The MileCall blog
Notes for NEMT providers.
Plain guides on billing Medi-Cal trips, dispatching the day and running an NEMT company in California. Each one cites its official sources.
10 posts
Billing5 min read
Billing Medi-Cal NEMT trips: the codes and what a clean claim needs
The HCPCS codes Medi-Cal uses for wheelchair and stretcher van trips and their mileage, and what a clean NEMT claim needs before it goes out.
Billing5 min read
NEMT trip sheets: what payers and brokers ask for, and how to keep them complete
What goes on an NEMT trip sheet, why brokers and plans check each field, and how to keep every leg's record complete before you bill it.
Billing4 min read
What an 835 remittance is and how to post it line by line
An 835 is the payer's electronic answer to your claims. How it is built, what the adjustment codes mean, and how to post it leg by leg for NEMT.
Dispatch5 min read
Will-call returns: how to dispatch them without missed rides
A will-call is a return ride with no set time. How to plan capacity for them, activate them fast, pick the right van and keep the rider informed.
Switching4 min read
How to switch NEMT software without a bad first week
A plan for moving an NEMT company to new software: what to export, how to run both side by side, when to go live and how to keep billing whole.
Getting started4 min read
Starting an NEMT business in California: licences, insurance and getting on Medi-Cal plans
The steps to start an NEMT company in California: Medi-Cal enrollment through PAVE, vehicle inspections, CPUC rules, insurance and joining plans.
Operations4 min read
No-shows and dry runs in NEMT: what counts, what payers pay for, how to document them
The difference between a no-show, a dry run and a cancel at the door, why payers treat them differently, and the proof to record at the stop.
Operations4 min read
Wheelchair, ambulatory and stretcher trips: space types and what each needs from dispatch and billing
What separates ambulatory, wheelchair and stretcher (gurney) trips in Medi-Cal, and what each space type asks of your vans, your dispatch and your billing.
Dispatch4 min read
Pickup windows and on-time performance: how payers measure it and how dispatch keeps it
How NEMT payers define a pickup window and on-time performance, what California plans watch, and the dispatch habits that keep vans inside the window.
Buying software4 min read
How to choose NEMT software: a checklist for California providers
A checklist for choosing NEMT scheduling, dispatch and billing software in California: intake, dispatch, the driver app, billing, security and leaving.
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