Medical Billing Services Company in New Mexico

Looking for a trusted and efficient medical billing services company in New Mexico? CapitalMed Solutions provides complete billing and coding services designed for healthcare providers across New Mexico—ensuring accuracy, compliance, and faster payments with fewer denials.

Why Choose Us for Medical Billing Services in New Mexico?

With deep knowledge of New Mexico’s payer systems and healthcare industry, CapitalMed Solutions delivers reliable, customized billing solutions that maximize reimbursements and streamline practice operations.

Tailored Billing Services for Providers in New Mexico: We understand the unique billing challenges of healthcare providers across New Mexico and tailor our billing process to meet each practice’s specific needs.

In-Depth Understanding of Insurances: With extensive experience providing medical billing services in New Mexico, we have a thorough understanding of local insurers including Blue Cross and Blue Shield of New Mexico, Presbyterian Health Plan, Western Sky Community Care, UnitedHealthcare, and Aetna.

Expert Medical Billing and Coding Team: Our certified billing and coding specialists ensure claims are submitted accurately and on time, reducing errors and delays in reimbursement.

Comprehensive Support: From eligibility verification to denials management, we manage every aspect of your revenue cycle to ensure smoother operations and improved financial results.

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Medical Billing Services We Offer in New Mexico

Our complete range of medical billing services supports providers throughout New Mexico, including major cities such as Albuquerque, Las Cruces, Rio Rancho, Santa Fe, Roswell, Farmington, Clovis, and Hobbs.

Using advanced billing systems and proven workflows, we simplify claim management and accelerate revenue recovery for all specialties.

CapitalMed Solutions offers comprehensive revenue cycle management—from eligibility and benefits verification to accounts receivable management—helping your practice achieve financial stability and growth. To improve payer participation, also explore our Credentialing & Enrollment Services in New Mexico.

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Our team verifies patient insurance eligibility and benefits, reducing denied claims due to inactive insurance or non-covered benefits and ensuring a smooth medical billing process.

Our certified medical coding experts handle every specialty coding needs, applying precise CPT and Diagnosis codes for accurate reimbursement and compliance.

We handle seamless claim submissions, optimizing workflows to prevent errors and streamline reimbursements.

Our follow-up specialists keep an eye on rejected claims and resubmit them promptly after resolving the rejection reasons to reduce any revenue lost due to claims stuck in rejections and resulting in late filing.

We manage payment postings with precision, tracking payments and adjustments to maintain accurate financial records and maximize revenue.

We manage patient billing and follow-up, providing transparent statements and improving patient satisfaction with clear communication.

Our team conducts diligent accounts receivable follow-ups, minimizing outstanding balances and ensuring timely collections across your practice.

Our expert appeal process maximizes reimbursement by effectively managing claim appeals with insurance providers efficiently.

Proactive denials management minimizes revenue loss, improving cash flow by addressing and resolving denials efficiently.

Our team negotiates out-of-network claims to secure healthcare providers favorable reimbursement rates and reduce your financial loss risk.

CapitalMed Solutions patient calling service improves collections and patient relations by providing reminders and support for bill payments.

Specialty Billing Services We Offer in New Mexico

As a leading medical billing company, CapitalMed Solutions offers specialty billing services for practices across New Mexico, including Albuquerque, Las Cruces, Santa Fe, Roswell, and Rio Rancho. We specialize in billing for various disciplines such as anesthesiology, cardiology, radiology, orthopedics, and more.

Whether it’s national or New Mexico-specific healthcare regulations, our experts stay updated with compliance standards and payer guidelines to ensure accurate, timely billing. Each specialty benefits from customized workflows that reduce denials and enhance revenue efficiency.

Our Revenue Cycle Management Process

Insurance Eligibility and Benefits Verification

Our Insurance Eligibility and Benefits Verification service ensures that patient coverage details are accurately verified before appointments. We confirm insurance validity, co-pays, deductibles, and coverage limits, reducing claim denials and payment delays. By streamlining this critical step, we help your practice deliver a seamless patient experience and maintain a smooth revenue cycle.

