Virginia Medical Billing Services
Running a medical practice in Virginia involves meeting the billing and compliance requirements set by the Virginia Department of Medical Assistance Services (DMAS). All Medicaid claims are processed through the Virginia Medicaid Enterprise System (MES) operated by Gainwell Technologies, following DMAS billing manuals and electronic submission standards. Medical providers across Richmond, Virginia Beach, Norfolk, Chesapeake, Arlington, and Fairfax must stay aligned with these rules while keeping up with frequent policy and payer updates that affect claim reimbursement.
MZ Medical Billing Services handles every part of the billing cycle for healthcare practices and organizations across Virginia. Our billing team manages CPT and ICD-10 coding, charge entry, claim submission, payment posting, denial correction, and accounts receivable recovery according to DMAS and commercial payer requirements.
We work directly with major payers in Virginia, including Anthem HealthKeepers Plus, Aetna Better Health of Virginia, Optima Health, UnitedHealthcare Community Plan, Humana, and Molina Healthcare. Each claim is reviewed for payer-specific edits, authorization rules, and documentation accuracy before submission to reduce denials and support consistent reimbursement.
Our internal audits identify missing authorizations, coding errors, and underpaid claims early in the cycle. Denials are corrected and appealed within payer deadlines, while pending accounts are followed up through organized A/R tracking to avoid payment delays.
MZ Medical Billing Services clients in Virginia maintain a 98% claim approval rate, a 97% first-pass resolution rate, and an average A/R period of less than 30 days, figures that reflect accurate billing work, strong compliance, and steady performance across Virginia’s healthcare system.
Consult with Our Virginia Revenue Cycle Experts Today.
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