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Revenue Increase
Up to 35%
Collection Ratio
Billing Specialties
Empower your Minnesota practice with efficient RCM, reduced backlogs, and improved revenue performance.
MedCare MSO’s medical billing services provide a solution for navigating Minnesota’s state laws and ensuring your practice remains profitable. MedCare MSO is an expert in handling MN E3 Law (Mandatory Electronic Filing) and MN Statute 62K.11, ensuring payments to your practice within hours rather than weeks. By concentrating on specialty MHCP and local MCO (UCare, HealthPartners, Medica) Payer Mix, we achieve a 98.2% first pass clean claim rate, which is dramatically higher than the regional average.
We frequently see practices arrive with what looks like a clean A/R report. This is misleading because a large part of the current A/R balance is comprised of a backlog of CO-45 contractual adjustments that have been waiting to be processed for 45 days. This is not outstanding revenue that can be collected.
These inflated balances distort the accuracy of financial decisions. MedCare MSO helps clarify and correct these discrepancies. MedCare MSO clears this backlog within 72 hours of onboarding a new practice, ensuring an accurate revenue forecast.
An FQHC in Minneapolis reached out to us for medical billing services due to their lengthy A/R cycle time of 67 days and a high denial rate (23%) on their accounts. Their existing billing service submitted them correctly to the insurance company, but did not follow up on denied claims, or appeal underpayments, and did not track the PLB segments on their 835 files, where MCOs were quietly recouping payments.
Within 90 days, we had their A/R down to 34 days and their denial rate under 5%. More importantly, we recovered $43,000 in underpayments that had been sitting in their system unnoticed. That is the power of professional medical practice management services.
Our medical billing and coding services in Minnesota are customized to meet the unique needs of healthcare providers across a wide range of specialties, ensuring efficient revenue cycle management for both small practices and large healthcare facilities.
Our Minnesota medical billing service team is an expert in how all types of insurance carriers process claims, from commercial to the Medicare/Medicaid and MHCP programs, as well as what causes them to deny claims.
Our medical practice management services can scale with your needs, whether you’re a solo practitioner in Duluth or a multi-site group practice in Minneapolis or St. Paul.
We don’t use black boxes; instead, you get real-time access to your metrics, claims status, and financial performance through a secure web dashboard when you outsource medical billing services in Minnesota to us.
Our Minnesota medical billing service covers the full revenue cycle for you from eligibility verification through claim payment posting and patient billing/collections, including denial management.
We directly integrate with your existing systems requiring no switching and no disruption.
Every week, we speak with practice managers who are working harder than ever but watching their collections flatline. If that sounds familiar, we should talk. No sales pitch—just a straightforward conversation about what is actually happening with your revenue cycle.
A health plan must pay or deny a clean claim within 30 calendar days of receiving a claim, and if they don’t, interest begins running, per Minnesota Statute 62Q.75. We clean the first time and monitor all of our payers from that clock, meaning a slow plan doesn’t have the ability to subtly extend your A/R. If one becomes late, the interest due is kept.
There are constraints, and many practices don’t know what they are. Minnesota grants plans a 12-month period after a clean claim is paid to adjust or recover it, but only in certain tight circumstances, such as COB, duplicate claims, or fraud. We make sure every takeback is consistent with that timeline and contest the ones that don’t fit in with it rather than taking them on the chin.
It has a greater impact on your numbers than your claims. The MinnesotaCare provider tax is 1.8% of gross patient service receipts in Minnesota and is not necessarily equal to revenue collected. We maintain payment posting and reporting that you and your accountant can keep clean enough to see the true story and account for exemptions as they may apply.
Although Minnesota’s coverage for telehealth is comprehensive, payment depends on the correct pos code, modifier, and the documentation requirements for each payer; and there is no uniformity in how commercial, Medicare and Medical Assistance pay for telehealth. It is only one detail that is incorrect and a valid visit becomes a denial. We submit telehealth per each payer’s current policy and monitor for mid-year changes.
Yes. MedCare MSO manages provider enrollment, credentialing, and revalidation for Minnesota commercial payers and Medical Assistance. This helps prevent claim holds, denials, and payment delays when new or existing providers are not properly linked to payer plans.
Ready to maximize your revenue while reducing administrative work? Let’s team up! Our medical billing expert will reach out within 12 hours.