Accurate Medical Coding and Charge Entry

Our medical coding and charge entry services ensure precision and compliance with the latest coding standards, including CPT, ICD-10, and HCPCS. Our certified medical coders accurately translate medical services into billable codes, while our charge entry specialists ensure all claims are error-free and properly documented. This meticulous process maximizes reimbursements, minimizes denials, and accelerates your revenue cycle.

Claims Submission

Our claims submission process ensures accurate and timely filing of claims to maximize your reimbursements. We meticulously verify each claim for compliance with payer requirements, reducing the chances of rejections or denials. By leveraging advanced software and thorough quality checks, we streamline the submission process, ensuring your claims are processed efficiently and your cash flow remains steady.

Follow-up & Payment Posting

Our Accounts Receivable A/R management focuses on optimizing your practice’s cash flow by ensuring timely follow-ups and efficient claim resolution. We proactively track and manage unpaid claims, minimize aging accounts, and address any bottlenecks that delay reimbursements. By leveraging real-time reporting and a strategic approach, we help reduce AR days, improve collections with timely payment posting, and enhance your practice’s financial health.

Insurance Denials Management

Our Insurance Denials Management process focuses on swiftly identifying, analyzing, and resolving denied claims to ensure maximum reimbursements. By addressing root causes, submitting accurate appeals, and proactively monitoring claim statuses, we minimize revenue losses and streamline your practice’s cash flow.

Our Software Expertise for Medical Billing Services in NM

Our medical billing services in New Mexico are powered by advanced EMR and EHR systems that improve accuracy, compliance, and claim turnaround time. Our team’s software expertise ensures optimized workflows and better revenue visibility.

Our team is proficient in utilizing these EMRs and EHRs to maximize reimbursements, reduce errors, and provide real-time insights into your practice’s financial performance. Following are some of the major medical billing software we specialize in:

PrognoCIS by Bizmatics

InSync

Kareo

Athena Health

Simple Practice

eClinicalWorks

Office Ally

CollaborateMD by Ever Health

AdvancedMD

CureMD

Benefits of Choosing Us for Medical Billing Services in New Mexico

  • Minimized Denials and Rejections: Through precise coding and eligibility verification, we minimize claim denials and rejections, ensuring higher reimbursements.
  • Reduced Administrative Burden: Our team handles the entire billing process, reducing administrative workload so your staff can focus on patient care.
  • Expertise Across Specialties: With experience across multiple specialties, we offer customized billing and coding, meeting the needs of diverse healthcare providers.

FAQs about Our Medical Billing Services in New Mexico

Yes, we provide complete medical billing services across all major cities in New Mexico, including Albuquerque, Las Cruces, Rio Rancho, Santa Fe, Roswell, and Hobbs.

Yes. We handle billing for both Medicare and Hawaii Medicaid (Med-QUEST) patients, ensuring full compliance with payer regulations.

We offer dedicated support for patients with billing inquiries, providing clear explanations of their statements, resolving any concerns, and assisting with insurance-related questions. Our patient helpdesk ensures a smooth and stress-free billing experience by delivering prompt and professional assistance.

We prioritize data security and HIPAA compliance by implementing advanced encryption protocols, secure data storage, and regular audits to protect patient information. Our team is trained in HIPAA regulations, ensuring that all processes adhere to strict confidentiality and privacy standards to safeguard your practice and patient data.

Yes, our medical billing services can seamlessly integrate with your existing medical billing software. Our team is proficient in working with a wide range of platforms, ensuring compatibility and a smooth transition while maintaining the efficiency of your billing processes.

Ready to Streamline Your Medical Billing Process in NM?

At CapitalMed Solutions, we’re committed to enhancing your practice’s financial health through efficient and accurate billing. Our team of certified revenue cycle management experts is here to handle your billing needs, allowing you to focus more on patient care and less on administrative tasks.

Working Hours

Monday – Friday 09 AM To 05 PM

Our Location

77 Sugarcreek Blvd Suite 600, Sugar Land, TX 77478