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  • 4 Scammon Street, Suite 19-343, Saco, ME 04072
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The Best Medical Billing Company in Alabama
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Shoreline Healthcare Technologies is a proud Maine-based company that offers end to end revenue cycle management services to physicians and Medical billing companies in Alabama. Our goal is to help them manage their business in a way where they can focus on patient care and operations, not paperwork! By providing great services at reduced costs, we have been able to keep our customers since our inception in 2015.

As a medical billing outsourcing company, we have helped our clients grow their business by providing them with the resources they need to succeed while maintaining a competitive edge in today’s industry. We offer timesaving, cost-effective revenue cycle management services to your Alabama based practice. Ready to outsource your billing needs? We’ll guide you through your account receivables to make sure that your claims get paid.

Best In The Industry

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Shoreline medical billing services in Alabama exceeds customer expectations and we are proud of our history, but more importantly we are focused on the future. We have grown in recent years by continuing to invest in technology and people while maintaining a commitment to excellent service and innovation. We have the best customer service and one of the highest success rates for reimbursement, so you know your money will be going where it belongs - back into your pocket.

Alabama Healthcare Billing Challenges we solve

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Medicaid Expansion Gap

The state of Alabama has not expanded Medicaid under the Affordable Care Act (ACA), leaving a large uninsured population. This has created a challenging environment for healthcare providers, to deal with a complex mix of payers with low reimbursement rates. They had to face the financial strain, combined with a high volume of uncompensated care for uninsured patients, leading to a significant financial challenge across the state. Shoreline Healthcare Technologies, an expertise in state-specific compliance and payer rulers provides you with the most effective solution to reduce the burden of uncompensated care and low reimbursement rates, improving financial stability in a difficult market.

Managing AMMIS Platform Complexity

The AMMIS platform managed by the state’s fiscal agent Gainwell, handles claims, eligibility, and prior authorizations for Medicaid programs in Alabama. It has frequent technical and procedural updates that complicates billing, requiring providers to stay updated with these policy changes. We at Shoreline Healthcare Technologies have dedicated staffs trained in AMMIS protocols and stay updated with all system changes. With Automated claim submissions we reduce human error and increase first-pass claim acceptance minimizing denials and maximizing reimbursements.

Alabama Coordinated Health Network (ACHN) Rules

The ACHN program, aimed at care coordination for Medicaid patients, has specific billing workflows for PCPs and specialists. The new care coordination codes (e.g., case management fees) may often confuse providers and may lead to denials. Shoreline Healthcare Technologies have implemented workflow templates for ACHN codes (case management, care coordination) and provides training and auditing support for internal staff to remain compliant with evolving requirements. Our staffs ensure all documentation meets ACHN standards, preventing denials.

Rural Healthcare Access and Infrastructure:

Alabama is a largely rural state with over 60 of its 67 counties classified as rural. Rural providers face high claim rejection rates due to staff shortages and limited broadband connectivity. Our cloud-based RCM platform is optimized for low-bandwidth areas, ensuring rural clinics to submit claims without delays. We offer virtual billing teams, reducing the need for on-site billing staff. Our Analytics tools monitor AR and denials remotely, helping rural providers maintain cash flow.

Comprehensive Medical Billing Services for Alabama

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Specialized Services tailored to meet Alabama’s Medicaid rules and regulations.

🩺 Services 📍 Alabama Specialization 📈 Typical Improvement ⏱️ Turnaround Time
Alabama Medicaid Billing Virtual Assistant for Front end management and patient communication, Real-time eligibility verification and electronic claim submission +35% Faster reimbursements 1-2 weeks
Billing for ACHN Network Expertise in ACHN code sets and guidelines +20% increase in revenue 24-48 Hours
Denial Management AI tools to track denial patterns and flag them Reduce denial rates by 75% 5-7 days
Credentialing Alabama State licensing, Alabama Medicaid provider Enrollment, ACHN Network Enrollment Extra bonus and bump rates with ACHN 30–45 days
Patient Statements & Follow-Up Billing statements and patient communication Reduces overdue balances 1-2 weeks

Alabama Medical Billing Resources

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Comprehensive resources specifically designed for Alabama Healthcare Providers to navigate the complex Billing Landscape.

Alabama Medicaid Billing Guide

Complete guide to Alabama Medicaid Agency billing requirements and policy updates.

Alabama Coordinated Health Network (ACHN) Rules.

