The healthcare system in Maryland is as dynamic as its people, offering providers both opportunities and challenges. The state, which has a population of nearly 6 million, faces challenges such as inconsistent Medicaid payouts, healthcare inequities in rural areas, and a complicated insurance market. MedsIT Nexus has provided individualized revenue cycle management (RCM) and billing services to 200,000 healthcare providers, institutions, and non-providers. With more than 11 years of experience, we assist in streamlining procedures, guaranteeing adherence, and enhancing productivity, freeing up doctors to concentrate on what counts: providing Maryland's communities with high-quality healthcare.
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Get a QuoteNearly 20% of Marylanders, or more than 1.6 million people, are enrolled in Medicaid or the Children's Health Insurance Program (CHIP) as of August 2024. The largest health insurer in Maryland, with a 55% market share, is CareFirst BlueCross BlueShield. Other noteworthy private payers are Molina Healthcare and UnitedHealthcare, which accounted for 9% of the state's market share and rejected 32% of claims in 2023. At MedsIT Nexus, we are experts at negotiating the intricate payer systems in Maryland. Our team of professionals collaborates closely with Medicaid and private insurers to minimize claim denials, streamline billing processes, and guarantee adherence to state laws.
Many small practices are located in Maryland, particularly in underserved and rural areas. In 2020, 33.6% of physicians worked in practices with fewer than five medical professionals, while 53.7% were in settings with ten or fewer specialists. MedsIT Nexus assists Maryland's independent and small medical practices by providing specialized billing services that simplify operations, lessen administrative strains, and guarantee adherence to state laws. Our well-trained team collaborates directly with insurers to reduce claim denials and improve revenue cycle management, allowing clinicians to focus on delivering outstanding patient care.
Over $60 billion is spent annually on Maryland's healthcare system, representing almost 10% of the state's GDP. However, healthcare providers are under a lot of strain due to the $3.3 billion budget deficit in 2024, which delays insurance collections and causes claim rejections to rise. MedsIT Nexus provides a tried-and-true remedy. We improve cash flow, reduce administrative expenses, and speed up medical billing with our revenue cycle management (RCM) services. Reducing claim denials, increasing practice revenue, and focusing on patient care without worrying about cash flow are all possible with our help.
Maryland's Medicaid Managed Care, with over 1.7 million enrollees and 86% in HealthChoice, creates compliance and revenue challenges for healthcare providers. To solve these problems, MedsIT Nexus provides a medical billing audit specialist. By increasing accuracy, identifying code errors, and adhering to regulations, our services boost revenue, ensure compliance, and remove inefficiencies. For professionals and hospitals, we reduce the administrative load, increase profitability, and improve operational effectiveness.
Issues with credentialing cause inefficiencies that interfere with Maryland clinicians' revenue and treatment cycles. With more than 1.7 million Medicaid beneficiaries, navigating payer-specific laws, frequent delays, and compliance complexity can be difficult. However, our knowledgeable credentialing staff can handle all Maryland-specific credentialing difficulties. Take advantage of simplified credentialing and enrollment services to ensure adherence to rules and reduce mistakes.
As compliance rules evolve and payer demands grow, Maryland healthcare providers face medical coding obstacles such as delays and incomplete documentation. These challenges negatively impact revenue and disrupt workflows for many providers and institutions. MedsIT Nexus offers precise CPT, ICD-10, and HCPCS coding services tailored by specialty. Supported by certified coders, we help reduce denials, facilitate real-time submissions, and ensure audit readiness, enhancing compliance, accuracy, and financial performance across solo practices and large healthcare systems.
In Maryland, Medicaid Managed Care Organizations (MCOs) deny between 7% and 34% of prior authorization requests, with a median denial rate of 26%. These numbers mean lost revenue, delayed care, and overwhelming administrative burdens for healthcare providers. At MedsIT Nexus, we specialize in denial and appeal management services tailored for Maryland's complex healthcare landscape. Our expert team aggressively tracks, appeals, and overturns denied claims to recover your rightful reimbursements. With proven strategies and personalized support, we help you minimize denials, boost cash flow, and stay focused on patient care, not paperwork.
Maryland's healthcare providers deal with various intricate accounts receivable (AR) management issues, from rising claim denials to communication breakdowns that hinder cash flow. With over 30% of the population speaking a language other than English, multilingual billing and interpreting services are critical to increasing collections and reducing AR aging levels. MedsIT Nexus AR billing services improve A/R administration for medical facilities and specialties with audit-ready document management, proactive follow-ups, and tailored solutions that ensure better financial performance and quicker payouts.
