Medical Billing Services in Michigan
Remote medical billing and revenue cycle management for Michigan practices that bill Michigan Medicaid, Medicare, Medicare Advantage and commercial plans such as Blue Cross Blue Shield of Michigan. Cleaner claims, fewer denials and faster payments, with no upfront cost.
A billing team that knows Michigan payers
Blue Cross Blue Shield of Michigan and its HMO, Blue Care Network, cover a large share of the state, and each has its own rules. Most Medicaid and Healthy Michigan Plan members are in managed care plans, and Priority Health and HAP are strong regional carriers.
Provider Concerns handles that work for you, remotely. Our team verifies coverage and plan type before each visit, codes and scrubs every claim, submits it electronically, posts payments and works every denial by reason code. You get a single point of contact and monthly reports on collections, denials and days in A/R, so you always know where your revenue stands.
We work with solo physicians, specialty groups, clinics and multi-location practices across Michigan, including Detroit, Grand Rapids, Warren, Ann Arbor, Lansing and Kalamazoo. Because we work inside your existing EHR or practice management system, there is nothing to install and no disruption to your front desk. Learn more about our medical billing, denial management, claims processing and revenue cycle management services.
What we handle for Michigan practices
- Medicare Part B claims through Wisconsin Physicians Service (WPS) (Jurisdiction 8)
- Michigan Medicaid claims, mostly through managed care plans
- Medicare Advantage plans, with plan-level authorization tracking
- Commercial payers such as Blue Cross Blue Shield of Michigan, Priority Health and Health Alliance Plan (HAP)
- DME claims to CGS (DME Jurisdiction B)
- Eligibility checks, coding review, A/R follow-up and patient statements
- Monthly reporting on collections, denials and days in A/R
Michigan billing rules at a glance
The payer rules that shape how Michigan claims get paid. Plan contracts can differ, so we confirm each payer's current requirements during onboarding.
Medicaid program
Michigan Medicaid (including the Healthy Michigan Plan), paid mostly through managed care plans
Medicaid filing limit
Set by the state program and by each managed care plan contract; we confirm every payer's current window during onboarding
Medicare contractor (Part A/B)
Wisconsin Physicians Service (WPS), Jurisdiction 8
Medicare filing limit
12 months (one calendar year) from the date of service
DME contractor
CGS (DME Jurisdiction B)
Major commercial payers
Blue Cross Blue Shield of Michigan, Priority Health, Health Alliance Plan (HAP), UnitedHealthcare and Aetna
Revenue cycle services for Michigan practices
Pick one service or hand us the whole revenue cycle. Either way, you keep full visibility into every claim.
Medical billing
Charge entry, claim scrubbing and electronic submission to every Michigan payer you work with.
Learn more →Claims processing
Clean claims built to each payer's edits, so fewer are rejected before they are ever reviewed.
Learn more →Denial management
Every denial worked by reason code, corrected, appealed and tracked until it is paid.
Learn more →Revenue cycle management
Eligibility, coding review, payment posting, A/R follow-up and monthly reporting in one service.
Learn more →Common Michigan denials and how we prevent them
Most denials are preventable. These are the ones we see most often for Michigan practices, and the checks we run to stop them before a claim goes out.
Wrong Medicaid plan
Michigan Medicaid members can switch managed care plans, and claims sent to the old plan are denied. We re-check plan assignment before each visit and on every rejected claim.
Medicare Advantage vs. Original Medicare
Patients move between Original Medicare and Medicare Advantage plans during open enrollment. We verify the plan at every visit so claims don't go to Wisconsin Physicians Service when a private plan should be billed.
Missing prior authorization
Many Michigan plans require approval for imaging, procedures and specialty visits. We request and track authorizations before the date of service.
Coding and modifier errors
Bundling edits, missing modifiers and diagnosis codes that don't support medical necessity are among the most common avoidable denials. Certified coders review claims before they go out.
Timely filing
Medicare, Michigan Medicaid and commercial plans each set different deadlines. We track every open claim against its payer's window so nothing ages out.
Coordination of benefits
Secondary coverage, workers' comp and auto claims need the right payer order. We confirm it up front and bill secondary payers as soon as the primary pays.
Getting started is simple
No long setup and no upfront cost. Here is how Michigan practices move their billing to Provider Concerns.
Free billing review
We look at your collections, denials and A/R to find where revenue is being lost.
Payer setup
We confirm your Michigan Medicaid, Medicare and commercial enrollments and each payer's rules.
Clean claims
We verify eligibility, code, scrub and submit claims inside your current system.
Follow-up & reports
Denials and aging balances are worked every week, with monthly reporting.
Medical billing across Michigan
We support practices statewide, from large metro groups to rural clinics. Billing is handled online, so location is never a barrier.
Specialties we bill for in Michigan
Frequently asked questions about medical billing in Michigan
Do you bill Michigan Medicaid?
Who is the Medicare contractor for Michigan?
Which commercial insurance plans do you work with in Michigan?
Can you support practices in Detroit and other Michigan cities?
What is the Medicaid timely filing limit in Michigan?
How much does medical billing cost for a Michigan practice?
Ready to get paid faster in Michigan?
Get a free billing review. We'll look at your collections, denials and A/R and show you exactly where revenue is being lost.