Why Massachusetts Providers Need a Localized Billing Partner

From MassHealth to Tufts and BCBSMA — Billing That's Built Around You

Massachusetts has one of the most complex healthcare ecosystems in the U.S. With mandatory insurance coverage, a high volume of state-based payer rules, and MassHealth's evolving policies, billing becomes more than data entry — it's revenue science.

That's why Massachusetts physicians, behavioral health providers, and surgical groups trust ANR Medical Billing to manage it all with precision.

We help you:

  • Navigate complex MassHealth claim rules and modifier requirements
  • Optimize billing for Tufts Health Plan, BCBS of Massachusetts, and Harvard Pilgrim
  • Stay compliant with state documentation mandates and audits
  • Prevent revenue leakage in high-volume or high-deductible care settings
  • Streamline patient billing and eligibility checks in high-density regions
Podiatry Revenue Cycle Management

Complete Revenue Cycle and Medical Billing Services in Massachusetts

From check-in to cash posting, our team manages your entire revenue cycle with customized workflows built for Massachusetts healthcare systems.

Core Services We Offer:

Insurance Verification

We verify patient benefits in real-time with MassHealth, Tufts, Aetna, BCBSMA, and more, reducing eligibility-related denials and front-desk confusion.

Coding & Documentation Review

Our AAPC-certified coders validate the accuracy of CPT, HCPCS, and ICD-10 codes to reduce denials, enhance documentation, and support E/M level compliance.

Claim Submission & Tracking

Claims are submitted daily through Availity, TriZetto, and other clearinghouses, with payer-specific edits for faster processing.

Denial Management

We identify the root cause of denials (e.g., missing prior auth, invalid modifiers, bundling errors) and correct them within 3–5 business days.

Accounts Receivable Cleanup

We handle aging reports, patient payment reminders, and follow-up to reduce AR days and improve cash flow stability.

Provider Enrollment & Recredentialing

We manage enrollment with MassHealth, Tufts, Cigna, BCBS, Medicare, and commercial insurers — including roster maintenance and CAQH updates.

RCM Analytics & KPI Reporting

Access actionable dashboards that display denial rates, CPT performance, net collections, and productivity benchmarks for each provider.

Who We Are: Your Billing Experts in Massachusetts

ANR Medical Billing brings decades of experience serving practices across Massachusetts, including Boston, Cambridge, Lowell, Springfield, and Western MA. We work with a deep understanding of local payer rules and provide real-time support that aligns with your specialty and EHR system.

Why Massachusetts Providers Choose ANR

We don't just handle your claims — we optimize your revenue lifecycle from front-desk eligibility to back-end collections.

Specialty Support for Massachusetts Providers

RCM Expertise in All Major Clinical and Surgical Fields

We bill for:

We Work With Your Existing Tech — No Switch Required

Our billing team integrates directly into your software environment, saving you time and avoiding operational delays. We Support:

Make Financial Decisions with Confidence

Transparent Data. Smarter Growth. Faster Payments.

We help you understand and improve your revenue cycle with real-time reporting that tracks:

  • CPT-level profitability
  • Denial reasons by payer or code
  • Clean claim rate trends
  • Collection efficiency per provider
  • Forecasted cash flow for planning
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Frequently Asked Questions (FAQs)

Yes, we have extensive experience billing MassHealth FFS, ACOs, and managed plans, including Tufts Health Together and BMC HealthNet.

We specialize in behavioral health, including psychiatry, therapy, MAT billing, and IOP/OTP services, with authorization, encounter coding, and modifiers handled correctly.

Absolutely. We handle data migration, claim reconciliation, and payer transitions seamlessly to avoid payment delays.

We use correct POS codes, modifiers, and payer policies — including support for audio-only and hybrid telehealth coverage.

Our pricing is transparent — typically a percentage of collections, with no setup fees or hidden costs. Reporting, credentialing, and support are included.

Partner With Us and
Get Paid Every Time

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SERVING BRIDGEPORT AND SURROUNDING COMMUNITIES

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