Social Care Networks

As value-based payment emerges as the payment model of the future for healthcare, providers shift their focus to an emphasis on performance. Providers have a responsibility to ensure individuals receiving services are getting the results they need to lead healthier, more fulfilling lives.

While there will be an emphasis on tracking health outcomes there will be a tremendous focus on providing data as it relates to claims, payments, reimbursement and revenue. The Social Care Networks need to prove financial viability and independence and Millin’s built-in Accounts Receivable module is tailored to recording data as it relates to claims and payor trends, as well as recognizing holes in certain parts of the RCM process that need to be filled.

Intellectual/Developmental Disability

The billing process for I/DD providers has become increasingly complicated while reimbursement continues to shrink in many parts of the country. With the increase of self-directed services, Care Coordination Organizations (CCO’s) 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 which has a rules-engine incorporated to confidently navigate this revenue cycle maze.

Mental Health

With the introduction of new billing requirements, HCBS services and the multitude of managed care organizations, the billing process for providers has transformed dramatically over time – and the changes keep coming. This has been very challenging for agencies that are currently not using the cutting-edge MillinPro billing system and missing out on our expertise. The 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 end up out of compliance. Whether you have an outpatient clinic, ACT program, HCBS, CR, ATP, CDT, etc. Millin is here to ensure you collect 100% of all your eligible claims.

Substance Use

Substance use providers have experienced significant changes in the billing process. This change has required providers 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 it expects you to keep track of. Providers often times are faced with identifying whether billing rejections and denials are due to their own system flaws, the MCO’s system flaws, or the clearinghouse. Rest assured 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, residential treatment, etc.

Health Homes/Care Management

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.

Millin provides revenue cycle management expertise and software solutions to tackle this unique billing process.

As a result, Health Homes & Care Management Agencies have full access in real-time to payment/pending/denial status and we are able to resolve any outstanding claims issues through the centralized MillinPro issue tracker.

Foster Care/Children Services

Children’s services are going through major transformations in many States. These changes are having a significant impact on the billing process as existing and new services are transitioning 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

Primary Care services are becoming a lot more prevalent in behavioral health and I/DD settings in order to accommodate patients in an integrated setting and ensure the best possible quality of care and better outcomes. Unfortunately 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 and challenging. It is not uncommon for one payer to have a very different set of rules for primary care payments vs. behavioral or I/DD payments, not to mention secondary payers that can further complicate the billing process

Millin provides vital billing expertise and cutting-edge billing software to support small and large agencies in ensuring maximum efficiencies and reimbursement.