Medical Billing Services in New Hampshire

Simplifying Billing. Maximizing Reimbursement. Supporting New Hampshire Practices

New Hampshire healthcare providers face a unique combination of rural and urban practice challenges, including complex payer networks, regulatory changes, and staffing constraints. Even a small mistake incorrect coding, missing authorization, or delayed claim submission can result in delayed reimbursements and lost revenue.

At Medix Revenue Group, we provide full-service medical billing and revenue cycle management solutions tailored to New Hampshire providers. Whether you operate a small family practice in Concord or a multi-specialty clinic in Manchester, we build a customized revenue cycle system that fits your specialty, patient population, and payer mix.

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Why New Hampshire Providers Struggle With Billing

New Hampshire may be a small state, but medical billing complexity is anything but:

Rural coverage gaps make patient eligibility verification and payer follow-up challenging
New Hampshire Medicaid (NH Healthy Families) requires strict documentation and prior authorization for most specialty services
Diverse commercial payer network, including Harvard Pilgrim, Anthem, Tufts, and UnitedHealthcare, adds complexity
Small in-house billing teams cannot always keep up with denials, appeals, or compliance audits
Specialty-specific challenges, particularly in cardiology, oncology, and behavioral health, increase denial risk

Medix Revenue Group helps New Hampshire practices optimize billing workflows, reduce errors, and recover revenue quickly.

Know the Rules. Protect Your Revenue

Understanding payer-specific rules in New Hampshire is key to clean, fast reimbursements:

New Hampshire Medicaid – NH Healthy Families

Filing deadlines: 12 months from the date of service
Authorization requirements: Required for therapy, imaging, specialty visits, and certain chronic care services
Common denials: Missing prior authorizations, exceeded service limits, incomplete provider enrollment

Commercial Payers

Anthem, Harvard Pilgrim, UnitedHealthcare, and Tufts enforce different rules for coding, documentation, and modifiers
Telehealth and behavioral health reimbursement rules vary by plan
Small and mid-sized practices often face challenges verifying coverage and network participation

Medicare (Part B)

12-month filing window
Strict documentation required for E/M visits, procedures, and telehealth services
Accurate modifier usage and proper bundling are critical to avoid underpayment.

Medix Revenue Group creates state-specific billing workflows to navigate these rules efficiently, ensuring faster claim approvals.

Comprehensive Medical Billing Services in New Hampshire

Eligibility Verification & Authorization

We confirm coverage, deductibles, and prior authorizations before the patient visit, preventing claim rejection and payment delays.

Coding & Documentation

Our certified coders ensure ICD-10, CPT, and HCPCS accuracy across all specialties while auditing documentation for payer and regulatory compliance.

Claim Submission

We submit claims to Medicare, New Hampshire Medicaid, and commercial insurers. Multi-level edits and payer-specific workflows minimize errors and denials.

Denial Prevention & Recovery

We analyze denials, correct root causes, appeal claims, and implement preventive measures to recover revenue.

Payment Posting & Reconciliation

Daily payment posting and reconciliation ensure all reimbursements match expected contracts. Underpayments are flagged and immediately addressed.

Reporting & Analytics

Actionable dashboards provide insight into AR aging, collections, payer trends, and revenue forecasts, empowering informed financial decisions.

New Hampshire Cities We Serve

"From Manchester to Nashua, We Cover the Entire State."

Concord – Multi-specialty clinics, urgent care, and family medicine
Manchester – Specialty practices, cardiology, and behavioral health
Nashua – Primary care, wellness, and outpatient clinics
Portsmouth – Concierge practices, rehab centers, and therapy clinics
Keene & surrounding areas – Rural health providers and independent clinics

No matter your location, Medix offers personalized, scalable billing solutions tailored to your practice's needs.

Why New Hampshire Providers Choose Medix Revenue Group

"Reliable Billing. Predictable Revenue. Real People."

Expertise in New Hampshire Medicaid, Medicare, and commercial payer systems

Specialty-trained coding and billing teams for hospitals, multi-provider groups, and solo practices

Rapid claim submission and follow-up to improve cash flow

Transparent reporting with real-time insights

Dedicated account managers, not automated bots

Flexible agreements with no long-term contracts

Medix Revenue Group doesn't just process claims—we optimize your revenue cycle to save time, reduce denials, and grow your practice.

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FAQs

We manage all core New Hampshire payers with specific, updated workflows. This includes the state's Medicaid Managed Care Organizations (MCOs), which are essential to coverage in NH: NH Healthy Families, AmeriHealth Caritas New Hampshire, and WellSense Health Plan.

Yes, supporting rural and critical access practices across New Hampshire is a core part of our service model. We specialize in comprehensive revenue cycle management (RCM) that addresses the unique challenges rural clinics face, including limited staff and specialized billing rules for specific federal programs.

We prioritize rapid, measurable financial results. While the exact timeline depends on the current state of your old Accounts Receivable (A/R), most New Hampshire practices start seeing measurable revenue improvements within 45–60 days.

Seamless integration is guaranteed. We work within your existing clinical ecosystem, ensuring no disruption to patient care. We have deep expertise in integrating with top industry-standard EMRs such as Athenahealth, Kareo, DrChrono, Epic, AdvancedMD, and specialty-specific platforms. Our integration process ensures efficient, automated data transfer for accurate charge capture and claims submission, minimizing manual work and coding errors for your team.

We treat denials as process failures to be corrected, not just claims to be appealed. Our robust denial management protocol involves:

Root Cause Analysis: We categorize the denial reason (e.g., authorization failure, coding mismatch).
Correction & Appeal: We promptly correct the error and submit timely, well-documented appeals to the payer, fighting for every claim dollar.
Proactive Prevention: Most importantly, we use denial data to implement front-end preventive measures—such as refining eligibility checks or enhancing authorization workflows—to prevent that specific denial from recurring, permanently boosting your First-Pass Acceptance Rate.