Medical Billing Services for Maine’s Clinics & Healthcare Providers
Custom-made medical billing services to help your medical practice increase revenue effortlessly without compromising patient care. Get HIPAA-complaint RCM solutions at half the cost than the industry.
Transparent Monthly Reports
As part of end-to-end patient billing services, we offer periodic analytics and reporting about your practice’s financial health.
Specialty-specific Billing
Maine’s revenue cycle management services are customized to suit more than 50 medical specialties including, primary care, behavioral health, family medicine, podiatry, etc.
98% Claim Approval Rate
Leveraging our RCM staff’s decade old expertise, healthcare facilities across Maine may get to increase their claim approval rate to above 98% on first submission.
HIPAA-compliant, U.S-based Team
Our medical billing solutions are based on advanced data security protocols, fully complying with HIPAA regulations, ensuring optimum trust for patients’ sensitive data protection.
10+ Years Serving Maine-based Clinics
Maine medical billing consultancy company has been working with local providers for more than 10 years, offering you a peace of mind and trust that’s shown by thousands of healthcare providers across the state.
Claim Submission
Maine’s medical billing experts handle the complete process of electronic and manual submissions to commercial & government payers within a defined timeline to strengthen your practice’s financial bottom line.
AR Follow-Up
Dedicated account receivable recovery team follows the aging past dues of patients and insurance payers so you won’t have to suffer any financial setbacks and delayed payments.
Insurance Verification
Extensive and systematic steps are taken in order to accurately check a patient’s insurance eligibility verification, obtaining prior-authorization 24-48 hours before encounter/procedure to minimize claim denials and out-of-pocket costs to patients.
Charge Entry & Coding
AHIMA and AAPC-certified medical coding specialists of our company assign accurate ICD-10, CPT and HCPCS codes to ensure precision in charge entries. Accurate codes and charge entries help practices in getting full reimbursements.
Payment Posting
Accurate and timely payment posting handles all the process relating to ERA/EOB reconciliation & patient responsibility posting. All payments are cross-checked against the services to ensure appropriate reimbursements for rendered medical services.
Patient Statements
As a part of comprehensive billing and coding solutions, our RCM experts send secure and branded billing statements to patients to keep them informed on medical care services and charges.
Provider Credentialing
Credentialing managers of our company help providers for enrollment with insurers & payers in Maine, enabling them to increase the medical care services to a vast pool of patients for increasing revenue.
Reporting & Analytics
Transparent reporting and analytics provide comprehensive insights into daily revenue collections, denials, areas leading to revenue leakages via productivity tracking dashboards to help healthcare facilities and providers to make informed decisions.
Our End-to-End Billing Process
Our medical billing services in Maine are 100% compliant and aligned with local laws and Maine-specific insurers like MaineCare, Anthem, Harvard Pilgrim, etc. Our state-of-the-art HIPAA-compliant medical billing process entails the following steps:
- Client Onboarding & EHR Integration
- Patient Eligibility Checks
- Charge Capture & Coding Review
- Claims Submission & Scrubbing
- Payment Posting & Remittance
- AR & Denial Follow-up
- Monthly Reporting
- Feedback Calls
Core Specialties We Serve — Tailored for Maine Providers
We serve a variety of medical specialties in Maine from primary care clinics to free-standing emergency care clinics, radiology labs, tertiary care facilities, group and solo practices consisting of:
- Family Medicine
- Behavioral & Mental Health
- Urgent Care
- Internal Medicine
- Telemedicine / Telehealth
- Emergency Room
- Oncology
- Obstetrics & Gynecology
- Orthopedic
- Pediatric
- Cardiology
- Chiropractic
- Surgery
- Pain Management
What Our Maine Clients Say?
Christopher Forsythe (Family Medicine)
Maine medical billing company has resolved all issues I have had with billing and coding errors. Thanks to their skillful team, my revenue has increased significantly. 100% recommended.
Thomas Curry (Internal Medicine)
Maine medical billing company has resolved all issues I have had with billing and coding errors. Thanks to their skillful team, my revenue has increased significantly. 100% recommended.
Gina Dorsey (Obstetrics & Gynecology)
After outsourcing medical billing services in Maine, my practice’s claim denials have reached to almost zero. Thanks to this incredible team, I’m receiving full reimbursement. Totally recommended.
Frequently Asked Questions (FAQs)
What’s the turnaround time for claim submissions?
Turnaround time (TAT) varies payer to payer and their policies for processing claims. Turnaround time for a typical Medicaid or Medicare may take a few days and upto two weeks time. On the other hand, commercial payers also have the same turnaround time contingent on error-free timely claim submission, payer-defined format or medium such as electronic or paper claims.
How long does onboarding take?
- Data Collection
- System Setup
- Training and Orientation
- Testing and Validation
- Compliance and Credentialing
Overall, a well-organized and efficient onboarding process typically takes about 4 to 8 weeks. However, this timeline can vary based on the specific needs and circumstances of the practice.
Do you support MaineCare (Medicaid in Maine) billing and documentation?
Our RCM experts have vast experience in Maine Medicaid billing and coding practices. Medheave’s local healthcare billing experts stay updated with local, state and federal healthcare guidelines and help your practice in compliance with regulations.
Additionally, we provide our billing and coding team refresher training on CMS (Centers for Medicare & Medicaid Services) protocols, helping your practice to get maximum benefits from treating patients under this insurance plan.
Are your services HIPAA-compliant?
Do you integrate with [Athenahealth/DrChrono/Kareo] EHR systems?
- Automated charge capture and claim submission.
- Secure data transfers with HIPAA compliance.
- Custom workflow improvement to improve efficiency.
Can you migrate us from in-house billing or another provider?
Yes, we offer assistance in all aspects of outsourcing and transition especially from in-house billing to outsource billing team and create an enabling atmosphere where providers can easily migrate between different services and teams.
How soon can I expect to see improvements in cash flow?
After fully integrating with our medical billing services, healthcare providers may see improvements within 3-4 weeks with increased efficiency, revenue collections, elevated compliance and close to zero billing and coding errors, etc.
Can I see real-time revenue reports?
Yes of course, we offer providers direct access to a live dashboard that offers daily reporting on revenue collections, number of claim submissions, reimbursement received, claim rejected or denied and performance of your practice’s revenue cycle management. We also offer data patterns comparing various days/months demonstrating tough and peaks of financial health. We help you make informed decisions backed by evidence.
What’s your average denial rate and how do you reduce rejections?
Maine medical billing company has set the new industry standard of average denial rate below 2% that is unmatched by other companies in the state. Our medical billing and coding team has various certification and long-duration training to ensure optimum competency in performing their tasks.
Additionally, we retain the expertise of our staff by providing them refresher training so that their knowledge stays up-to-date with new regulations and insurance policies. This step itself guarantees that claim rejections and denials remain at lower levels so that healthcare providers can earn maximum revenue.
What are your pricing models? Flat fee or % of collections?
Our medical billing outsourcing company in Maine offers a variety of pricing models as per your practice’s needs. Providers can choose either flat fee or a certain percentage of collections as per their requirement.
Moreover, we offer flexibility in terms of contract as well. Doctors can choose short-term or monthly contracts for better economical flexibility. Our medical billing services are the industry’s most economical option with higher level of quality and satisfaction.
Ready to Streamline Your Billing Process?
If your practice is suffering from claim denials and failed recovery of account receivables then outsource today and increase your revenue earning prospects by 3x. With our help, providers can reduce their operational expenses by 60% effortlessly.