Hagåtña, Guam – The Guam Memorial Hospital Authority (GMHA) is pleased with the recent payments it received in Medicaid reimbursements which total $1.4 million for the month of July. GMHA also received a payment for Medicaid claims of $1.1 million in June.
MEDICAID/MIP PAYMENTS RECEIVED:
June 4, 2019 – $513,242.13
June 10, 2019 – 1,047.22
June 12, 2019 – $264,186.60
June 27, 2019 – $99,255.75
Total: $1,154,809.23
July 8, 2019 – $558,393.79
July 12, 2019 – $59,872.78
July 19, 2019 – $855,548.61
Total: $1,473,815.18
With regards to services GMHA provides to patients covered under Medicaid, GMHA submits reimbursable claims to the Department of Public Health and Social Services (DPHSS) which reviews the submitted bills.
In addition to timely Medicaid reimbursements, the Department of Administration (DOA) has also been promptly transferring funds to GMHA for its regular budgeted allotments.
“The Medicaid reimbursements we have been receiving from the Department of Administration are for current claims. We have been working seamlessly with DOA and with Public Health to get Medicaid bills processed and paid as quickly as possible. We are grateful for this synergistic relationship and for the continuous support from the Governor and Lieutenant Governor,” said GMHA Administrator Lillian Perez-Posadas.
DPHSS
Other than Medicaid claims, $619,368 in Children’s Health Insurance Program (CHIP) claims have also been paid as of July 25.
DPHSS continues to process submitted claims as expeditiously as possible through a utilization review. Once the claims are deemed to be free of error, DPHSS moves the claims forward for payment.
“The system we have in place has been running smoothly. We have procedures in place to review all claims and to ensure that there are no discrepancies or errors in the bills we receive. We are grateful for the boost in funding through the Disaster Aid bill. Our team at Public Health has been working diligently to process claims on a timely basis so we can take advantage of this opportunity to maximize the availability of federal funds to Guam,” said Linda DeNorcey, Director of DPHSS.