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  • Portland, ME Medical Billing, Credentialing

Portland, ME Medical Billing, Credentialing

Portland, Maine Medical Billing, Credentialing Service

Medwave delivers medical billing and credentialing services to healthcare professionals in Portland, Maine and the surrounding region.

Healthcare CEO, COO Discussing Payer Contracting

Portland’s healthcare community includes several exceptional providers that have earned regional and national recognition for their outstanding patient care and clinical excellence. Here are some of the leading healthcare organizations serving the Portland area.

Maine Medical Center stands as the flagship facility of the MaineHealth system and operates as a 929-bed teaching hospital affiliated with Tufts University School of Medicine. With a staff exceeding 6,000 employees, Maine Medical Center functions as one of only three Level I Trauma Centers in Northern New England. The hospital sees approximately 28,000 inpatient visits annually, along with about 500,000 outpatient visits, 88,000 emergency visits, and performs over 27,000 surgeries each year. As the largest tertiary care hospital in Northern New England, Maine Medical Center serves all of Maine and extends its reach into Vermont and New Hampshire.

Barbara Bush Children’s Hospital operates as a “hospital within a hospital” integrated within Maine Medical Center. This facility offers a full range of pediatric services and specialties, including behavioral and developmental care, neonatal services, cardiology, infectious disease, neurology, palliative care, and otolaryngology. The children’s hospital ensures that young patients throughout the region receive specialized care close to home.

Northern Light Mercy Hospital serves the Portland community as part of the Northern Light Health system. This facility provides essential healthcare services to residents throughout Cumberland County and maintains strong connections with community health initiatives.

Southern Maine Health Care operates facilities in both Biddeford and Sanford, serving the southern Maine region with inpatient and outpatient acute care services. These facilities play an important role in ensuring healthcare access for communities south of Portland.

New England Rehabilitation Hospital of Portland specializes in helping patients recover from serious injuries, illnesses, and surgeries. The facility focuses on physical rehabilitation, providing intensive therapy services to help patients regain independence and return to their daily activities.

Spring Harbor Hospital offers psychiatric and behavioral health services, addressing mental health needs throughout the region. Access to quality behavioral health care remains critical for community wellbeing.

Greater Portland Health operates as a community health center providing affordable, high-quality primary care to everyone in the community, regardless of insurance status. As a federally qualified health center, Greater Portland Health ensures that underserved populations have access to essential medical services, partnering with specialists, hospitals, and pharmacies to provide seamless care.

The healthcare sector plays a vital role in Portland’s economy and the broader Maine economy. Healthcare and social assistance represent significant employment categories, providing jobs for thousands of residents while serving the state’s growing population. Maine’s population recently surpassed 1.4 million people, with much of the growth attributed to people moving to Maine from other states.

Handling the administration and reimbursement for these medical facilities and practitioners requires specific knowledge of Maine’s healthcare environment. That’s why Medwave brings its expertise in medical billing, credentialing, and payer contracting to healthcare professionals throughout the Portland area.

Portland Medical Billing

  • Manage your claims efficiently: Our experienced team handles your medical claims to ensure proper coding, timely submission, and appropriate reimbursements.
  • Minimize denials and rejections: We review claims carefully before submission, catching errors that would trigger denials and delaying your payments.
  • Reduce staffing expenses: Eliminate concerns about payroll, benefits, vacation coverage, and employee turnover. Your existing staff can dedicate their energy to patient care instead of billing tasks.
  • Improve your cash flow: We maintain steady claim submissions and follow up systematically on payments. You receive reimbursements faster without the need for extensive staff training.
  • Access real-time information: Monitor your billing performance whenever you need to, with current data showing exactly how your practice’s revenue cycle is performing.
  • Maintain HIPAA compliance: We protect all patient information according to federal regulations, ensuring your practice meets security and privacy requirements.

Our billing service helps your practice remain competitive with other Portland medical facilities while maximizing your revenue potential.

