Anna Finnegan's Credentialing & Billing, LLC

07/03/2025

Message from the clearinghouse regarding TrueCare:

I attempted to create enrollment requests for TrueCare Mississippi Medicaid (MSMCDCS1); however, no enrollment is required to send claims to this payer, and Waystar does not have an active connection to this payer for remits at this time. To retrieve your remits, you will have to contact the payer directly. I do apologize for any inconvenience. Since they are a new payer, a connection may be established shortly.

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06/18/2025

I got a call yesterday from a third-party company that has taken over credentialing verifications for MS Medicaid. I have been a biller/coder/credentialer for many years and never dealt with a third party, so it threw me off a little. I had to verify before sending the requested documentation. I wanted to share, so if anyone gets these calls requesting information, Medicaid now, indeed, is using a third party for verifying information. The company I spoke with was Verisys.

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06/10/2025

Reminder: UHC Medicaid ends 06/30. Be sure you are verifying all Medicaid to make sure which panel to send claims to, as I am sure there is about to be a big switch-a-roo about to happen!

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04/29/2025

TrueCare (the new Medicaid branch) is an MPCN product. The active date for UHC to end is 06/30/2025—pay attention, parents!

Providers - it costs $150.00 per year to credential with MSPN. Plus an application fee.

04/18/2025

Next class is a little over a month away! Dont miss out on a great learning opportunity. Message me today!!

04/01/2025

UHC Medicaid's contract ended at midnight. TrueCare has gone live! Parents pay attention—Medicaid insurance panels are changing. My front desk has already been getting calls asking if we accept TrueCare.

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03/29/2025

A LinkedIn article stated: Under growing pressure to do more with less—more procedures, tighter reimbursement timelines, and increasingly complex payer rules.

But the one area we see get overlooked again and again? Billing operations that quietly leak six or seven figures in missed collections each year.

Where does your billing stand? Got a lot of outstanding funds and if so are you addressing it?

03/26/2025

FYI - Sole providers that plan to accept Medicaid products - if you have a TIN that is NOT your social Magnolia requires you have a Medicaid number for your individual NPI AND a group Medicaid number for your TIN to contract with them.

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03/24/2025

Magnolia/Ambetter now requires sole providers that have an individual NPI and a TIN to have a Medicaid number for the individual NPI and another Medicaid number for the group TIN if is not the social. My sole providers that use their socials as their TINs do not have to get two Medicaid numbers.

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03/18/2025

There are so many changes and challenges with insurance at the moment. Be sure to pay attention to the handbook and provider expectations!

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03/05/2025

Next class has been scheduled. Get registered!!
May 31st @ 10am

03/02/2025

You can now follow me on LinkedIn.
https://www.linkedin.com/in/anna-finnegan-93508b354?utm_source=share&utm_campaign=share_via&utm_content=profile&utm_medium=android_app