Medical billing services in Mississippi
Billing, coding, credentialing and A/R follow-up for providers in Mississippi.
Billing in Mississippi: what is different
MississippiCAN coordinated care organizations serve many Medicaid members.
Key payers and contractors in Mississippi
- Medicare Part A/B
- Novitas Solutions, Jurisdiction JHPortal: Novitasphere
- Medicare DME
- CGS, DME MAC Jurisdiction CDME supplier claims only · Portal: myCGS
- Medicaid
- Mississippi Medicaid (MississippiCAN)Portal: MESA
- Blue Cross Blue Shield
- Blue Cross & Blue Shield of Mississippi
- Medicare Advantage
- UnitedHealthcare, Humana, Aetna, Wellcare, Blue plans and others, depending on the county
Contractor assignments and plan lists change. We confirm the current setup for your practice during onboarding.
How we work with Mississippi providers
- Medicaid enrollment with the state, then credentialing with each managed care plan you need
- Medicare enrollment through PECOS and claims with Novitas Solutions through Novitasphere
- Credentialing and contracting with commercial and Blue plans
- Eligibility checks that confirm each patient’s plan and assigned MCO before the visit
- Prior authorization tracking by plan
- Denial, appeal and A/R follow-up under each payer’s filing limits
Medical billing in Mississippi: common questions
Do you bill Mississippi Medicaid and its managed care plans?
Yes. We bill Mississippi Medicaid fee-for-service claims and each Medicaid managed care plan, after confirming the patient’s assigned plan for the date of service.
Who processes Medicare claims in Mississippi?
Medicare Part A and B claims in Mississippi are processed by Novitas Solutions (Jurisdiction JH), and we submit and track them through Novitasphere. DME supplier claims go to a different contractor, CGS (DME MAC Jurisdiction C), through myCGS.
Can you credential new providers in Mississippi?
Yes. We handle state Medicaid enrollment, Medicare enrollment, CAQH and credentialing with the commercial and managed care plans you need in Mississippi.
Get a free billing audit for your Mississippi practice
Send a few details and we will set up a short call to review your claims, denials and A/R. No cost and no commitment.
We sign a Business Associate Agreement before we handle any patient data.