1. Are you located in the state of New York and being paid by the APG methodology on Medicaid outpatient accounts?

2. Are you aware that Managed Medicaid providers may not be making the correct payment on outpatient APG accounts?

$3.3 Million Identified*

Since the implementation of the APG payment methodology for the reimbursement of Medicaid outpatient procedures in New York, it has been very difficult for hospitals to estimate the expected revenue from outpatient claims.  In many cases, because of the complicated nature of the payment methodology, not even the payers are sure how to calculate these payments.  Let us do a zero-balance review to see if you were reimbursed properly, if at all.

By combining our proprietary software tool with our Medicaid billing experts, we've developed a sophisticated system to scrub all data for potential errors, enabling us to examine tens of thousands of outpatient bills and calculate the proper reimbursement. With the tools to work these accounts, we can readily identify what the proper payment should be and determine if you are being reimbursed properly by the payers.

If 15% of your outpatient business comes from Medicaid patients, you will most likely benefit from our APG 1-2-3 service.  And the best part about this service?  We don't get paid until you do!

* Based on New York Medicaid HMO APG Methodology