Specialized billing guidelines and code sets for ACHN networks.

Revenue Cycle Optimization

Strategies to improve cash flow and reduce denials.

Telehealth and Remote patient Monitoring in Alabama.

Alabama’s telehealth and RPM guidelines and regulations.

Serving Healthcare Providers Across Alabama

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From Autauga to Washington, we provide comprehensive medical billing services statewide.

Central

Autauga, Butler, Chilton, Crenshaw, Dallas, Elmore, Lowndes, Marengo, Montgomery, Perry, and Wilcox

East

Blount, Calhoun, Cherokee, Clay, Cleburne, Coosa, DeKalb, Etowah, Randolph, Talladega, Tallapoosa, and St. Clair

Jefferson/Shelby

Jefferson, and Shelby

Northeast

Cullman, Jackson, Limestone, Madison, Marshall, and Morgan

Northwest

Bibb, Colbert, Fayette, Franklin, Greene, Hale, Lamar, Lauderdale, Lawrence, Marion, Pickens, Sumter, Tuscaloosa, Walker, and Winston

Southeast

Barbour, Bullock, Chambers, Coffee, Covington, Dale, Geneva, Henry, Houston, Lee, Macon, Pike, and Russell

Southwest

Baldwin, Choctaw, Clarke, Conecuh, Escambia, Mobile, Monroe, and Washington

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Primary Care
Specialty Clinic
Rural Health
Mental Health
Cardiology
Dermatology
Emergency Medicine
Family Medicine
Internal Medicine
Neurology
Oncology
Orthopedics
Pediatrics
Psychiatry
Radiology
Surgery
Urgent Care
Women's Health

Frequently Asked Questions

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FAQs about Medical Billing Services in Alabama

Q1. What is the process for checking recipient eligibility for Alabama Medicaid program?

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Providers can check the recipient’s eligibility by: Automated Voice Response System (AVRS) at 1 (800) 727-7848 (24/7) and enter the member’s ID/DOB to hear eligibility status and Through Alabama Medicaid web portal. Software used for billing services with specification provided by Gainwell

Q2. What is the timely filing limit for Alabama Medicaid Agency?

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Medicaid requires all claims to be filed within one year from the date of service.

Q3. Which services typically need Prior Authorization in Alabama?

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MRI, PET Scans, ECHO (Stress Test), CT scans are some procedures that requires PA. Always check whether Prior Authorization is required before rendering the services.

Q4. Can Providers bill the recipient if a claim is denied?

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No. Providers cannot bill a recipient for claims that are denied due to errors or untimely filing. Whereas, they can bill a recipient for services that are non-covered by Alabama Medicaid Agency and for which they will not pay.

Q5. How can providers enroll in Alabama’s ACHN program?

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Providers with an active status in Medicaid enrollment can join the ACHN program by

  • ✔ Completing and submitting a Medicaid PCP Group Enrollment Agreement to Gainwell
  • ✔ Signing an ACHN PCP Network Participation Agreement with the chosen ACHN.
Make sure all info (NPI, Medicaid ID, Group Billing ID, Name) matches your Medicaid file.

Q6. What are the benefits of enrolling in ACHN?

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By joining ACHN, Primary Care Physicians (PCPs) and eligible clinics can get:

  • ✔ Bonus payments for quality performance and care coordination.
  • ✔ Participation rate payments (enhanced reimbursement for some services).
  • ✔ Care coordination support from the ACHN (helps manage high-risk patients, reduces hospital readmissions).
  • ✔ Access to ACHN resources like patient education, social services support, and case management.

Q7. How can Shoreline Healthcare Technologies help Alabama providers?

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We at Shoreline Healthcare Technologies handle the entire process of RCM Cycle from patient appointment scheduling, to eligibility checks, prior auths, coding, claim submissions, denials, and appeals, till payment processing and patient communication ensuring faster payments and compliance with Alabama specific Medicaid rules.

Compliance & Certifications

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Your data security and compliance are our top priorities.

HIPAA Compliant

Full HIPAA compliance with regular audits

AAPC Certified

Certified Professional Billing staffs

Alabama Licensed

Licensed to operate in Alabama

Medical Billing Glossary

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Essential Terms for Understanding Alabama’s Medical Billing Landscape.

Affordable Care Act (ACA)

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ACA is a US Federal law that aims to lower healthcare costs by helping states to cover more people under Medicaid program by funding them and sharing costs thereby improving healthcare quality.

