Best Medical Billing Services in New Jersey
- Automate New Jersey approvals and follow-ups to reduce denials
- Navigate NJ insurers for fewer rejections and more payments
- Ensure telehealth claims meet New Jersey parity for full pay
- Manage New Jersey arbitration for faster claim settlements
- Comply with NJ billing rules for disclosures and payments
Best Medical Billing Services in New Jersey
Optimize revenue cycle management with Transcure’s expert medical billing services in New Jersey. Reduce claim denials and ensure compliance.
Trusted by
500+ Physicians
Catering to
40+ Specialties
1100+ Certified
Medical Billers & Coders
End-to-End
RPA Billing Solutions
Up to 98% First Pass
Clean Claim Rate
Comprehensive Medical Billing Services in New Jersey
Some key services include:
- Patient Data Capture
- Pre-Encounter Eligibility
- Benefits Verification
- Clinical Documentation
- Diagnosis Validation
- Medical Coding
- Modifier Application
- Electronic Claim Submission
- Clearinghouse Error Resolution
- Denial Management
- Payment Posting
- Accounts Receivable Recovery
- Patient Statement Generation
- Charge Entry
How Can Transcure Help New Jersey Healthcare Providers Reduce Claim Denials?
The American Medical Association (AMA) reported that claim denial rates increased by 20% over the past five years. Some healthcare providers experienced denial rates as high as 30% per annum. The monetary impact is staggering, with each denied claim costing an average of $118 to rework, according to the Medical Group Management Association (MGMA).
With Transcure, a professional New Jersey medical billing company, you can easily cut claim denials and increase revenue recovery significantly. Our AI-driven claims scrubbing and RPA tool detect errors before submitting a claim. This process’s key benefits include preventing avoidable denials by flagging incorrect coding, missing modifiers, or incomplete patient information. This practice by Transcure has resulted in a 98% clean pass rate in claim approval. Furthermore, it ensures payer-specific compliance by automatically applying updated billing policies.
How Transcure’s Prior Authorization Services Speed Up Approvals in New Jersey?
Insurance companies require prior authorization (PA) for specific medical procedures, treatments, and medications. In New Jersey medical billing, PA is critical for specific treatments, but delays in its approval are common. The primary reasons for the delays include varying payer-specific policies and manual submission processes, which strain healthcare providers financially and operationally.
Our prior authorization services utilize an automated tool for faster approvals. As the CAQH study proves, automated prior authorization tools reduce processing times by 50-70% , which is why Transcure prefers automation. Other benefits include eliminating manual entry errors and correct documentation to reduce wait time and delay.
Cities Served by Transcure Medical Billing Services in New Jersey
Newark
Jersey City
Paterson
View All Cities
Elizabeth
Lakewood Township
Edison Township
Woodbridge Township
Toms River Township
Hamilton Township
Eliminate In-House Billing Hassles with Transcure’s NJ Services
In New Jersey, taking care of billing and coding for healthcare providers can become a hassle. It results in potential errors and monetary loss. HFMA claims you can save up to $70,000 to $130,000 by avoiding these revenue losses. Transcure’s full range of services mitigates these risks and ensures proper compliance. Our well-trained resources specialize in medical billing services in NJ. It helps reduce claim denials and expedite reimbursements. This allows healthcare professionals to take better care of their patients and increase revenue flow.
Counties Served by Transcure Medical Billing Services in New Jersey
Bergen County
Essex County
Middlesex County
Hudson County
Monmouth County
Ocean County
Union County
Passaic County
Camden County
Key Attributes of a Medical Billing Company in New Jersey
Medical Billing and Revenue Cycle Management
Our automated RCM solutions streamline billing workflows, ensuring accurate ICD-10/CPT coding and faster reimbursements for NJ healthcare providers.
EHR & Practice Management Systems
Seamless integration with EHR and practice management systems enhances scheduling, documentation, and billing efficiency for New Jersey medical practices.
HIPAA & NJ Data Compliance Solutions
We implement robust security measures to ensure HIPAA compliance while meeting New Jersey’s patient data protection requirements.
Expertise in New Jersey Payers
Our billing specialists work with prominent New Jersey insurers, including Horizon Blue Cross Blue Shield, AmeriHealth, Aetna, and NJ FamilyCare, ensuring minimal denials and timely reimbursements.
Specialties Covered By Transcure Medical Billing Services In New Jersey
We cater to a wide range of specialties, spanning from primary care to surgical centers, serving small and mid-sized practices based in New Jersey.
Our Success in Numbers
Our Success in Numbers
Why Choose Transcure?
New Jersey Billing Expertise: Our team is an expert in NJ medical billing, staying updated on all state-specific regulations and relevant acts.
Efficient Prior Authorization: We offer automated tools and a 24/7 team for quick approval of urgent requests, effectively minimizing treatment delays.
