Administering Medicaid programs involves complex claims, eligibility, and payment management. VSI Technologies enables states and agencies to modernize their Medicaid operations with modular fiscal agent services that are secure, interoperable, and cost-efficient.
Challenges in Legacy Medicaid Systems
- Fragmented eligibility and claims workflows
- Inefficient reimbursement cycles
- Difficulty integrating with national health IT standards
VSI's Fiscal Agent Service
Capabilities
1. Claims Adjudication Engine with FHIR Compliance2. Member and Provider Management Portals3. Real-Time Fraud Detection and Overpayment Recovery4. Secure Data Exchange with HIEs and CMS Gateways
Client
Impact
- Up to 40% reduction in claims processing time
- Modern web-first experience for beneficiaries and providers
- Proven compliance with Medicaid Information Technology Architecture (MITA) standards
Conclusion
VSI empowers Medicaid programs to deliver timely care, efficient reimbursements, and robust compliance.