How Our Small Practice Increased Medicaid Revenue by 30% with One Billing Change

How Our Small Practice Increased Medicaid Revenue by 30% with One Billing Change

The Code That Unlocked Our Cash Flow

Our small family practice was struggling with low Medicaid reimbursement. We felt like we were drowning. Our billing manager discovered we were consistently under-coding our “well-child” visits. We were using a basic office visit code instead of the more comprehensive (and higher-paying) “preventative medicine services” codes that Medicaid prefers for these check-ups. By simply training our providers to use the correct, more detailed codes that accurately reflected the preventative care they were providing, our reimbursement for those visits increased dramatically. It was a change that kept our doors open.

The Ultimate Guide to Credentialing and Enrolling as a Medicaid Provider

The Paperwork Gauntlet to Get Paid

Becoming a new Medicaid provider felt like a hazing ritual. The credentialing paperwork was a mountain. The key to our success was extreme organization. We created a digital folder with every required document: our licenses, our DEA numbers, our proof of malpractice insurance. We filled out every single form completely, leaving no blank spaces. Before submitting, we triple-checked everything for typos. The process was slow and tedious, but by submitting a perfect, complete packet the first time, we avoided the months of delays that come from having an application rejected for a simple error.

“Prior Authorization” Hell: How to Get More Approvals, Faster

Our Secret Weapon Against Denials

“Prior authorization” requests were the bane of our existence. They were a black hole of wasted time. We developed a new system that dramatically increased our approval rate. Our secret weapon was a detailed “Letter of Medical Necessity” template. For every PA request, we didn’t just fill out the form; we attached a letter from the doctor that clearly explained the clinical reasoning, cited evidence-based guidelines, and detailed the other treatments the patient had already failed. This extra five minutes of documentation made our case undeniable and cut our denial rate in half.

The Top 5 Billing Codes Medicaid Denies (And How to Fix Them)

The Denials We Learned to Predict

Our billing department noticed we were getting the same types of Medicaid denials over and over. We made a “Top 5” list. Number one was “unbundling”—billing separately for services that should be included in one code. Number two was using a simple office visit code for a complex procedure. Number three was a lack of medical necessity documentation for therapies. By identifying these common patterns, we were able to provide targeted training to our providers and billing staff. We learned to stop making the mistakes they were looking for.

How to Effectively Navigate Your State’s Medicaid Provider Portal

The Digital Hub We Had to Master

Our state’s Medicaid provider portal was clunky and confusing, but we knew mastering it was essential. We designated one person in our office to be the “portal expert.” She spent a few hours watching all the online training videos the state provided. She learned how to check a patient’s eligibility in real-time before their appointment, how to submit a prior authorization electronically, and how to check the status of a claim without having to call. Having one in-house expert has made our entire practice more efficient and has dramatically reduced our time on the phone.

The Secret to Keeping Your Medicaid Patients When They Switch MCOs

The Churn We Learned to Manage

In our state, Medicaid patients can switch their Managed Care Organization (MCO) every few months. We used to lose patients all the time because of this “churn.” Our secret to keeping them was proactive credentialing. We went through the long process of becoming an in-network provider with every single MCO that operates in our region. Now, when a patient’s plan changes, it doesn’t matter. We are already in their new network. It was a huge administrative effort upfront, but it has created a stable, loyal patient base for our practice.

A Guide to Value-Based Payments in Medicaid: Is It Right for Your Practice?

From Volume to Value

We were tired of the traditional “fee-for-service” Medicaid model, where we were paid a small amount for every visit. We decided to join a “value-based payment” pilot program. Now, we are paid a set amount per member per month, and we get bonuses for keeping our patients healthy and out of the hospital. It required a big shift in our mindset—we now focus on preventative care and intensive case management. But it has been more financially rewarding and has allowed us to provide better, more proactive care for our patients.

How to Fight a Medicaid Audit (And Win)

The Audit We Survived

The letter from the state announcing a Medicaid audit sent a wave of panic through our office. We knew we had to be prepared. We didn’t just wait for them to show up. We hired a consultant to do a “mock audit” first, to identify our weak spots. We organized all our documentation and made sure every single chart note was signed. When the state auditors arrived, we were professional, organized, and transparent. We were able to justify every claim. The audit was stressful, but our preparation meant we passed with flying colors.

