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Children’s Home and Community Based Services (HCBS) Billing Software

Children's behavioral health services have exploded across the country in the wake of recent global events. In fact, many types of providers have needed to add multiple sites to accommodate the influx of individuals requesting services. In New York, one such program that has been rapidly expanding is Children's HCBS. Originally offered as a small home and community-based program in conjunction with CFTSS and foster care, the program has become so popular and so effective, that health and human service providers from all sectors of the industry have begun to open a program dedicated to Children's HCBS. Intellectual and Developmental Disability (IDD) agencies in particular are finding great levels of success in implementing this service and treating the individuals in their program.

Through its meticulously designed Children’s HCBS billing software, Millin has become the most popular RCM solution on the market for children’s behavioral health services. Millin’s Children’s HCBS practice management system is specifically optimized not just to streamline the processes of Children’s HCBS billing but also to securely fulfill the needs of all administrative and finance staff.

About Millin and Its Proprietary Children’s HCBS Software

Millin is a New York based company that plays a leading role in revenue cycle management across multiple health and human service industries today. For over 40 years Millin has focused its time, resources, and development into providing billing software and RCM services in IDD and behavioral health for children and adults with disabilities – with a concentration in OPWDD, OCFS, OMH and OASAS services. Supported by its extensive team of revenue cycle management professionals, and industry experts, Millin advocates for a cloud-based system in which billing data and responsibilities remain in the hands of experts rather than in the hands of EHR vendors whose primary focus is patient service records. We have an incredibly streamlined workflow built around RCM for Children's HCBS and CFTSS services.

Millin is aware of the importance of medical billing professionals focusing on the areas of children's behavioral health. Children's home and community-based services specifically can be a challenge and a burden on many health agencies and billing teams – in the world of healthcare technology there doesn't exist a great solution to effectively bill, track and report for these programs and long-term services. In New York, Children's HCBS moved from a single payor Medicaid environment to a multi-payor system that includes Medicaid Services, Medicare, MCOs (Managed Care Organizations), and commercial insurances. This transition is still relatively fresh, and many billers and finance teams are still struggling adapting to a Medicaid managed care plan. Each payor constantly updates billing requirements and regulations that become increasingly complex over time. Potential issues, such as recoupments of payments, rejections, denials, and loss of cashflow pose real problems to personal care agencies providing Children's HCBS if you do not have a system or software vendor that is constantly on top of the ever-changing landscape. Thus, Millin builds the architecture of its revenue cycle management software around the personalized specification of Children's HCBS and CFTSS.

The MillinPro software integrates seamlessly with the electronic medical record of your choice allowing for real-time data transfer of locations, demographics, payors, and waiver service information to ensure that the submission of Children's HCBS claims is executed as accurately as possible.

Childrens HCBS Billing Software that lets you get back to what matters - providing services to those in need

Benefits of Contracting with Millin Medical

Millin has provided RCM solutions for behavioral health and IDD providers since 1982. About 15 years ago, we unwaveringly committed to our promise to provide the best solution on the market and created our own, homegrown MillinPro billing software. By doubling-down on billing and RCM services, we established ourselves as the experts within the behavioral health arena in New York. When mental health services in NY first transitioned into a multi-payor environment about a decade ago, Millin emerged as the premier vendor in NY, and our software became the go-to solution for providers going through similar transitions from Medicaid services to managed care.

Today, over 350 agencies utilize our cloud-based MillinPro solution, and its specialized rules-based system used for children's behavioral health services. Thus, MillinPro is a trusted system that can integrate with over a dozen EMR systems, including Accumedic, Therap, Foothold, and NetSmart. Moreover, a varied set of general ledger systems are compatible with Millin's practice management software. With an easy learning curve and straightforward conversion of client information, MillinPro makes the challenges of RCM and medical record database management less difficult for professional health billers.

Licensing the MillinPro software or outsourcing the process fully can ease the workload on a health and human service agency, promoting higher work efficiency and stabilizing morale and satisfaction. For Children’s HCBS billers billing out of an OCFS or OPWDD facility, who want to ensure maximized cash flow, Millin’s children’s behavioral health billing software provides the highest ROI and most efficient workflow in New York. The company’s billing software, which emphasizes pre-billing scrubbing, eligibility checks, patient demographic checks, issue tracking, and reporting, helps prevent a higher chance of claim rejections and denials caused by human error.

Other benefits of contracting with Millin revolve around the expertise and specialized training that Millin's staff undergoes. While many billing and finance departments struggle with staff turnover and failure of bill processing due to human error or lack of industry knowledge, Millin ensures our employees have an extensive training or background in the industry. Onsite account managers, business analysts, programmers, and support teams all possess a background in managed care billing which allows for a well-oiled machine that can focus its day-to-day on getting your claims processed and paid and while aiding you in streamlining the billing process.

