbursement. Please send the CAD reimbursement request on your invoice to NMN. Kindly note the reimbursement for a CAD is the base rate and does not include mileage. It should be clearly marked on your invoice as a CAD. A CAD should not be invoiced as a one-way trip.

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Page 1: Gina Cancilla Director, Revenue Cycle and Reimbursement

Gina CancillaDirector, Revenue Cycle and Reimbursement

Page 2: Gina Cancilla Director, Revenue Cycle and Reimbursement

Tips to ensure billing compliance:

For each leg of the trip, verification should be completed at the time of the trip and must include, at a minimum:• Member name;• The date of the transport;• Both the origination of the trip and time of pickup;• Both the destination of the trip and time of drop off;• The vehicle license plate number; and• The full printed name of the driver providing the transportation.

Page 3: Gina Cancilla Director, Revenue Cycle and Reimbursement

CenterLight PACE trips should follow the same procedure as all other trips for CAD

• In order to be reimbursed for a CAD please follow the procedure below. Failure to follow this procedure will result in a non-payment.

CAD Procedure:• Use every available resource to contact the member (calling, going to the door, etc…).• If no contact can be made or if the member states they are not going, call NMN immediately. Utilize our

dedicated provider line by dialing 844-885-2696 and press 1. Please do not call any other NMN line or it will delay your hold time further. Assistance will be provided by our dedicated staff members when calling our provider line.

• Speak to a dedicated NMN representative. At that time our NMN representative will confirm the address and make a last attempt to contact the member. The NMN representative will then note the trip in our system and release your vehicle. Kindly note, you will not receive a CAD reimbursement if you arrived at the pick-up address more than 15 minutes late. Proper record keeping is also necessary for reimbursement.

• Please send the CAD reimbursement request on your invoice to NMN. Kindly note the reimbursement for a CAD is the base rate and does not include mileage. It should be clearly marked on your invoice as a CAD. A CAD should not be invoiced as a one-way trip.

Page 4: Gina Cancilla Director, Revenue Cycle and Reimbursement

IMPORTANT REMINDERS• Send invoices timely. We prefer weekly billing. It is in your best

interest to do so to be reimbursed in a more timely manner.• Send accurate invoices. Do not invoice for trips that were cancelled

or not authorized.• NMN will not pay on a trip without authorization from our office. The

trip must appear on your driver’s book.• Be prepared to show proper record keeping to verify a trip.

Page 5: Gina Cancilla Director, Revenue Cycle and Reimbursement

[email protected]

631-389-3316631-389-2098 x 124