The ethnic diversity of Maryland, which includes Black, Asian, and Latino communities, might make it particularly difficult to verify medical insurance. These problems include data problems, insurance disputes, language obstacles, and Medicaid eligibility flaws. By offering professional inpatient and outpatient coverage verification, examining UCR rates, and negotiating payer policies, MedsIT Nexus is committed to enhancing revenue cycle efficiency. This helps to guarantee correct reimbursements, reduce denials, and speed payouts.
Behavioral health, family medicine, neurology, cardiology, internal medicine, oncology, geriatrics, and surgery are some of the most sought-after specialties in Maryland because of the state's growing healthcare needs. This rising need, which necessitates specialized care and adaptable techniques, is mainly caused by an aging population, an increase in chronic illnesses, and a greater emphasis on mental health. Because each specialty has different billing requirements, a thorough understanding of Maryland's payer criteria is required. Partnering with our physician billing services ensures access to a dedicated billing team that delivers accurate coding, timely claims submissions, and optimized revenue cycle performance tailored to your specialty needs.
In Maryland, the HealthChoice Medicaid program creates a complex landscape for healthcare providers. Each major MCO, including UnitedHealthcare, Maryland Physicians Care, and MedStar Family Choice, implements distinct billing and documentation requirements. Navigating this landscape can result in costly delays and denials. MedsIT Nexus transforms your revenue cycle with unmatched inpatient and outpatient claims expertise. We guarantee accurate, compliant coding, precise documentation, and audit-ready submissions.
Healthcare providers trust MedsIT Nexus
medical billing services company
We’re more than just a billing and coding company; we're your complete billing management partner! Trusted by over 900 providers across the nation, we bring valuable expertise to Maryland’s complex payer landscape. Whether inpatient or outpatient care, you can count on us for accurate claims, fewer denials, and even more substantial reimbursements! Here are a few reasons why top-rated professionals and institutions choose us:
Medical billing services start at just 2.69% to maximize savings.
Customized pricing based on your practice’s unique billing needs.
Reduce costs while ensuring higher reimbursements and profitability.
Following the post-pandemic eligibility redetermination process, over 1.69 million Maryland residents remain in Medicaid. With over 81% enrolled in Original Medicare and 19% in Medicare Advantage or Cost plans, nearly 1.1 million residents are also insured by Medicare. With expertise in the complex regulations of public and private payers, MedsIT Nexus's medical billing team provides end-to-end revenue cycle management tailored to Maryland's healthcare environment. Backed by over 11 years of industry experience, we’ve earned a trusted reputation for delivering compliant, efficient, and performance-driven billing solutions.
Call us at +1 (516) 665-1869 for further information.
Doctors lose up to
Billion in U.S
Because of poor billing practices
MedsIT Nexus is a trusted medical billing provider in Maryland, providing services in every city with precision and care.
Locate MedsIT Nexus medical billing office at your nearest location in Maryland.
Navigating Maryland’s healthcare regulations under frameworks like HIPAA and the Affordable Care Act has never been more challenging. Compliance risks are high, and even minor billing errors can lead to costly penalties. At MedsIT Nexus, we offer specialized outsourcing solutions tailored for Maryland medical providers, ensuring complete regulatory compliance while maximizing your revenue. Free your practice from administrative headaches and stay focused on delivering exceptional patient care, while we handle your billing with precision and expertise.
our revenue cycle experts Identify gaps & unlock higher profitability
Dr. Ndidi Uka
A-plus Dentistry
"I want to thank MedsIT Nexus for their impeccable service. They are incredibly knowledgeable and work to make sure you receive the maximum reimbursement. Sam, my dedicated Practice Manager, is always available to answer my questions and keep my abreast on the status of my submitted claims. Being able to bill medical services has allowed me to offer the best care."
M. Techeira
Family Medicine
"We are an outpatient family medicine/ primary care practice. Have offices in NYC and Nassau County. MedsIT Nexus handles all our medical billing and insurance claims. We switched from another company and the process was hassle free, no fees and FAST which was important since we operate 6/7 days. They are always available to answer any questions. We definitely recommend!"
Memoona Waheed
Family Medicine & Pain Management
"After reviewing different medical billing companies, I came across MedsIT Nexus. Not only do they offer billing and coding services, but specialize in credentialing and unpaid claims. Their staff is knowledgeable, professional and are easily accessible- inquiries are answered quickly. Thank you MedsIT Nexus for helping us improve our healthcare practice at a competitive rate!"
S. Dhillon
Physical Medicine & Rehabilitation
"I am the manager at a private physical medicine & rehabilitation practice. We operate in 2 different boroughs in NYC through multiple clinics. MedsIT Nexus handles all our medical billing, coding, denials and prior authorizations for all procedures. We are pleased with their same day approvals as well. Their staff is easily accessible, fast & pleasant to work with."
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Medical Billing Audit
Medical Credentialing
Medical Coding
Denial Management Services
Accounts Receivable Management
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