Alabama Coordinated Health Network (ACHN)

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ACHN is a managed care coordination program that links Medicaid recipients, providers and communities in the state of Alabama to provide a more integrated and coordinated care system.

Alabama Medicaid Agency

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The state agency of Alabama that administers the Medicaid programs.

Alabama Medicaid Management Information System (AMMIS)

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It is the state’s core system for processing Medicaid claims, verifying eligibility, and managing provider data. It is operated by Gainwell Technologies, and serves as the backbone for Alabama Medicaid’s financial and administrative operations.

Automated Eligibility Verification and Claims Submission System

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The automated process used by Medicaid to verify eligibility and submit claims electronically.

Fiscal Agent

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The third-party contractor hired by the state to manage day-to-day administrative operations of Medicaid like claims processing, provider enrollment, and system maintenance. In Alabama, Gainwell Technologies is the fiscal agent, operating the AMMIS system and supporting providers with billing and technical services.

Gainwell Technologies

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The current fiscal agent / contractor for Alabama Medicaid program who operates and maintains the IT systems (including AMMIS), they handle provider enrollment, claims processing, and sets the interface standards (file layouts, connectivity) that should be followed by the external parties.

Our Services

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Shoreline proudly supports physicians, medical groups, and medical billing companies. Following are the revenue cycle management steps we offer.

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Testimonials

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My first time in solo practice I was very concerned about my ability to manage "the business side" of medicine. The personalized care and guidance this group provided to me and my staff were really a life saver. They always had quick turnaround on any questions I sent in, and were very knowledgeable for problem solving on the fly! I never feel like just a number, as I might have with a large corporation. quote

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Family Medicine Centre in Maine
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“We use Shoreline Medical Billing for all our billing needs, the support is second to none! They are always up to date with coding updates which helps to ensure timely billings and prompt payments. I highly recommend Shoreline Medical Billing for your billing needs.”

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Nephrology Group in New Hampshire
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I have been using Shoreline Medical Billing for almost 2 years, and I could not be more pleased with their service. They really care about my business. With all the complexities of medical billing, we needed a professional partner to help us. Shoreline delivered.


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Pain Management in New Jersey
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We switched to Shoreline Medical Billing. Our claims are getting paid, and we are getting friendly, knowledgeable service. We highly recommend Shoreline.


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Internal Medicine & Nephrology in Georgia
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I’m a small pediatric OT practice and have been with Shoreline for several years now. They have made it so easy for me to keep my focus on patient care by being so knowledgeable and so efficient with all aspects of my billing. When I do have questions, they are always available and able to help quickly. Couldn’t be happier!

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Peds OT Clinic in Maine
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Thanks so much for working so hard to help my company:) It sound cheesy, but having a biller I could trust changed my life by giving me the headspace/time to focus on clinical work, scale my business and sleep better at night. I've had quite a few people ask about you on Facebook Messenger from my posts. Overall, the feedback I've heard back from everyone is that you guys are very responsive and helpful. quote

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Nurse Practitioner Group in Washington
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Hi, following up on our conversation about Shoreline. I did let them know that I had some concerns and they were very understanding. They have been very responsive and proactive in their billing process, reports and communication. It has been very good. Thank for recommending them.

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Nurse practitioner in Delaware
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Before Shoreline, billing was a constant headache. Now, our reimbursements are faster, and I’m no longer chasing unpaid claims. Their team handles everything so efficiently, it’s one less thing I need to worry about.



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Internal Medicine in Arizona

We Care

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From electronic health records, billing services and practice management tools – Shoreline has you covered! In addition to being an industry leader when it comes to pricing, we also provide personalized support for every client, With a team of experts who have worked with physicians and medical groups for years, Shoreline medical billing services in Alabama understands how to navigate today’s complex healthcare revenue environment.

Ready to Optimize Your Medical Billing?

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Get your free consultation and discover how much you could save with our Alabama-specialized billing services.

Get Your Free Consultation

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Contact Information

  • 4 Scammon Street, Suite 19-343, saco, ME 04072
  • 1-855-838-1370
  • info@shorelinemb.com
  • M-F, 9am - 5pm EST
Why work with us?
  • ✔ 40% average denial rate reduction
  • ✔ Alabama Care billing specialists
  • ✔ 24-48 hour claim turnaround
  • ✔ Dedicated Alabama support team