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Presenter outlines surge in claims processing; county recorded over 47,000 claims in 2024
Summary
Department staff told the Winnebago County Human Services Board that claims processed rose to more than 47,000 in 2024, generating over $6 million in revenue and growing roughly 11% annually; presenters described LUNA EHR workflows, denial drivers and a new GainWell requirement for CLTS billing.
The Winnebago County Human Services Board heard a detailed presentation on claims processing Feb. 23, with department staff saying the Human Services Department processed "over 47,000 claims" in 2024 and expects the total to exceed 50,000 in 2025.
Presenter (department staff) told the board that medical‑assistance billing accounts for the largest share of revenue—"well over $6,000,000" in 2024—and that roughly 75% of the department's billings derive from medical‑assistance programs. The presenter said claim volumes are rising at about an 11% annual rate and that a small claims team (described in the meeting as "about 2.5 staff people") handles the workload.
The presentation described the department's LUNA electronic…
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