Portland Credentialing

Credentialing affects your practice’s revenue and growth. Whether you’re bringing on a new healthcare professional or need help managing your existing credentialing requirements, we’re here to support you.

Key benefits of our credentialing services:

  • Elimination of application errors that cause significant delays in the approval process
  • Reduction in paperwork, administrative burden, and frustration for your team
  • More time available for your staff to concentrate on patient care activities
  • Lower administrative costs and improved operational efficiency

Medwave operates as an established credentialing service with proven processes. Your medical professionals will complete the credentialing process more quickly and efficiently. This means your providers can start seeing patients with their insurance plans sooner, generating revenue faster for your practice.

Medwave provides medical billing, credentialing, and payer contracting services throughout the greater Portland area, including South Portland, Westbrook, Scarborough, Cape Elizabeth, Falmouth, and Yarmouth, among other communities. Contact us today to learn how we can support your practice’s administrative needs.

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Practices Served

  • Behavioral Health
  • Primary Care
  • DME
  • Home Health
  • Urgent Care
  • Radiology
  • Cardiology
  • Skilled Nursing Facilities (SNF)
  • Substance Abuse
  • Speech Therapy
  • Orthopedic & Rheumatology
  • Genetic Testing
  • Geriatric Medicine
  • Pharmacogenetic (PGx)
  • Fertility Preservation
  • Toxicology
  • Allergy Testing
  • Oncology
  • Pathology
  • OBGYN
  • Internal Medicine
  • Podiatry
  • Biologics & Specialty Drugs
  • Telestroke & Teleneurology
  • Digital Therapeutics (DTx)
  • Remote Patient Monitoring
  • Remote Therapeutic Monitoring
  • Home Infusion Therapy
  • Sleep Study Labs
  • Physical Therapy (PT)
  • Occupational Therapy
  • COVID-19 Testing

Practices Served

  • Behavioral Health
  • Primary Care
  • DME
  • Home Health
  • Urgent Care
  • Radiology
  • Cardiology
  • Skilled Nursing Facilities (SNF)
  • Substance Abuse
  • Speech Therapy
  • Orthopedic & Rheumatology
  • Genetic Testing
  • Geriatric Medicine
  • Pharmacogenetic (PGx)
  • Fertility Preservation
  • Toxicology
  • Allergy Testing
  • Oncology
  • Pathology
  • OBGYN
  • Internal Medicine
  • Podiatry
  • Biologics & Specialty Drugs
  • Telestroke & Teleneurology
  • Digital Therapeutics (DTx)
  • Remote Patient Monitoring
  • Remote Therapeutic Monitoring
  • Home Infusion Therapy
  • Sleep Study Labs
  • Physical Therapy (PT)
  • Occupational Therapy
  • COVID-19 Testing

Recent Posts

  • MRI, Radiology Medical Billing, Credentialing

    Which CPT Codes are Used in Radiology Billing?

  • CAQH Profile Current -- Two Doctors

    Common CAQH Application Mistakes

  • Telehealth Credentialing: Pretty, Black Female Credentialer

    Case Study: A Six-State Telehealth Credentialing Challenge

  • Doctors Adopting Value-Based Care

    How Value-Based Care Reimbursement Works for Clinics and Hospitals

  • White Male Medical Doctor Looking at Healthcare Regulatory Updates

    Regulatory Deep Dives: Managing Healthcare Policy Changes

  • Female Medical Doctor PECOS User

    What is PECOS and its 7 Key Benefits?

  • In-House vs. Outsourced Credentialing. Two scenarios.

    Cost-Benefit Analysis: In-House vs. Outsourced Credentialing

  • Payer Contracting Experts Talking in a Healthcare Group HQ

    Payer Contracting: Maximize Your Rates

  • Credentialing Workflow Expert, a Latino Male Credentialer

    Smarter Workflows Reduce Credentialing Turnaround Time

  • Healthcare Organization Admins Talking, Walking

    ERAs vs. Real-Time Claim Status Checks: What’s the Difference?

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