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Revenue Increase
30-35%
Collection Ratio
Billing Specialties
Streamline your revenue cycle with accurate coding, faster claim submissions, and reduced denials tailored for Indiana providers.
Indiana providers are working in one of the most administratively challenging Medicaid settings in the nation. The Indiana Health Coverage Programs (IHCP) covers a variety of models of delivery and managed care organizations, each with different prior authorization regulations, claim forms, and portal submissions processes. The complexity of operating as a company on such complexity strains your staff, slows collections, and risks revenues each and every billing cycle.
MedCare MSO assumes full ownership of your revenue cycle - real time eligibility verification and capture of charges through denial management, appeal and payment reconciliation, so nothing falls through the cracks and each dollar you earn is collected promptly.
MedCare provide assistance with:
The holes in the revenue collection process do not fix themselves, and with the intricate payer mix in the state of Indiana, the differences between the amount you are billing and the amount you are collecting may silently continue to grow month after month. The foundation of our medical billing services Indiana providers have to count on is to ensure that your practice is paid correctly, fully, and in a timely manner behind every service you provide. We will bridge those gaps in each phase - and the outcomes will speak volumes.
Looking to outsource medical billing services in Indiana? We understand your specialty inside and out. Every field has unique coding requirements. Our expertise covers them all perfectly.
Indiana's healthcare billing environment is among the most demanding in the nation. From IHCP program complexity and MCE variability to EDI rejections and audit exposure, the number of ways revenue can leak from your practice is significant. MedCare MSO addresses every one of these challenges directly protecting your revenue at every stage of the cycle.
Indiana Medicaid (IHCP) consists of various programs and delivery models – such as Hoosier Care Connect, Hoosier Healthwise, and PathWays to Aging – each with different billing regulations, fee schedules, and requirements to submit claims. The Indiana Family and Social Services Administration (FSSA) provides updates on policies that need to be monitored and adjusted to the workflow. MedCare MSO monitors all updates to IHCP programs and makes sure that your billing processes are up to date and comply with the latest requirements.
Indiana Medicaid channels members through a series of Managed Care Entities, each operating under its own prior authorization regulations, claim format, payer specific edits, and portal submission workflows. Submission to the wrong MCE or an incorrect format of claim to a particular plan results in automatic denials. Our team ensures that MCE-specific billing protocols are up-to-date and ensure that the MCE-specific billing protocols are enforced in every check-in of a patient.
Indiana Medicaid patients often undergo a shift in eligibility, such as a change in plans or the termination of coverage or retroactive adjustments in eligibility which, when missed, leads to claim rejections and delayed reimbursements. MedCare MSO is also real-time eligibility checks prior to each encounter to minimize chances of filing claims against inactive or incorrect coverage.
The strict prior authorization practices of Indiana payers and the absence or inaccuracy of prior authorization information is one of the primary reasons behind hard denials and backlog of appeals. MedCare MSO handles all prior authorization lifecycle – not from submission and follow-up through retro authorization requests but from submission and follow-up through retro authorization requests.
Keep using the software you already know. We connect to all major platforms seamlessly. No disruption to your workflow. Integration happens smoothly and quickly.
MedCare MSO stands out as a top medical billing partner built to transform how your practice manages revenue and operations. With AI-powered, cloud based medical billing systems, it connects your scheduling, billing, and reporting into one simple platform, so nothing falls through the cracks. Instead of chasing payments, you get cleaner claims, faster reimbursements, and clear financial visibility.
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I highly recommend MedCare MSO if you are looking for help with your billing and gain some freedom to see more patients or manage your business.
Practice Owner, TXEC
MedCare MSO has been an excellent organization to work with, I highly recommend them for their quality of service and commitment to excellence.
Back Office Manager, STST
We are definitely impressed by the Team’s performance. I worked with a lot of different folks from all over the world on different business transactions, and Mark is truly a top notch talent!
Director of Corporate Development, SC & SF
MedCare MSO’s exceptional communication and expertise elevated our RCM experience and my bank accounts!
Owner, R.D.
MedCare MSO did a great job with our billing and helping clean up old AR. Regular updates and good communication were very appreciated.
Co-Owner, PCP
Chief Operating Officer, MAKO MEDICAL LABORATORIES
Chief Executive Officer, CARE NOW CLINIC
Chief Operations Officer, ION DIAGNOSTICS
Co-Founder, AW Care
Working with MedCare MSO has been a game-changer for my practice. Their expertise in medical billing, AR management, and coding has significantly streamlined our revenue cycle, reduced claim denials, and improved cash flow. The team is proactive, detail-oriented, and always available to address my concerns.
Practice Owner, F&A Clinic
We have experienced tremendous improvements within our billing and claims department that we have entrusted MedCare MSO to manage.
President/CEO, RLT
I am impressed with MedCare MSO’s promptness to respond to any inquiries, with the time they dedicate to reviewing each one of the cases.
Practice Owner/FBH
The Medicaid program in Indiana the Indiana Health Coverage Programs (IHCP) program works across multiple delivery models and routes members through multiple Managed Care Entities each with different prior authorization rules, claim format and portal submission requirements. Before they submit claims, providers should discover the correct IHCP program and MCE of each patient, as incorrect route claims or improper formats result in automatic rejections.
