Health Med Affairs handles coding, claims, denials and A/R for Nevada practices, built around Nevada Medicaid’s five MCOs, Medicare (Noridian JE) and workers’ comp. For solo physicians, group practices and specialty clinics in Las Vegas, Henderson, Reno and rural Nevada.
See where revenue is stuck. No obligation.
First-pass claim rate
Collection ratio
Of A/R kept within 0–30 days
Nevada Medicaid Plans
Denials, Medicaid plan rules and slow payers cost practices money they’ve already earned.
A wrong code, missing modifier or lapsed policy sends the claim back.
Each plan has its own prior authorization and modifier rules.
Unworked claims and underpayments sit past 90 days.
New providers can’t bill until payer enrollment clears.
per month
Estimate only; your audit gives exact figures.
Every claim is built to your payer’s rules and checked before it goes out. Choose the full revenue cycle or only the services you need.
We confirm coverage, copays, deductibles and authorization needs before the visit, so problems surface at check-in.
Certified coders assign CPT, HCPCS and ICD-10-CM codes from your documentation, then check charges against the note.
We scrub every claim for missing data and payer-specific edits, file it electronically (837) and track it until it’s paid.
We find the root cause of each denial, fix the claim and file the appeal, so repeat denials stop at the source.
We post payments and adjustments from 835 ERAs and EOBs and flag underpayments against your contracted rates.
We work unpaid claims by age and payer, oldest and largest first, so you see what’s outstanding and why.
We submit and track prior authorizations and referrals before scheduled services. Fewer delays, fewer authorization denials.
We send clear statements and answer balance questions about deductibles, copays and coinsurance, so your front desk doesn’t have to.
Applications, recredentialing and follow-up with Nevada Medicaid, Medicare and commercial plans, so new providers bill sooner.
Each month: denial rate, days in A/R, collections and open balances, with the fixes we made.
Start with a free audit of your recent claims. No obligation.
One team for every payer your patients carry.
Noridian, Jurisdiction E
Aetna, Blue Cross Blue Shield, Cigna, Humana and other commercial payers
Nevada carriers and TPAs
Plans by region since 1 January 2026
Source: Nevada Medicaid statewide managed care. We bill each plan to its own rules.
From first call to first report in four steps.
Our billing and coding audit reviews your recent claims and shows where revenue is stuck.
We connect to your EHR and clearinghouse and confirm enrollments. Claims keep going out during the switch.
Certified coders code, scrub and file claims. We post payments and work denials and A/R.
Denial rate, days in A/R and collections, with the fixes we made.
We build these rules into every claim, so your team doesn’t have to track them.
Claims filed within 180 days of service (365 days for out-of-state providers or when other coverage exists), and records kept six years from payment.
Out-of-network billing for emergency claims under NRS 439B.700–439B.760 and the No Surprises Act, including Good Faith Estimates for self-pay patients.
We track Nevada’s 30-day approve-or-deny and 30-day payment windows (NRS 689A.410) and escalate late claims.
Injured-worker claims billed to the 2026 Nevada Medical Fee Schedule.
NRS 629.051 retention rules and HIPAA-compliant handling of every record.
days to file Nevada Medicaid claims (365 out-of-state)
days for insurers to decide, then pay
Medicaid record retention from payment
workers’ comp fee schedule updates each year
We bill every payer type from one queue and follow every claim to payment.
Claims built to Noridian JE edits and local coverage determinations, with denials appealed on time.
Payer-specific edits, underpayment checks through our payment integrity services and fast escalation on late claims.
Injury documentation, authorizations and fee-schedule billing, with follow-up until the carrier pays.
Our coders know the modifiers, medical-necessity rules and prior authorization triggers for each specialty.
Routine foot care coverage, medical necessity, modifiers and Medicare rules.
Surgical and global-period coding, imaging, modifiers and workers’ comp.
Diagnostic testing, procedures, medical necessity and prior auths.
Psychotherapy and telehealth coding, session notes and authorizations.
E/M coding, preventive visits and chronic care management.
Endoscopy and colonoscopy coding, anesthesia coordination and modifiers.
Evaluations, diagnostic testing and procedures.
Procedures, biopsies and covered vs cosmetic services.
We also bill for urgent care, OB/GYN, oncology, internal medicine and more. See all specialties.
A certified team that knows Nevada’s payers and reports results in plain numbers every month.
AAPC- and AHIMA-certified coders, including CPC, CCS and CPB credentials.
All five Medicaid MCOs, Nevada Check Up, Noridian JE and workers’ comp.
Billing, credentialing, a virtual medical receptionist and a virtual medical scribe.
Monthly KPIs tied to what you actually collected.
Salaries, benefits and software
Custom quote after a free audit
Everything from eligibility checks to final payment. We verify coverage, code and enter charges, scrub and file claims, post payments, work denials and A/R, track prior authorizations and send patient statements. We also handle credentialing and send monthly reports. See all our services.
Yes. Since 1 January 2026, Nevada Medicaid managed care covers every county through five plans: Anthem, CareSource, Health Plan of Nevada, Molina and SilverSummit. We bill each plan to its own rules and file within Nevada Medicaid’s 180-day limit for in-state providers.
Pricing depends on your specialty, claim volume and the services you choose. You get a custom quote after a free billing audit of your recent claims, with no obligation.
We connect to your EHR and clearinghouse, confirm payer enrollments and keep claims going out during the switch, so there’s no billing gap. We can also work the open A/R your previous biller left behind.
Yes. Our remote team serves practices across Nevada, from Las Vegas, Henderson and Reno to rural counties. Health Med Affairs is headquartered in Austin, Texas, and is not affiliated with Nevada Medicaid, the Nevada Health Authority or CMS.
Yes. We bill Medicare Part A and B claims through Noridian (Jurisdiction E) and injured-worker claims under the 2026 Nevada Medical Fee Schedule. We follow up with carriers and third-party administrators until each claim is paid or appealed.
See exactly where your claims are getting denied, delayed or underpaid. We’ll review your recent claims and send you a clear action list.
Less time chasing claims means more time for patient care.
Also serving nearby states: California · Utah · Oregon · All states