TRANSPORTATION SERVICE SOLUTIONS

Southeastrans’ transportation management methodologies provide high quality, cost-effective solutions for managing safe and reliable non-emergency medical transportation. We integrate the following functions into a seamless transportation management system:

CALL CENTER SERVICES

  • Five centralized call centers with cloud-based call routing for maximum efficiency
  • Gatekeeping service to assess eligibility, medical necessity and transportation needs
  • Calls answered by a live representative 24 hours a day, seven days per week, to easily accommodate non-urgent, urgent and on-demand trips
  • Least costly, but most appropriate mode of transportation, including public transit, mileage reimbursement and volunteers

INFORMATION TECHNOLOGY

  • Proprietary NEMT management software with scalability and customization
  • Advanced telecommunications systems using data integration for maximum efficiency and stability
  • Specialized software with geo-coding functionality for accurate trip distance determination

TRANSPORTATION PROVIDER NETWORK

  • Coordination with transit agencies, community service boards, and other local transportation resources including Volunteer Driver and Gas Reimbursement Programs
  • Strict performance, quality, and safety standards
  • Automated trip documentation and electronlic claim submissions to Southeastrans for quick payment
  • Access to secure Provider Portal for complete claims information, claims submission, reports, trip manifests, forms, and other provider-related documentation

COMPLIANCE

  • Credentialing for all transportation providers, drivers, and vehicles prior to admission to the network

  • Criminal background, drug, OIG, sex offender registry, and motor vehicle record checks

  • Field monitoring of service delivery and regular mandatory vehicle inspections

NEMT TRAINING

  • NEMT provider training and transportation provider orientation classes

  • Driver training that includes Passenger Assistance, Sensitivity and Behavioral Health Training, as well as First Aid, CPR and wheelchair lift and stretcher training

  • Online and in-person training modules

QUALITY MANAGEMENT

  • Complaint management and resolution, including compliance hotline for reporting fraud or non-compliance

  • Full-time Quality Management staff within each state office

  • Monthly customer satisfaction surveys by independent agency

ADMINISTRATION AND REPORTING

  • NEMT provider payment administration with electronic payment option

  • Standard and custom ad hoc report capabilities, statistical analysis, and state agency reporting

  • Complete data capture for life cycle of a trip, with secure back-up storage

UTILIZATION REVIEW

  • Comprehensive review and reporting of anomalous member transportation requests

  • Verification of Medicaid billable transportation and locations

  • Issues member Behavioral and No-show letters when warranted

  • Well versed at working with members and health care providers to accommodate special needs

For more information about Southeastrans and the range of services we offer, please contact Dena Adams-McNeish, Executive Vice President, Business Development by email at deadams@southeastrans.com.