The Unspoken Rules of Being a Successful Medicaid Dentist

The Practice That Thrives on Service

We run a successful pediatric dental practice where over 70% of our patients are on Medicaid. The secret is simple: we treat every child with the same high level of care and respect, regardless of their insurance. We also master the system. We know exactly what the state’s Medicaid dental plan covers, and we have an office manager who is an expert at getting prior authorizations for things like crowns and sedation. By combining clinical excellence with bureaucratic mastery, we’ve built a thriving practice while serving our community.

A Therapist’s Guide to Documenting for Medicaid Medical Necessity

The Notes That Justify the Care

As a therapist, I learned that my clinical notes for my Medicaid clients had to be ironclad. It wasn’t enough to write “Patient feels anxious.” I had to use the “golden thread” approach. Every note had to link directly back to the patient’s official diagnosis and the goals in their treatment plan. I used measurable, objective language. For example: “Patient reports using deep breathing techniques three times this week to manage panic symptoms, a 50% increase from last week.” This level of detailed, goal-oriented documentation is what justifies medical necessity and ensures claims get paid.

How to Use “Telehealth” to Expand Your Medicaid Patient Base

Our Virtual Doors Are Always Open

Our rural health clinic has a limited number of specialists. We used a telehealth grant to expand our reach. Now, our Medicaid patients can come to our clinic and have a “virtual visit” with a psychiatrist or a dermatologist from the big city, 200 miles away. Our nurses facilitate the visit. Medicaid reimburses for telehealth at the same rate as an in-person visit. It has allowed us to provide much-needed specialty care to our underserved community without the huge expense of hiring those specialists full-time.

The Most Common Credentialing Mistakes That Delay Payments

The Paperwork Purgatory We Escaped

Our practice’s payments were delayed for months because of simple credentialing mistakes. We learned the hard way. The most common error was a typo. A single wrong digit in a provider’s NPI number or license number can derail an application for weeks. Another common mistake was not re-attesting our credentials on time, which led to a suspension of payments. Now, we have a dedicated staff member who triple-checks every application and maintains a calendar of every provider’s re-credentialing deadline. Organization is the key to getting paid.

Understanding “Fee-for-Service” vs. “Managed Care” from a Provider’s Perspective

The Two Worlds of Medicaid Reimbursement

As a provider, I work in two different Medicaid worlds. With “fee-for-service” patients, I bill the state directly for every service I provide. The rules are in the state’s billing manual. With “managed care” patients, I bill a private insurance company like Aetna or UnitedHealthcare. Each of those companies has its own set of rules, its own prior authorization process, and its own provider portal. To be successful, our practice had to learn how to navigate both of these parallel universes at the same time.

How to Handle a Patient Who Lost Their Medicaid Coverage

The Grace Period We Offer

When a patient comes in and our real-time eligibility check shows their Medicaid has been terminated, it’s a difficult moment. Our office policy is to not turn them away. We still see them for their appointment. We then have our on-site financial counselor immediately work with them to see why they lost their coverage. Often, it’s a simple paperwork error. We give the patient a 30-day grace period to get their coverage reinstated. This compassion not only helps the patient but also ensures we will eventually get paid for the visit.

A Guide to Working with Medicaid Case Managers to Improve Patient Outcomes

The Case Manager Is Our Best Friend

We used to see the Medicaid plan’s case managers as an annoyance. Now, we see them as our most valuable partners. For our most complex patients, we have a standing weekly call with their assigned case manager. We discuss medication adherence, upcoming appointments, and social barriers like transportation. By working as a team with the case manager, we have dramatically reduced our no-show rate and improved our patients’ health outcomes. They are our eyes and ears outside the clinic walls.

How to Effectively Manage a High Volume of Medicaid Patients Without Burnout

Efficiency and Empathy, Our Two Guiding Principles

Running a busy practice with a high volume of Medicaid patients can lead to burnout. We implemented a few key strategies to survive and thrive. First, we use a “team-based care” model, where our medical assistants and nurses are empowered to handle many routine tasks. Second, we have standardized workflows for everything from prior authorizations to specialist referrals. And third, we have a daily team huddle to celebrate small wins and support each other. Efficiency handles the workload, but empathy and teamwork handle the stress.

The Business Case for Accepting Medicaid in Your Practice

The Patients Who Built Our Practice

Many private practices are afraid to accept Medicaid due to the lower reimbursement rates. But for our new practice, it was a strategic business decision. Accepting Medicaid gave us an instant, large patient base in our community. While the per-visit payment is lower, the volume is high and consistent. These patients are also incredibly loyal. As our practice has grown, our Medicaid patients have become the stable, foundational bedrock of our business, allowing us to expand and serve even more people.

