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In addition to having the best software option available for Ohio's MR/DD
providers, we also offer full-service billing and claims reconciliation
services. These services are designed to work for providers of any
size, including:
- independent providers;
- small agency providers without the resources or knowledge to do
their own billing; or
- larger agency providers that want to outsource their billing to a
trusted and reliable source.
Our service options include:
Basic Billing Service
 | Unlimited billing for 1 or more consumers on a weekly, biweekly
or monthly basis. |
| Billing for I/O Waiver, Level 1 Waiver, Supported Living or any
other similar billing. |
| Review of State Error Reports. |
| Assistance with payment issues where applicable. |
| Transmission of billing files where applicable. |
| Monthly report of claims billed, including consumer, service,
rate, date transmitted, etc. |
Claims Reconciliation Service
| Download of payment files where applicable. |
| Posting paid claims. |
| Reconciliation of claims paid vs. claims billed. |
| Review of Error Reports. |
Requirements for our service include:
Start-up Requirements
| Contract for Billing Services – Non-binding and can be cancelled
at any time. Details our obligation in completing the billing
process. |
| PAWS form – Must send in new authorization if revised or as old
one expires. |
| Deposit or Set-up fee – If services are discontinued, the deposit is
refunded, less any balance due on account. |
On-Going Billing Requirements
| Documentation sheets including consumer’s name, dates of
service, hours or units worked and code to bill. |
| Documentation sheets may be e-mailed, faxed or mailed. |
| For billing to be transmitted to ODMRDD by the Wednesday 12:00
p.m. deadline, documentation sheets must be received at PSi by 12:00
p.m. the previous day. During holiday weeks the deadline is moved up
1 day. |
Please contact us for more information on
our billing service.
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