Industries We Serve

The billing process for I/DD providers has become increasingly complicated while reimbursement continues to shrink in many parts of the country. Given the increase in self-directed services, as well as care coordination organizations (CCOs) and managed care organizations (MCOs) being added to the mix, it is more vital than ever to ensure that proper solutions are in place.

With today’s tight budgets, most agencies do not have the luxury of writing off claims and learning from mistakes over time. Millin offers invaluable billing expertise and the MillinPro billing system, designed with a rules engine that makes it easier to confidently navigate this revenue cycle maze.

With the introduction of new billing requirements and HCBS services, as well as the proliferation of managed care organizations, the billing process for providers has transformed dramatically over time – and the changes keep coming. This often poses challenges for agencies that are not using the cutting-edge MillinPro billing system and missing out on our expertise.

Rules and regulations frequently vary from one payer to the next, with subtleties that can be difficult to track. MillinPro’s proprietary rules engine and billing expertise are increasingly essential in keeping apprised of the vast number of changes, helping providers avoid leaving revenue on the table or ending up out of compliance. Whether you have an outpatient clinic, ACT program, HCBS, CR, ATP, CDT or anything else, Millin is here to ensure you collect 100% of your eligible claims.

Substance use treatment providers have seen significant changes to their billing processes, requiring them to rethink their entire billing workflow and cash flow in order to ensure their sustainability to continue providing services. Each payer maintains its own set of billing rules and nuances, and expects you to keep track of them. Providers are often forced to identify whether billing rejections and denials are due to flaws in the MCO, the clearinghouse or their own systems.

With Millin’s expertise, software and service solutions, it is possible to confidently navigate this cumbersome maze. Many providers we service have outpatient substance use clinics, opioid treatment, inpatient treatment, detox and residential treatment, among many other programs.

With the influx of patients being approved for care management, it is critical to have the best revenue cycle management system and services in place to handle the claims with the appropriate payers. That's why Millin provides revenue cycle management expertise and software solutions to tackle this unique billing process.

As a result, health homes and care management agencies have full access in real time to payment, pending and denial status, and we are able to resolve any outstanding claims issues through the centralized MillinPro issue tracker.

Children’s services are going through major transformations in many states, potentially resulting in significant impacts on the billing process as existing and new services transition from Medicaid to Medicaid-Managed Care.

Millin’s Managed Care transition expertise and experience is of tremendous value to foster care agencies and providers of children's services. With Millin’s solutions, agencies can ensure they are receiving full and timely payment.

Primary care services are becoming increasingly prevalent in behavioral health and I/DD settings as part of an effort to accommodate patients in an integrated setting and pursue better outcomes. Managing the billing process and keeping track of the differences between the primary care billing and behavioral health or I/DD billing can be frustrating, though.

It is not uncommon for one payer to have a very different set of rules for primary care payments than it has for behavioral or I/DD payments, and secondary payers only further complicate the billing process. That's why Millin provides vital billing expertise and cutting-edge billing software, supporting agencies small and large in ensuring maximum efficiencies and reimbursement.