How to Appeal a Denied Claim: A Step-by-Step Guide for Billers

The Denial We Turned Into a Payday

Our billing office has a clear, step-by-step process for every denied Medicaid claim. Step 1: Triage. We immediately identify the denial reason code. Is it a simple typo or a complex medical necessity issue? Step 2: Correct. If it’s a simple clerical error, we correct and resubmit the claim electronically. Step 3: Document. If it’s a medical necessity denial, we get a detailed letter from the provider. Step 4: Appeal. We file a formal appeal with all the supporting documentation. This systematic approach turns most of our denials into approvals.

A Guide to Understanding Your State’s Medicaid Billing Manual

Our Bible for Billing

Our state’s Medicaid Provider Billing Manual is a massive, thousand-page PDF. It’s intimidating, but it’s also our bible. We don’t read it cover to cover. We use the search function (Ctrl+F) to find exactly what we need. If we have a question about billing for a specific procedure, we search for that CPT code. If we have a question about timely filing limits, we search for that term. By learning how to effectively search their official rulebook, we can always find a definitive answer to our billing questions.

How to Help Your Patients Navigate Their Own Medicaid Benefits

Empowering Our Patients Beyond Our Walls

We realized that our patients’ health was being affected by things outside our clinic walls, like a lapse in their Medicaid coverage. We hired a part-time “benefits navigator.” When a patient comes in, she does a quick check to make sure their coverage is active. If she sees a renewal date is coming up, she’ll give them a reminder. She helps them understand what their plan covers. By investing a small amount in helping our patients navigate the system, we ensure they can continue to receive the care they need from us.

The Future of Medicaid Reimbursement: What Providers Need to Know

The Shift from Volume to Value is Real

The way Medicaid pays us is changing. It’s no longer just about “fee-for-service”—getting paid for every visit. The future is “value-based care.” We are increasingly being paid based on our performance on quality metrics, like keeping our diabetic patients’ blood sugar under control or reducing unnecessary ER visits. This requires a big shift in how we practice, with a greater focus on preventative care and chronic disease management. The providers who can adapt to this new value-based world are the ones who will succeed in the future.

How to Verify a Patient’s Medicaid Eligibility in Real-Time

The 30-Second Check That Saves Us Hours

We used to have a huge problem with seeing patients only to find out later that their Medicaid coverage had been terminated. Now, we have a strict workflow. Every single Medicaid patient has their eligibility checked through the state’s online provider portal before they are seen by the doctor. It takes the front desk staff about 30 seconds. This simple, real-time verification has virtually eliminated the problem of denied claims due to inactive coverage. It saves our billing staff hours of frustrating work on the back end.

A Guide to “EPSDT” for Pediatricians: Maximizing Care and Reimbursement

The Pediatrician’s Superpower

As a pediatrician, the most important acronym I know is EPSDT (Early and Periodic Screening, Diagnostic, and Treatment). It’s a federal mandate for children on Medicaid. It means that if I determine a service, therapy, or piece of equipment is “medically necessary” for my patient, Medicaid must cover it, even if it’s not covered for adults. I use this powerful tool to get my patients the hearing aids, nutritional supplements, and specialized therapies they need. Proper documentation of medical necessity is the key to unlocking this incredible benefit for our kids.

The Truth About Medicaid Reimbursement Rates (And How to Make Them Work)

The Rates Are Low, So Our Efficiency Is High

Yes, it’s true: Medicaid reimbursement rates are lower than private insurance. We can’t change that. To make it work financially, we have to be incredibly efficient. We have streamlined our workflows for everything from patient intake to billing. We use technology to reduce administrative overhead. We focus on preventative care to keep our patients healthier and reduce the number of complex, time-consuming visits. By being a very well-run, efficient practice, we are able to thrive financially while still serving a high volume of Medicaid patients.

How to Handle “Crossover Claims” for Dual Eligible Patients

The Automatic Claim We Still Have to Track

We see many “dual eligible” patients who have both Medicare and Medicaid. The billing process is supposed to be automatic. We bill Medicare first. Then, Medicare is supposed to automatically “cross over” the remaining claim to Medicaid for the co-pay. The problem is, sometimes this crossover fails. Our billing software now has a special report that tracks all our crossover claims. If we see that Medicaid hasn’t paid their portion within 60 days, we know the automatic crossover failed and we have to manually submit a secondary claim.

