Accurate TCM billing depends on ensuring that Medicaid numbers and eligibility details are current within your software.
SSAs should routinely verify:
- Medicaid ID numbers
- Eligibility status
- Effective dates of coverage
- Any changes due to redetermination
When you become aware of any Medicaid eligibility update (e.g., redetermination completed, coverage lapses, or a new Medicaid number assigned), it is essential to promptly update this information in the software. Enter a new start date and end for changes in Medicaid eligibility.
Delays in updating eligibility details may result in claim denials and lost revenue.
If you have questions about anything TCM-related, please contact us at TCMTeam@medicaidbillingsolutions.com.