Outsourcing Indiana medical billing services can enable practices to achieve cost savings by eliminating overhead costs that are tied to in-house billing staff, reduce billing errors due to staff turnover and training lapses, and access experts who can monitor changes in IHCP policies, MCE rule changes, and payer compliance requirements in real time.
Yes. MedCare MSO has wide experience in handling IHCP fee-for-service claims and MCE-directed claims on behalf of enrolled Indiana Medicaid members. In real-time eligibility verification, our team verifies that each patient is enrolled in the IHCP program and assigned to the specific MCE, routes the claims accordingly, and adheres to the particular authorization, documentation and claim form requirements of that MCE.
Indiana Medicaid fee-for-service claims are typically due within 12 months of the date of service. But individual MCEs might have stricter filing timelines, some plans have a filing timeline of 90 to 180 days. Appeal filings, corrected claims and secondary claims all have their own deadlines as well. MedCare MSO is an automated tracking system that tracks the submission date, denial date, and available resubmission window of every claim using automated tracking systems so that no revenue opportunity is lost to a missed deadline.
Ready to maximize your revenue while reducing administrative work? Let’s team up! Our medical billing expert will reach out within 12 hours.
Please provide the following information, so our team can connect with you within 12 hours.
Or call us as 800-640-6409
TXEC
I have worked with MedCare MSO for the past eight months, and it has been a great experience. Moses, Mark, Travis, Sebastian, and Tammy have been a pleasure to work with, as well as the rest of the team, including the credentialing folks.
I highly recommend this group and MedCare MSO if you are looking for help with your billing. They will meet with you once a week to review the issues that need to be fixed to improve your payment and capture rate.
If you are looking for help with your billing and gain some freedom to see more patients or manage your business, this is the team you need to work with.
Dr. Jose Correa
Practice Owner
TXEC
STST
MedCare MSO has been an excellent organization to work with. Mark has consistently demonstrated outstanding attention to detail, thorough documentation, and strong professionalism in maintaining accurate records of his findings.
His reliability and dedication have contributed greatly to a positive experience.
I highly recommend MedCare MSO for their quality of service and commitment to excellence. I can’t say enough good things about Mark and his company.
Thank you
Shaunna Mock
Back Office Manager
STST
SC & SF
Hi Ali, I hope this message finds you well. I wanted to give you some feedback on the team.
We are definitely impressed by the Team’s performance. Definitely what we were looking for from switching partners.
In particular Mark Zaiden has been very helpful. In my 5+ years of experience as a M&A Professional, I worked with a lot of different folks from all over the world on different business transactions, and Mark is truly a top notch talent!
Austin has done a great job of leading the communications process and keeping the train going in the right direction. Tammy and some other folks have been key players as well. We really are happy with everyone on the team.
I wanted to pass this feedback along to you as we are really pleased with working with MedCare MSO so far.
Have a great weekend!
Max Owens
Director of Corporate Development
SC & SF
R.D.
MedCare MSO’s exceptional communication and expertise elevated our RCM experience and my bank accounts!
Most helpful is the open/responsive communication of their team with my office and each other, along with the specialty levels of expertise amongst my team for each aspect of RCM.
Kelly Ballou
Owner
R.D.
F&A Clinic
Working with MedCare MSO has been a game-changer for my practice. Their expertise in medical billing, AR management, and coding has significantly streamlined our revenue cycle, reduced claim denials, and improved cash flow. The team is proactive, detail-oriented, and always available to address my concerns.
I would like to take time to recognize two members of MedCare MSO specifically. Moses for his exceptional support and dedication. He is always responsive, and knowledgeable, and goes above and beyond to ensure smooth operations. His professionalism and commitment make a huge difference in our day-to-day workflow. George also for his quick feedback and recognition of what is needed most. He is extremely efficient and always available for clarification and to share his knowledge and expertise.
I highly recommend MedCare MSO to any healthcare provider looking for a reliable and efficient billing partner.
RLT
Hello,
I am writing this email to express our appreciation of the MedCare MSO’s team and all they have done for our business at RLT. In the past year, we have experienced tremendous improvements within our billing and claims department that we have entrusted MedCare MSO to manage. We went from having over $100k in uncollected/billed claims to now reaching near $100k in collection some months.
We are also happy to express our thankfulness that MedCare MSO is now helping us acquire new contracts with different insurance companies. This will in effect benefit everyone involved, allowing us to expand our services and provide more resources for our staff/business partners.
Please note special appreciation for the following:
David Lucas
Mario Ortega
Ambrose William
FBH
I have been a customer of MedCare MSO for one year. They have provided billing and credentialing services for my private behavioral health practice, and I am impressed with their promptness to respond to any inquiries, with the time they dedicate to reviewing each one of the cases, and with their willingness to educate me and my staff about the ever-changing rules of medical billing and the best use of coding. This is a company I Trust with my billing needs.
Dr. Neufeld
Practice Owner
FBH
