Minimize Risk
Ingenix’s Professional Services help organizations adopt State Medicaid fee-for-service (FFS) models based on the Prospective Payment System (PPS) for reimbursement of participating (PAR) or out-of-network (OON) claims.
Highlights
- Automated regulatory content updates
- Help with adopting state- and payer-specific payment systems
- Assistant with managing risk to maximize revenue
The Right Tools for the Job
Without the right tools, PPS can be extremely difficult to manage because regulatory changes are frequent and complex. Ingenix can assist organizations with strategies to automate regulatory content updates to more accurately process claims.
Experience
Ingenix is a leading provider of PPS solutions that empower payers to control costs and manage risk using PPS, with more than 160 payer customers, including over 40 Managed Medicaid plans.
