We provide end-to-end medical billing services for Virginia healthcare providers, including:
We apply revenue cycle best practices to improve clean claim rates, reduce rework, and align with CMS and Virginia payer policies while supporting steady cash flow for practices statewide.
Strict payer rules and coding standards increase denials and require frequent claim corrections.
Cardinal Care guidelines and policy updates demand precise, compliant claim submission.
Slow payer responses and inconsistent follow-up delay payments and strain cash flow.
Enrollment and credentialing issues can postpone claim approvals and reimbursement.
We support billing for Virginia Medicaid through Cardinal Care, the consolidated managed care program served by Aetna Better Health, Anthem HealthKeepers Plus, Molina, Sentara Community Plan and UnitedHealthcare. Anthem and Sentara’s health plans carry much of the commercial market. We bill each Cardinal Care plan by its own authorization and filing rules and keep credentialing current across the field.
