Founded in 1996, NHI has maintained focus on one-line of business out-of-state (OOS) Medicaid account management. It is through specialization and focus that NHI remains an industry leader handling this unique group of accounts for hospitals throughout the country.
Today, NHI serves a wide variety of hospital clients throughout the United States. Our clients place over $1 billion in OOS Medicaid claims (fee for service and managed care) annually. Commitment to customer service and satisfaction remain the foundation for our company since its inception. This commitment has led our first 25 client hospitals that started with NHI in 1996 to remain with NHI today.
We offer a full-service OOS Medicaid account management program including eligibility verification, authorization notification, provider enrollment, billing, account follow-up, extensive reporting and appeals processing. Because we specialize we bring a powerful combination of strengths to each account you entrust to us:
- We maintain working relationships with each state’s Medicaid program and contracted Managed Care plans. In addition we have built a vast knowledge database of their often changing requirements.
- We utilize the latest technology in all aspects of our job for you. Efficiency and effectiveness are our two main objectives.
- The NHI Management team has an average of 28 years in healthcare specifically with Medicaid, Medicaid Managed Care and electronic data interchange (EDI). Extensive and long standing relationships with key figures in these programs enable us to exceed our clients’ expectations.
- NHI Associates are among the most experienced in their field of operation and maintain professional education through national organizations such as HFMA and AAHAM. NHI associates also operate with one simple rule—make every effort to get every account paid as quickly and efficiently as possible.