A Guide to HIPAA Compliance When Dealing with Medicaid MCOs

Protecting Our Patients’ Privacy Is Paramount

We work with several different Medicaid Managed Care Organizations (MCOs), and they often request patient records for their quality review programs. We have a very strict HIPAA compliance protocol. We only release the “minimum necessary” information required for their review. All records are sent through a secure, encrypted portal. We maintain a detailed log of every single record that is released, to whom it was released, and for what purpose. Protecting our patients’ privacy is a sacred trust that we take incredibly seriously.

How to Become a Provider in a “Health Home” or “ACO”

Joining the Team for Better Care and Better Pay

Our practice decided to join our state’s Medicaid “Health Home” program for patients with chronic conditions. It was a step beyond being just a primary care provider. As part of the Health Home, we are paid a higher, per-member-per-month fee to provide intensive care coordination for our sickest patients. It required us to hire a dedicated nurse care manager and integrate our services more closely with specialists and community organizations. The investment has paid off with better patient outcomes and a more stable, predictable revenue stream for our practice.

The Best Practice Management Software for Medicaid Billing

The Technology That Tames the Bureaucracy

Our old practice management software was terrible at handling Medicaid billing. It couldn’t handle the different MCOs and their unique rules. We invested in a new system that was specifically designed for practices with a high volume of Medicaid. It has a built-in eligibility verification tool. It scrubs our claims for common errors before they are submitted. And it has a robust reporting feature that lets us track our denial rates from each MCO. The right technology is essential for taming the Medicaid bureaucracy.

How to Deal with Clawbacks and Recoupment Demands

The Money They Wanted Back

We received a scary letter from Medicaid demanding we pay back thousands of dollars for claims they said were paid in error two years ago. This is called a “recoupment” or a “clawback.” We didn’t just write a check. We immediately requested the specific claim details and the reason for the demand. We discovered the state had made an error in their initial eligibility determination for the patient. We appealed the recoupment, arguing that we had provided the services in good faith based on the eligibility information we were given at the time.

A Guide for Office Managers: Training Your Staff on Medicaid Procedures

Our Front Desk Is Our First Line of Defense

As the office manager, I realized that our front desk staff are our most important line of defense against billing problems. I created a simple, one-page “Medicaid Cheat Sheet” for them. It has a script for how to verify eligibility for every patient. It has a list of the MCOs we are in-network with. It also has instructions on when to collect a co-pay (almost never) and when to have a patient see our financial counselor. This simple training tool has empowered our staff and prevented countless downstream billing issues.

How to Help Patients Apply for Presumptive Eligibility in Your Office

Covering Our Patients Before They Leave the Building

We serve a lot of uninsured patients who are likely eligible for Medicaid. We decided to become a “Qualified Entity” that can grant “Presumptive Eligibility.” Our intake staff received special training from the state. Now, when an uninsured, pregnant woman comes into our clinic, we can grant her immediate, temporary Medicaid coverage on the spot. This allows us to bill for the visit that day. It also ensures the patient is enrolled in coverage so she can get the ongoing prenatal care she needs. It’s a win for her health and for our practice.

The Importance of “Culturally Competent Care” for Medicaid Populations

We Look and Sound Like Our Patients

Our clinic serves a diverse community with patients from many different cultural backgrounds. We have made “cultural competency” a top priority. We hire staff who are bilingual and who come from the communities we serve. We provide all our educational materials in multiple languages. We have trained our providers to ask questions about cultural beliefs that might impact a patient’s health choices. By creating a welcoming and understanding environment, we have built a deep sense of trust with our patients, which leads to better health outcomes for them and a stronger practice for us.

A Guide to School-Based Services Billing for Therapists

The School Is My Office, Medicaid Is the Payer

I am a speech therapist who works as an independent contractor for my local school district. I provide therapy to students with IEPs. I learned that I can, and should, bill Medicaid for the services I provide to my Medicaid-eligible students. The school district’s Special Education department helped me get set up as a Medicaid provider. Now, for every therapy session I conduct at the school, I submit a claim to Medicaid. It provides a crucial revenue stream that helps the school district afford these vital therapeutic services.

