School-Based Medicaid Claiming and Billing
We Are Industry Leaders of School-Based
Medicaid Claiming and Billing
Since 1998, the experts at ORI have worked with school districts to provide professional school-based Medicaid billing. Our comprehensive approach integrates Financial and Special Education personnel. ORI thoroughly compiles every aspect of essential claim data needed to process claims using our state-of-the-art school-based medical practice management software.
Assistance at All Levels of School-Based Medicaid Billing
Our services include:
Direct Service Claiming (DSC)
- Student and Provider Eligibility
- Provider Service Documentation
- Quarterly (Interim) Billing
- Direct Service Cost Reporting
- Training (webinar or in-person)
- Data Analysis
Administrative Activity Claiming (AAC)
- Administrative Cost Reporting
- Medicaid Eligibility Enrollment Reports
- Random Moment Time Study (RMTS) Monitoring
- RMTS Quarterly Updates and Licensing Verification
- Training (webinar or in-person)
- Data Analysis
Our Process:
- Your providers input data using our proprietary system, SimpleNote or your district’s service documentation software.
- ORI is HIPAA and FERPA compliant
- Your information is securely submitted to ORI
- Compliance and eligibility is reviewed and validated
- Claims are submitted and rejections resolved
- Payments are posted and reconciled
- Monthly, quarterly and annual reports are submitted
- Your district is invoiced a competitive percentage of actual payment deposits

Administrative Task Relief
Through our technology and dedicated team, we take the administrative burden of tracking IEPs out of your hands. Eligibility checks, service tracking, working denied claims are provided by our team. We pride ourselves in our dedication to “roll up our sleeves” to save you and your school district time.
Random Moments Surveys
Meeting your state requirements can be a daunting task. With ORI at your side, you can rest assured your district will be best positioned to meet the Random Moment Time Study (RMTS) Compliance Requirement. Through our technology we send daily reminders to staff and supervisors to answer random moments, making compliance as effortless as possible. We track your district’s submissions and can report where your district is at any point in time.
Critical Integration – Technology that Provides So Much More
YOUR SYSTEM OR OUR SYSTEM – IT’S YOUR CHOICE
YOUR SYSTEM –
ORI will work with your district’s service documentation software and integrate for billing and compliance.
OUR SYSTEM –
SimpleNote – Our FREE proprietary software system simplifies the daily task of note taking. 100% HIPAA and FERPA compliant, our software meets all state and federal guidelines and is customized for your state.
MedBIZ Cloud – A suite of tools to improve efficiency and compliance.