Medical Billing Services in Maryland

Medical Billing for Maryland Physicians

Maryland is unique in American healthcare because of its All-Payer hospital rate setting system, which regulates hospital payment rates across all payers. While this primarily affects hospitals, it creates a billing environment unlike any other state. The commercial market is dominated by CareFirst BlueCross BlueShield, and Maryland Medicaid HealthChoice runs through managed care organizations. Go Medical Billing serves practices across the Baltimore-Washington corridor and statewide.

Maryland Billing Specifics

CareFirst BCBS

CareFirst dominates Maryland’s commercial market. Their claims system, authorization portal, and fee schedules are specific to the mid-Atlantic region. We know CareFirst’s rules and process their claims daily.

Maryland Medicaid HealthChoice

HealthChoice MCOs include Aetna Better Health, CareFirst Community, Jai Medical Systems, Maryland Physicians Care, MedStar Family Choice, Molina, Priority Partners, and UHC Community Plan. We credential and bill with all Maryland Medicaid MCOs.

Services for Maryland Practices

• Full billing and coding for Baltimore, DC suburbs, and rural MD practices
• Maryland Medicaid credentialing across all HealthChoice MCOs
• CareFirst BCBS claims management with plan specific expertise
• Denial management with MD specific appeal processes

Pricing

Starting at 2.49% of collections. DC-Baltimore corridor billers cost $42,000 to $55,000. We provide more coverage for less cost.

Call 888 701 6090 for a free Maryland billing assessment.