Medical billing in New Hampshire isn’t just about sending claims — it’s about navigating a web of local payers, regulations, and timelines. Whether you’re a small clinic in Keene or a multi-specialty group in Manchester, your billing success depends on understanding this state’s unique payer mix and compliance landscape.
At PracticeMate, we simplify that process. We manage everything — from patient eligibility checks to payer follow-ups — so your focus stays where it belongs: on patient care, not paperwork.
New Hampshire’s healthcare system is high-performing but notoriously fragmented. The state has over 1,500 active physician practices, with a large share operating independently. Nearly 64% of residents have commercial insurance, and the rest rely on Medicare or Medicaid — both of which come with their own billing hurdles.
Independent practices often struggle to balance patient load with mounting administrative work — and that’s where PracticeMate steps in.
Every state has its own billing maze, and New Hampshire is no exception. Missing even a small compliance rule can delay payment for weeks.
Requires submission via the NH MMIS portal. Prior authorization is mandatory for imaging, therapy, and high-cost drugs.
Use NGS MAC guidelines. Always include documentation for modifier -25 and -59 usage.
Anthem and Harvard Pilgrim require detailed taxonomy matching and prefer electronic remittance advice (ERA) over paper.
Payers must pay clean claims within 45 days — but only if coding and documentation are flawless.
The short version? Clean, compliant claims mean faster checks — and fewer arguments with insurers.
If you’ve been practicing medicine in New Hampshire for even a year, you know how billing headaches creep in. Common pain points include:
Frequent denials from payer-specific coding edits.
Eligibility mismatches occur when patients switch plans mid-year.
Medicaid recoupments triggered by the absence of clinical documentation.
Rural staffing shortages delay billing and accounts receivable (A/R) follow-up.
Outdated billing software that doesn’t meet payer compliance standards.
We confirm patient coverage before the visit to prevent denials later—no surprises, no unpaid claims—just clean verification that saves hours of rework.
Our certified coders understand your specialty language — from modifiers in cardiology to complex therapy coding — ensuring accurate, compliant claims every time.
We scrub, submit, and track every claim electronically. You see status updates, payment timelines, and any payer action in one transparent dashboard.
We post payments on the same day they are credited to your account. Every dollar gets matched and accounted for, so your financial reports actually reflect reality.
We analyze denial reasons, correct coding or documentation gaps, and refile within 48 hours — recovering up to 90% of denied claims for our clients.
We tackle aging accounts receivable (A/R) aggressively, contacting payers and resubmitting claims to shrink outstanding balances and maintain steady cash flow.
We handle patient statements professionally and compassionately, improving collection rates without straining your patient relationships.
You’ll receive monthly reports that make sense — highlighting collections, denial trends, and payer performance in plain English.
At PracticeMate, we don’t believe in one-size-fits-all billing. Every city in New Hampshire has its own healthcare pulse — from the fast-paced medical centers in Manchester to the small-town clinics in Keene and Claremont that serve close-knit communities.
From the southern suburbs to the White Mountains, our services span every corner of the Granite State:
New Hampshire practices that outsource billing to PracticeMate typically see a 35–50% faster reimbursement cycle and a 20% boost in net collections within 90 days.
FaqsWe review each denial’s EOB, identify the root cause (coding, modifier, or documentation), and refile electronically within 48 hours to expedite resolution.
Yes. We provide centralized billing with location-specific reports, allowing you to see which office performs best financially.
Completely HIPAA-compliant. We use encrypted communication channels and U.S.-based secure servers for all PHI.
We work seamlessly with most major EHRs — Kareo, Athenahealth, AdvancedMD, eClinicalWorks, and others. Integration takes 1–2 weeks.
We offer transparent pricing — a small percentage of monthly collections or a flat fee, depending on your volume: no setup fees, no hidden charges.
