Overcoming Billing Challenges at IDD Agencies

Billing for the services you provide your participants at your IDD agency is the lifeblood of your organization. It’s what keeps you open and able to provide the outstanding services your agency is known for.  However, billing most often involves Medicaid, which inevitably ropes in the government. For this reason, there are bound to be hoops to jump through to get your reimbursement. 

While the red tape we all encounter is troublesome, it does help to eliminate some of the possibility of fraud and ensures that the funds are available to you.  Regulations change seemingly overnight, and your agency is expected to be compliant at all times. A billing system such as Vertex Billing Manager can help your IDD agency remain compliant and simplify your billing process.

How Billing Manager Streamlines Your IDD Agency’s Workflows 

Billing Manager was created to make the billing process for IDD Agencies as hassle-free as possible, and our team aims to circumvent troubles before they arise. Case in point: when reimbursement rates change (and we hope that they increase!), you will only need to enter the new rate in one place and all persons who utilize that billing code are automatically updated. 

Various states have PDF-formatted Service Agreements/Authorizations that we can import, saving you considerable time on manual data entry. Moreover, you can stop using spreadsheets to track utilization. Our Billing Manager module has a number of pre-formatted reports for you to analyze how well you are utilizing consumer authorizations, and prompts you to take action.  What’s more, is you can print nicely-formatted invoices for your private pay individuals and any other entity.

Furthermore, many states accept electronic 837 files. For this, clicking “Create Invoices” is all you need to do to send the file on its way.  Plus, we check to see when you’ve been paid and download that information too. Simply apply a posting date and your payments are applied to the charges without intervention. Your denials are noted and can be filtered so everything you need to see is within your field of view. 

Keep Track of Authorizations & Eliminate Duplicate Data 

Keeping track of expiring authorizations using spreadsheets or tickler files at your IDD agency is a now thing of the past with Billing Manager. Now, you can assign the number of days prior to expiration, and the Billing Manager module will let you know when a consumer’s authorization is about to expire. As for our other handy tools, these will let you know when services have been delivered that don’t appear to be authorized and will wait for further action.  

Billing Manager utilizes time records entered via our other applications, therefore eliminating double (or triple) time entries. Entering one vocational time record using our innovative Intuition Touch app allows you to pay your consumer for time worked, as well as bill the funder for the services rendered. One record does it all!

Vertex’s Billing Manager Helps You Overcome the Complexities of IDD Agency Billing

Vertex has a long history of helping IDD agencies simplify their billing process. Our Professional Services Team is with you every step of the way to ensure a smooth implementation. We understand the nuances and complexities involved with billing by state, and we strive to make this process as simple and efficient as possible. If you want to learn more about our Billing Manager module, reach out to us today. We would be happy to discuss how our module can help your IDD agency streamline its billing process.

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