About ANR Medical Billing Company in Rhode Island

ANR Medical Billing is a nationwide RCM partner with a dedicated team in Rhode Island. Our medical billing experts in Rhode Island understand local payer protocols (e.g., Neighborhood Health Plan RI, UnitedHealthcare East, BCBSRI), provider enrollment specifics, and the workflows of your small medical practice, outpatient clinics, ASC billing, and hospital-affiliated practices.

We built our RI practice support model on three pillars:

  • Local payer knowledge: RI Medicaid modifiers, BCBS RI credentialing
  • Transparent billing analytics: Real-time dashboards, AR aging by provider, CPT code success metrics
  • Personalized account management: Dedicated US-based representatives for RI healthcare providers and healthcare professionals
Podiatry Revenue Cycle Management

Our Revenue Cycle Management Solutions For Physicians

Your practice deserves more than just billing help — it needs a reliable RCM partner. Explore our suite of services designed to improve claim accuracy, reduce AR days, and simplify billing operations for Rhode Island healthcare practices.

Our Rhode Island Billing and RCM Services Include:

Insurance & Patient Eligibility Verification

Ensure faster approvals and clean claim submissions with real-time insurance verification across EPIC, Athena, and Allscripts. We verify benefits, coverage, copays, and RI-specific Medicaid eligibility before service.

Charge Capture & Coding Review

Accurate CPT, HCPCS, and ICD-10 coding audits by certified medical coders reduce claim rejections and support maximum reimbursements. Specialty-specific charge capture ensures coding compliance and revenue integrity.

Claim Submission & Follow-Up

We submit error-free claims tailored to RI-specific payer rules, including BCBSRI and Neighborhood Health Plan. Our proactive follow-up process minimizes rework and accelerates payment cycles.

Insurance Claim Denial Management

Our denial recovery team identifies root causes, such as modifier mismatches, medical necessity, or timely filing issues. We promptly resubmit corrected claims to minimize write-offs and enhance cash flow.

AR & Revenue Reconciliation

Get complete visibility into your account receivables with payer-specific aging reports and real-time payment posting. We manage patient collections and balance reconciliation to close revenue gaps.

Provider Enrollment & Credentialing

We handle Rhode Island Medicaid applications, BCBS RI rosters, and commercial payer credentialing from start to approval. Stay compliant and get paid faster with end-to-end enrollment support.

Analytics & Reporting

Track KPIs like net collection rate, first-pass acceptance, and days in AR through customizable RCM dashboards. Data insights enable more informed decision-making and effective revenue performance tracking.

Why Choose ANR in Rhode Island?

When it comes to billing for Rhode Island healthcare providers, one-size-fits-all doesn't work. ANR medical billing experts in Rhode Island deliver localized, specialty-aware solutions that help you overcome payer-specific challenges, improve reimbursement rates, and simplify the entire revenue cycle.

Healthcare Specialties We Serve

Whether you run a solo clinic, group practice, or surgical center, ANR provides specialty-specific billing solutions to ensure compliance, maximize collections, and minimize claim rework.

Primary Care & Family Practice Medicine

Streamlined billing for preventive care, chronic care management (CCM), and E/M visits.

Internal Medicine & Pediatrics

Age-based coding, well-child checkups, immunization billing, and complex case support.

OB/GYN, Dermatology, ENT, Orthopedics

Specialty coding for procedures, surgical modifiers, and pre-authorizations.

Behavioral Health & Addiction Medicine

Accurate billing for psychotherapy, MAT, IOP, telehealth therapy, and mental health services.

Ambulatory Surgical Centers (ASCs), GI Endoscopy

Facility billing, ASC modifiers, and high-value procedural claims with ASC-specific NCCI edits.

Dental Anesthesia & Pain Management

Crosswalking dental anesthesia codes, block injections, and pain interventions with ICD-10 compliance.

Occupational Therapy

Billing support for OT evaluation codes, plan of care updates, and progress notes.

Billing Software & Technology We Utilize

At ANR Medical Billing, we integrate seamlessly within your existing technology ecosystem to ensure a smooth and uninterrupted billing workflow. Whether you're using a hospital-grade EHR, a standalone practice management tool, or a specialty EMR, our billing staff is trained to integrate, extract, and process claims directly within your preferred platform.

Our billing processes are fully compatible with top-tier electronic health record (EHR) systems, practice management (PM) software, and leading medical billing platforms. This ensures streamlined charge capture, real-time eligibility checks, fast claim submission, and automated denial tracking — all while maintaining full HIPAA compliance.

Supported Platforms: Epic, Athenahealth, eClinicalWorks, Kareo (Tebra), Cerner, NextGen, Allscripts, RXNT, Practice Fusion, AdvancedMD, CollaborateMD, MDConnection, Office Ally, Availity, TriZetto, Change Healthcare, InstaMed, ZirMed

Benefits for Rhode Island Providers

  • Increased Cash Flow: 20–30% improvement in reimbursement rates; reduced denials
  • Faster Turnaround: Claims are paid in 10–15 days on average.
  • Greater Accuracy: 98%+ clean-claim submission rate
  • Reduced Administrative Burden: Focus on patient care, not paperwork.
  • Regulatory Confidence: Fully HIPAA ICP-compliant, swimming against audits with confidence
  • Data-Driven Growth: KPI dashboards to identify services with the highest ROI
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Frequently Asked Questions (FAQs)

Outsourcing our medical billing staff offers numerous benefits that are unmatched by your in-house team. The most significant advantage we offer is the expertise of trained and in-demand professionals who will work 24/7 to shape your revenue cycle profitability and minimize revenue leakages. Secondly, our team offers complete compatibility with the latest HIPAA regulations, ensuring patients’ data is safe to the highest standard. Lastly, outsourcing our RCM staff helps your practice minimize operational and administrative costs by more than 70%, resulting in more revenue and cash flow.

Yes, all of our billing practices and systems are fully HIPAA-compliant, ensuring data privacy and regulatory adherence.

Absolutely. We integrate seamlessly with most major EHR systems to sync scheduling and billing workflows.

Yes! We work with both established and newly launched practices to set up and optimize medical billing operations from day one.

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