NEMT reimbursement &
revenue expertise,
on your terms.
A proposal for MediTrans — three flexible ways to access Solutions Group's operational, reimbursement, and compliance expertise across the non-emergency medical transportation (NEMT) environment.
NEMT revenue is harder to capture than it should be.
MediTrans operates in one of the most administratively complex corners of healthcare. Between MCO and state requirements, manual reconciliation, and shifting compliance expectations, reimbursement that should be straightforward becomes a daily operational burden.
"Where is revenue leaking — and which fixes will move the needle first?"
The answer lives across claims workflows, payment reconciliation, prior authorization, payer reporting, and provider contracting. Most teams know the pressure points but lack the bandwidth — or the specialized NEMT reimbursement expertise — to address them systematically.
NEMT expertise,
applied where it pays off.
Ongoing access to operational and reimbursement expertise across the four areas that most influence NEMT financial performance — delivered flexibly, on the engagement model that fits MediTrans.
Operational
Streamline claims submission, reconciliation, and the administrative workflows that drive day-to-day performance.
Reimbursement
Identify revenue leakage, payment automation opportunities, and reimbursement gaps across the NEMT environment.
Compliance
Strengthen controls around prior authorization, MCO and state reporting, and fraud, waste, and abuse exposure.
Strategic
Guidance on payer relations, provider contracting, and initiatives that reduce administrative burden long-term.
Three ways
to work together.
Choose the level of engagement that fits MediTrans today — each can scale or evolve as needs change.
On-Demand Consulting Support
Flexible, as-needed access to our consulting team — ideal when support requirements vary month to month.
- Billed in 30-minute increments
- Support for operational, reimbursement, compliance, and strategic initiatives
- No long-term commitment
NEMT Revenue Enhancement Assessment
A focused assessment of key reimbursement, compliance, operational, and administrative functions within the NEMT environment — with strategic recommendations to follow.
- 75-day structured engagement
- Deep review across the assessment areas below
- Recommendations to reduce administrative burden and improve financial performance
Monthly Consulting Agreement
Ongoing access to NEMT operational and reimbursement expertise as an extension of the MediTrans team.
- Approx. 4–5 hours of consulting per month
- Strategic guidance on revenue cycle, compliance, payer relations, and process improvement
- 6-month minimum agreement
Note: Option 1 is billed at $1,000/hour in 30-minute increments. Option 2 reflects our full RCM Assessment fee of $22,500. Option 3 pricing of approximately $3,000/month reflects 4–5 consulting hours monthly.
The 75-Day
Assessment areas.
A focused review of the key reimbursement, compliance, operational, and administrative functions within the NEMT environment.
- Claims submission and reimbursement workflows
- Invoice receipt and payment reconciliation processes
- Remittance file management and utilization
- Prior authorization workflows and controls
- Payment automation opportunities
- MCO and state reporting / administrative requirements
- Provider contracting and reimbursement considerations
- Guidelines for addressing fraud, waste, and abuse in the NEMT space
- Strategic recommendations to reduce administrative burden and improve financial performance
A trusted strategic
healthcare finance partner.
From proposal
to partnership.
- 1
Discovery call
30 minutes to walk through MediTrans's current NEMT workflow, priorities, and which engagement option fits best.
- 2
Select an option
Confirm on-demand support, the 75-day assessment, or a monthly agreement — and finalize scope and rates.
- 3
Agreement and kickoff
Service agreement executed and the engagement scheduled, with assessment work or consulting hours beginning promptly.
- 4
Ongoing partnership
Solutions Group delivers operational, reimbursement, and compliance expertise — with clear recommendations and measurable impact.