Obama Care has been gathering mixed reactions from providers all over the US. Illinois is one state where the Medicaid expansion is not coming through smooth. This remains so in spite of the fact that the State is taking all efforts to incorporate the Federal government’s monetary assistance.

It is experiencing hiccups due to the payment models and lower reimbursements to the providers. Slack in revenue generation coupled with the staff shortage with the high patient influx has added onto the bumpy transition. So much so that around 25 states have opted out of providing Medicaid benefits to its citizens. They are ready to bear high expenses than get into the hassles of this healthcare reform.

Incorporating health IT, ICD-10 coding, trained staff, lack of resources in terms of time and administrative requirements, infrastructure are contributory factors to name a few. MedicalBillersandCoders.com (MBC) has been extending its expertise to physicians for enhancing and maintaining their RCM (Revenue Cycle Management) at optimum levels.

Almost 20-30% of bills get rejected because of some minor billing errors or incomplete form submission. MBC accomplished this task by collecting bills and coding them precisely with minimum rejection rate.

State’s Efforts to Enroll Maximum Citizens

The state government has constantly tried to make its citizens avail the insurance services because the following statistics sure needed something to be done urgently:

Before January 2014 around two million citizens in Illinois were not inducted or covered under Medicaid
The figures however, came down to around 880,000 post Affordable Care Act (ACA)
Illinois providers treat around 86,000 outpatients and 1.5 million inpatients daily
State launches self-service website Application for Benefits Eligibility (ABE) in 2013

Providers’ Stance on Medicaid Patients

Seeing the upsurge in such patient influx one would think it is a haven for the medical professionals to run a profitable business but surprisingly the doctors of the state are now hesitant to treat patients covered under Medicaid.

Reason for this aversion is obviously the revenue generation. Since the Federal government is going to fund fully for all the newly insured citizens through 2017, the chances of getting copays is further reduced. The State already had an impending figure of unpaid reimbursements of around two billion dollars last year. Statistics indicate that Medicaid paid only about 65% services of what Medicare pays.