Currently four Maine providers are using the combination of Therap for service documentation and tracking, and the Provider Billing Network is using Therap for generating claims and submitting Medicaid claims electronically. Progress in electronic claiming has been faster than was anticipated and the reports have been positive.There is also a pilot program using Therap to track mental health services and the Provider Billing Network to submit claims in the works. Working with the Provider Billing Network, Therap has been able to continue offering a high level of service at an affordable rate.
A lot has been happening with Billing in Maine. The new Medicaid claims system is up and running and Therap is working on getting it’s Billing system up and running. In addition Therap is working with Medical Billing Network, a medical billing vendor. As a medical billing vendor, Medical Billing Network can process private insurance, co pays, and mental health services as well as Waiver services. Currently one provider is using Therap’s basic Billing capability to generate service records and those service records are forwarded to Medical Billing Network for processing. Once the claim is adjudicated, Medical Billing Network sends the provider a completed receivable record.
The next task we are working on with Medical Billing Network is Maine’s complex residential calculation. There is a working model in place that will be piloted shortly. Therap does not have a formal partnership with the Medical Billing Network, but that organization has agreed to provide Therap users with a discounted rate.
Contact me at firstname.lastname@example.org to learn more about this program or to see how Maine residential rates will be processed.