How to Document “Medical Necessity” for Durable Medical Equipment

The Prescription Is Just the Beginning

We are a supplier of durable medical equipment (DME). We learned that to get a claim for a wheelchair or a hospital bed paid by Medicaid, a simple prescription is not enough. We need to create a full packet that proves “medical necessity.” The packet always includes the doctor’s detailed clinical notes. It often includes a letter from a physical therapist explaining why the specific piece of equipment is essential for the patient’s safety and function. This overwhelming evidence of medical necessity is the key to getting our DME claims approved.

The Pros and Cons of Joining a Medicaid-Heavy Group Practice

The Trade-Offs of Serving the Underserved

I had a choice between joining a private, suburban practice or a large, urban group practice that mostly served Medicaid patients. I chose the latter. The “con” is that the reimbursement is lower, and the patient population has more complex social needs. The “pro” is immense. I have a stable, guaranteed patient base. I am making a real, tangible difference in my community. And I am part of a supportive team of providers who are passionate about our mission. For me, the psychic rewards far outweigh the financial trade-offs.

How to Stay Up-to-Date on Constantly Changing Medicaid Rules

My Weekly Reading List

The world of Medicaid is constantly changing. The rules, the codes, and the reimbursement rates are a moving target. To stay current, I have a set weekly routine. Every Monday morning, I spend 30 minutes reading. I check my state’s official Medicaid provider bulletin for any updates. I also read the newsletters from my key Managed Care Organizations. Finally, I scan the headlines from a few national healthcare policy websites. This simple, weekly discipline ensures our practice is never caught by surprise by a new rule change.

A Guide to Billing for “Non-Traditional” Services (e.g., Peer Support, Community Health Workers)

The New Codes for a New Kind of Care

Our clinic has started using “Community Health Workers” (CHWs) to help our Medicaid patients with things like housing and food insecurity. We were excited to learn that our state’s Medicaid program has started to recognize the value of these non-traditional services. There are now specific billing codes we can use for services provided by CHWs and “peer support specialists.” The reimbursement isn’t huge, but it helps us sustain these vital programs that address the social determinants of health and keep our patients healthier in the long run.

How to Avoid Common Triggers for a Medicaid Fraud Investigation

We Run a Tight, Honest Ship

The words “Medicaid fraud investigation” are terrifying. We have a culture of compliance in our office to avoid any hint of impropriety. We have a strict rule against “upcoding”—always billing for the service that was actually performed. We never, ever bill for a patient who was a “no-show.” All our providers sign and date their own chart notes. And we conduct our own internal audits every quarter to look for errors. By running a tight, honest ship, we can be confident that we are always doing the right thing.

The Secret to Getting Paid for After-Hours On-Call Services

The Phone Call That Paid

As a pediatrician, I get calls from worried parents at all hours of the night. For years, I just thought of this as unpaid, on-call work. Then I learned that I could bill for it. If an after-hours phone call is longer than five minutes and involves legitimate medical decision-making, there are specific CPT codes for “telephone services.” The reimbursement isn’t huge, but it adds up. By carefully documenting the time and the nature of the call, I can now get paid for the important medical advice I provide outside of office hours.

A Guide for Pharmacists: Navigating Formularies and PAs

The Gatekeeper of the Pharmacy Counter

As a pharmacist in a Medicaid-heavy neighborhood, I feel like a gatekeeper. My biggest challenge is the “prior authorization.” A doctor sends a prescription, but the patient’s Medicaid plan won’t cover it without a PA. My first step is to check if there is a “preferred” alternative on the plan’s formulary that doesn’t require a PA. If not, my pharmacy technicians will send a request to the doctor’s office, letting them know a PA is needed. We spend a huge amount of our time just trying to get our patients the medications their doctors prescribed.

How to Effectively Manage Patient Transportation Needs

The Ride That Guarantees a Kept Appointment

The number one reason for missed appointments at our clinic was a lack of transportation. Our no-show rate was killing our schedule and our bottom line. We started a new, proactive workflow. When we schedule an appointment for a Medicaid patient, our front desk staff asks, “Will you need help with transportation?” If the answer is yes, we have the direct number for the patient’s MCO transportation broker. We can help them schedule their free ride right there on the spot. It’s an extra step, but it has dramatically reduced our no-show rate.