Accurate Coding and Documentation: Our certified specialists ensure precise coding and documentation compliance with frequent updates to New Jersey standards.
Advanced Dispute Resolution: Transcure provides expert support in handling arbitration processes under NJ law and the federal No Surprise Act for fair payments.
Extensive Payer Network: We closely collaborate with major NJ payers like Horizon and AmeriHealth, assisting with all local payer requirements.
Patient-Focused Billing: Our teams correctly handle patient disclosures, cost estimates, and network status for increased satisfaction and fewer disputes.
Proven Revenue Recovery: Clients experience significant revenue increases monthly due to our tailored approach that effectively minimizes claim denials.
Stay Compliant with Transcure’s NJ Credentialing Services
Credentialing in New Jersey requires proper verification, compliance with varying payer requirements, and continuous maintenance, making it a complicated process. Furthermore, delays or errors in provider credentialing result in lost reimbursements, claim rejections, and contract terminations. First benefit of choosing Transcure for credentialing is that our credentialing experts handle CAQH profile management, primary source verification, insurance panel enrollments, and re-credentialing, keeping your practice compliant and revenue cycle uninterrupted. There is another benefit Transcure’s medical credentialing services are complementary to choosing our complete RCM services. So, choose wisely.
We are adept at using these EHRs
The experts at Transcure are well-versed with the features
and workflows of your EHR system.
Is NJ Out-of-Network Billing Draining Your Revenue? Let Transcure Handle It for You!
New Jersey’s Out-of-Network Billing laws protect patients from unexpected costs, but they often leave providers struggling with underpayments, claim denials, and lengthy arbitration disputes. The Out-of-Network Consumer Protection Act restricts provider reimbursements by limiting balance billing and complicating the process of out-of-network billing.
Transcure’s medical billing services ensure compliance with New Jersey’s Out-of-Network Consumer Protection Act in the following ways: First, our eligibility verification experts instantly verify if the patient’s payer pays for out-of-network services or not. Second, we provide pre-service disclosures that include informing the patient of their out-of-network status and the estimated cost of the service. Third, Transcure assists providers with navigating IDR (federal) or NJ arbitration for reimbursement. Lastly, we ensure providers follow the correct balance billing regulations.
Uncover Revenue Leaks with Transcure’s Medical Billing Audit Service
Frequently Asked Questions (FAQs)
What are the best medical billing services in New Jersey?
Transcure offers the best medical billing services in New Jersey. The company is known for its 12 years of successful experience in revenue cycle management. Transcure utilizes modern tech for automated claim scrubbing, integrated EHR systems, and dedicated follow-up teams to reduce claim denials by up to 30% and achieve faster AR recovery.
What is the surprise medical billing law in NJ? How long do doctors have to bill you in NJ?
New Jersey’s Out-of-Network Consumer Protection, Transparency, Cost Containment, and Accountability Act protects patients from surprise medical bills. These bills primarily result from receiving care from out-of-network providers in emergency or inadvertent situations. Providers must inform the patients upfront about their out-of-network status and the estimated cost of the service.
Which company is best for medical billing in NJ?
Transcure is the best medical billing provider in New Jersey and is the first choice for healthcare providers. The company offers a complete set of services, from accurate coding and documentation to claim submission and dispute resolution. Furthermore, the teams at Transcure are well-versed in state-specific regulations and industry best practices.
How long can a doctor wait to bill you in New Jersey?
In New Jersey, the statute of limitations gives doctors three years to submit a bill. However, these are general criteria, and individual payer policies may have different timelines for claim submission.
What is the Consumer Protection Act in New Jersey?
The Consumer Protection Act refers to New Jersey’s Out-of-Network Consumer Protection, Transparency, Cost Containment, and Accountability Act. The law protects patients from surprise and extra charges when receiving care from out-of-network providers. It ensures that providers disclose their network status and estimated costs before treatment. Moreover, it facilitates arbitration for dispute resolution between providers and insurers.
Our Satisfied Providers, Our Testaments
Transcure Blog
Explore the latest healthcare industry insights to enhance practice performance and profitability.
How to Use New Gastro Suite Feature in Nextgen Medical Billing Software?
Explore the new Gastro Suite feature in Nextgen medical billing software to simplify your gastroenterology workflow. Get a complete guide here!
12 Common Mistakes That Cause Claim Denials in Dental Medical Billing
Learn the most common expert-discovered 12 mistakes that cause claim denials in dental medical billing and reduce your AR by 70%. Read Now!
How to Use the New AI Coding Feature in the Epic EMR System?
Learn how to use the new AI coding feature in the Epic EMR system and save up to 60% of your time and cut denial appeal costs. Read now!
Get paid Three times faster with our 24/7 medical billing services .
Work with medical billers who understand your EHR's billing process backwards and forwards.
Avail Free RCM Audit Worth $2,000! Check out 13 different KPI reports that stops your cash flow.