Features of Children's HCBS Billing Software by Millin

Millin's innovative HCBS billing platform is specifically designed to meet the needs of professional IDD and behavioral health billers. A strict rules engine and structured groundwork lay the foundation for the varied features and benefits of the software and billing workflow. As New York OCFS and OPWDD state rules and regulations constantly change, it's crucial to have software that has flexibility and can easily adapt to these changes or else the billing can be majorly impacted. Thus, automatic updates and upgrades are made often to ensure that the MillinPro software is up to date with the most recent changes made in statutory policies related to New York billing guidelines. Furthermore, the system needs to be compatible with a payer mix in NY that supports the Children's HCBS and CFTSS programs.

Millin's Children's HCBS RCM software is equipped with a user-friendly scheduling system, a customized dashboard that can be adjusted based on the needs of the client, comprehensive reporting systems, issue tracking, denial management tools, and an alert system that notifies the user of claims needing official authorization. Through these features, transparency and open communication allow for Millin and the HCBS provider types to streamline the billing workflow and create an efficient client-contractor dynamic.

Other pre-billing checks that allow for clean claims and a reduction of denials are built into the software as well and can be accessed by the billing team at any time. These include verification of insurance eligibility that is carried out in batches, increasing claims tracking efficiency, attachment of accurate CPT codes and billing codes to each claim and automatic remit posting. Some providers who offer services across the entire OCFS and OPWDD landscapes must have access to these tools as different rules across different programs make it exceedingly difficult to stay on top of everything. Issues can be tracked on the spot, which allows problems related to recent claims to be fixed as soon as possible. Overall, Millin's Children's HCBS billing software is constantly updated, highly accessible, and meticulously logical in its handling of patients' insurance information and children's behavioral health billing activity.

Specific Advantages of Millin’s Children’s HCBS Billing Software

Children's behavioral health professionals and personal care agencies can greatly benefit from using billing software specifically related to home and community-based services. Streamlining the billing and automating billing checkpoints, especially in an environment that includes multiple payors, is crucial to running a financially sound facility for persons with intellectual and/or physical disabilities. Millin's Children's HCBS software specifically increases the configurability of a working environment and allows providers to safely manage the needs of their patients' billing activity.
 
Another benefit of using RCM software specifically focused on Children's HCBS and CFTSS is a heightened sense of time management and overall working efficiency. With Millin Medical's OCFS and OPWDD revenue cycle management software, staff can easily bill, track and report patient data and overall agency-wide financial data. Consequently, this allows CFOs, Controllers, and billing managers to catch trends in billing activity and evaluate which programs, patients, payors, etc. are paying the way they are supposed to vs others which may need further intervention for wrongfully denied claims and services.
 
Practice management software dedicated solely to Children's Home and Community Based Services not only helps to reduce financial costs and time, but it also affords the value of allowing service providers to truly give patients the level of care and quality of life they need. The ROI most agencies recognize is 10x the system’s cost because for the first time, providers are able to get reimbursed properly and fully for all services. This greatly increases cashflow which can keep operations financially healthy and allow facilities to put more time, resources, and development into providing personal care services to those in need.

MillinPro Billing and Reporting System

To increase efficiency and implement the best billing practices, we developed an innovative and cutting-edge web-based medical billing system. Our company is not like your typical tech company, as we design systems and use them simultaneously.

Providers of Children’s HCBS services and other children’s behavioral health services in New York State are encouraged to use the system.

By developing a flexible system that can adapt to continuous changes in the regulatory and payer landscape for OMH, OASAS, OCFS, and OPWDD providers, we have succeeded in adapting to significant changes. Below are a few of the features and benefits available through the system:

  • A continually updated rules engine that adapts to changing insurance rules and payer mix
  • Insurance evaluations of eligibility in batches completed before submitting claims
  • Online claims submissions are no longer necessary - no logging into eMedNY or clearinghouses are necessary to submit claims and download remittances
  • User-friendly reporting system with comprehensive reporting capabilities
  • ...
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  • A continually updated rules engine that adapts to changing insurance rules and payer mix
  • Insurance evaluations of eligibility in batches completed before submitting claims
  • Online claims submissions are no longer necessary - no logging into eMedNY or clearinghouses are necessary to submit claims and download remittances
  • User-friendly reporting system with comprehensive reporting capabilities
  • With our proprietary issue tracker functionality, you can monitor issues and track receivables in a more efficient manner
  • An easily customizable dashboard
  • Calculator for APG Grouper (for clinics)
  • A user-friendly scheduling system
  • The software alerts you to claims that require a prior authorization
  • MillinPro attaches the correct CPT procedure codes, ICD code, and billing codes to each claim
  • A cloud-based, HIPAA-compliant system with real-time redundancies, backups, and enhanced security features - eliminating the need for costly IT infrastructure and maintenance
  • You always have the most recent version of the software because of automatic updates and upgrades
  • The ability to integrate with your preferred EMR and accounting software
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whyMillin-1
whyMillin-1
  • A continually updated rules engine that adapts to changing insurance rules and payer mix
  • Insurance evaluations of eligibility in batches completed before submitting claims
  • Online claims submissions are no longer necessary - no logging into eMedNY or clearinghouses are necessary to submit claims and download remittances
  • User-friendly reporting system with comprehensive reporting capabilities
  • ...
Read More
  • A continually updated rules engine that adapts to changing insurance rules and payer mix
  • Insurance evaluations of eligibility in batches completed before submitting claims
  • Online claims submissions are no longer necessary - no logging into eMedNY or clearinghouses are necessary to submit claims and download remittances
  • User-friendly reporting system with comprehensive reporting capabilities
  • With our proprietary issue tracker functionality, you can monitor issues and track receivables in a more efficient manner
  • An easily customizable dashboard
  • Calculator for APG Grouper (for clinics)
  • A user-friendly scheduling system
  • The software alerts you to claims that require a prior authorization
  • MillinPro attaches the correct CPT procedure codes, ICD code, and billing codes to each claim
  • A cloud-based, HIPAA-compliant system with real-time redundancies, backups, and enhanced security features - eliminating the need for costly IT infrastructure and maintenance
  • You always have the most recent version of the software because of automatic updates and upgrades
  • The ability to integrate with your preferred EMR and accounting software
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The Integration of EMRs with Billing Systems

Many of our clients use electronic medical records to keep track of a wider range of services offered with waiver programs. A variety of EMR systems are sometimes used by provider agencies to track several types of behavioral health and IDD services they offer. Having the ability to integrate MillinPro into your EMR system eliminates the need to worry about whether your EMR system (oftentimes a national vendor) can keep up with NY State-specific billing changes while also providing you with a robust revenue cycle management solution.

whyMillinFinal

Integration of the MillinPro billing system with your EMR can be achieved in the following ways:

  1. A data feed can be created from your EMR for claims that are ready to be billed. A report is essentially a document that is then imported into MillinPro.
  2.  
  3. Integrating your EMR and MillinPro using an HL7 interface. Once billing approval occurs, your claims data is automatically transferred from your EMR into MillinPro. This includes notes, signatures, and any other patient information required by the EMR.
  4.  
  5. The MillinPro API should be embedded in the EMR. As soon as claims are approved for billing, MillinPro automatically transfers data from your EMR into MillinPro. Most commonly, this will be an ongoing process.
whyMillinFinal

Integration of the MillinPro billing system with your EMR can be achieved in the following ways:

  1. A data feed can be created from your EMR for claims that are ready to be billed. A report is essentially a document that is then imported into MillinPro.
  2.  
  3. Integrating your EMR and MillinPro using an HL7 interface. Once billing approval occurs, your claims data is automatically transferred from your...
Read More

Integration of the MillinPro billing system with your EMR can be achieved in the following ways:

  1. A data feed can be created from your EMR for claims that are ready to be billed. A report is essentially a document that is then imported into MillinPro.
  2.  
  3. Integrating your EMR and MillinPro using an HL7 interface. Once billing approval occurs, your claims data is automatically transferred from your EMR into MillinPro. This includes notes, signatures, and any other patient information required by the EMR.
  4.  
  5. The MillinPro API should be embedded in the EMR. As soon as claims are approved for billing, MillinPro automatically transfers data from your EMR into MillinPro. Most commonly, this will be an ongoing process.
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Taking advantage of our innovative Revenue Cycle Management System specifically designed for Children's HCBS services is what's great about this process. You have the option of working within the EMR of your choice while taking advantage of our ultramodern billing platform.

Bottom line

Millin places transparency in high esteem with all the services it offers, including its innovative Children’s HCBS billing software. With this, easy access to the RCM system equipped with personalized dashboards and reporting abilities remains a key feature. An open line of communication is always present between clients and Millin, with staff at the company always ready to answer questions via email and telephone during business hours.

Millin's revenue cycle management software allows billers for professional mental health providers and children's behavioral health practitioners to reduce the discomfort and uncertainty surrounding the billing process and ensure that your agency's billing remains in the hands of the experts. The company's billing system is designed with flexible and rigorous features for patient insurance information management, thus allowing clients to gain benefits such as an increased sense of time and configurability with their workload. Millin values open communication, and it relies on continuous feedback to improve the different capabilities of its growing OCFS and OPWDD provider client base. Contact us to start your demo today.

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With over 40 years of Health & Human Services billing experience and expertise, we can help increase efficiencies and reduce or even eliminate denials. Experience Revenue Cycle Management Software & Services from the Company You Trust. 

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