The Role of Social Determinants of Health (SDOH) Screening in a Medicaid Practice

We Ask About Rent Before We Ask About Rashes

In our Medicaid practice, every new patient fills out a simple screening tool for “Social Determinants of Health.” We ask them about their housing stability, their food security, and their transportation. We know that these non-medical factors have a huge impact on their health. If a patient screens positive for food insecurity, we have an on-site navigator who can sign them up for SNAP and connect them with a local food pantry. By treating the whole person, not just their symptoms, we have better outcomes.

How to Exit a Medicaid MCO Panel with Minimal Disruption

The Breakup Letter We Had to Send

We made the difficult decision to stop accepting a specific Medicaid Managed Care plan. Their reimbursement rates were too low and their administrative hassles were too high. To do it right, we had to follow a careful process. We gave the MCO a formal 90-day written notice, as required by our contract. We then sent a letter to all our active patients on that plan, explaining the change and giving them information on how to switch to a plan we do accept. It was a difficult breakup, but clear communication minimized the disruption.

A Guide to Billing for Group Therapy Sessions

The Math of Group Sessions

Group therapy is an incredibly effective and efficient way to provide mental health care to our Medicaid patients. Billing for it requires careful documentation. For each group session, our progress note lists all the attendees. We then have to submit a separate claim for each individual patient, using the same “group therapy” CPT code and the same date of service. While it’s more paperwork on the back end than a single individual session, the ability to help eight people at once makes it a cornerstone of our practice.

The Financial Impact of No-Shows in a Medicaid Practice (And How to Reduce Them)

The Empty Chair That Costs Us Money

In a busy Medicaid practice, patient “no-shows” are a financial disaster. Every empty chair in our schedule is lost revenue. We can’t bill for a visit that didn’t happen. We implemented a multi-pronged approach to reduce our no-show rate. We use an automated text message reminder system. Our staff makes personal confirmation calls the day before. And we have a financial counselor who can help patients solve the transportation or childcare issues that often cause them to miss their appointments. These proactive efforts have made a huge difference.

How to Advocate for Higher Medicaid Reimbursement Rates in Your State

Our Voice in the State House

We were tired of complaining about our state’s low Medicaid reimbursement rates. We decided to do something about it. Our practice joined our state’s professional medical society. The society has a powerful lobbying arm that advocates for providers at the state capitol. We started attending their annual “Doctor Day” at the legislature, where we could speak directly to our local representatives about the importance of fair funding for the Medicaid program. It’s a long, slow fight, but by joining together, our voices are much louder.

A Guide to Billing for Long-Acting Injectable Drugs

The Shot That Required a Special Code

Many of our patients with serious mental illness rely on long-acting injectable antipsychotic medications. Billing for these is a two-step process. First, we have to bill for the drug itself, using its specific J-code. This requires “buy and bill,” where we purchase the expensive drug upfront. Second, we have to bill for the administration of the injection, using a separate CPT code for the nurse’s time. Getting the prior authorization and the billing codes exactly right is crucial for these very expensive but life-changing medications.

The Top Frustrations of Medicaid Providers (And Their Solutions)

The Headaches, and the Aspirin

Ask any Medicaid provider their biggest frustration, and you’ll hear the same answers. First, the low reimbursement rates. The solution isn’t easy, but it involves extreme efficiency and advocacy. Second, the constant prior authorization battles. The solution is detailed documentation and standardized templates. Third, patient no-shows. The solution is a robust reminder system and helping patients with their transportation issues. It’s a challenging field, but for every frustration, there is a practical, system-based solution that can make it work.

How Our Hospital Reduced ER Visits by Proactively Managing Medicaid Patients

The Phone Call That Prevented an ER Trip

Our hospital was getting overwhelmed by Medicaid patients using the emergency room for non-emergency issues. We created a proactive “care management” team. We identified the “frequent flyers” in our ER. A nurse care manager would call these patients at home, help them get a primary care doctor, and teach them when to use the ER and when to call their doctor’s office. By investing in this proactive, preventative care, we dramatically reduced our ER overcrowding and helped our patients get better, more appropriate care.

Why Accepting Medicaid Was the Best Decision I Ever Made for My Practice

The Practice with a Purpose

When I opened my pediatric practice, many of my colleagues advised me not to accept Medicaid. They said the rates were too low and the patients were too challenging. I ignored them. Today, my practice is thriving. I have a full schedule of wonderful, grateful families. My work has a deep sense of purpose. I am on the front lines, making a real difference in the health of my community’s most vulnerable children. The financial rewards may be less, but the psychic and emotional rewards are immeasurable.