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  • 1-855-838-1370
  • 445 Main Street, 2nd Floor, #1, Saco, ME 04072
  • Mon to Fri 9:00AM to 06:00PM EST
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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 Arkansas. 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 Arkansas based practice.  Ready to outsource your billing needs?  We’ll guide you through your receivable account to make sure that your claims are paid.

Best In the Industry

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Shoreline Healthcare Technologies in Arkansas 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.

Arkansas Billing Challenges we solve



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Frequent policy shifts in outpatient behavioural/mental health billing

Frequent policy updates by the Arkansas Department of Human Services (DHS) have changed billing criteria for outpatient behavioral health, requiring precise coding and new documentation formats. Providers must stay extremely current with behavioural-health billing manuals and policy notices which would otherwise lead to significant claim write-offs or denials. Our team closely monitors the Medicaid bulletins and updates billing rules in the system, ensuring every claim reflects the newest outpatient behavioral-health requirements. Our billing platform automatically maps the retired or replaced codes to compliant equivalents and offers customized documentation guidance that aligns with Arkansas Medicaid’s “medical necessity” and treatment-plan expectations for mental-health services.

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Provider enrollment, NPI linkage & unusual credentialing delays

Arkansas Medicaid has certain quirks in provider-enrollment and NPI linkage that add complexity like even after receiving an NPI, it requires providers to register the NPI with the Arkansas Medicaid to link it to their provider ID. Also, as of July 15, 2025, all initial provider enrollment applications (except LTC facilities) must be submitted electronically. At Shoreline we maintain a dedicated credentialing unit familiar with Arkansas Medicaid enrollment protocols and timelines and verifies NPI linkage and portal registration, ensuring no claims be rejected due to credentialing gaps.

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Dual-Eligible and Crossover Claim Complexity


Arkansas’s Medicaid system requires unique billing field configurations for dual-eligible (Medicare + Medicaid) patients. We at Shoreline Healthcare Technologies identifies Medicare-primary and Medicaid-secondary scenarios and configures claim fields per Arkansas rules. We track partial payments and eliminates the secondary claim losses with faster coordination-of-benefits by flagging missing crossovers for follow-up.

We at Shoreline Healthcare Technologies provide personalized support tailored to the unique needs of Arkansas providers. Our team of experts understands the intricacies of the Arkansas billing landscape and offers guidance to help practices navigate these challenges effectively with our cloud-based RCM solutions for an optimized Revenue Cycle Management.

Comprehensive Medical Billing Services for Arkansas

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Specialized Services tailored to meet Arkansas Medicaid rules and regulations

🩺 Services 📍 Arkansas Specialization 📈 Typical Improvement ⏱️ Turnaround Time
Arkansas Medicaid Billing (FFS) Integrates with the Arkansas Medicaid’s HealthCare Portal, eligibility checks by virtual assistants for real-time eligibility verification Advanced claim-scrubbing tools aligned with Medicaid Billing Manuals and HIPAA standards. +45% Faster reimbursements, clean claims and reduced rejections. 1-2 weeks
Billing for Managed Care Organizations AI-driven, payer-specific validation and modifier mapping ensure accurate claim formatting across diverse MCOs and special plans. +20% increase in revenue through multi-payer optimization. 1-2 weeks
Denial Management AI based tools to track and flag denial codes and root-cause analysis tailored for Medicaid claim categories, identifies high-risk categories and automate resubmissions. Reduce rate of denial by 75% and with quicker appeals. 5-7 days
Credentialing & Enrollment Supports provider enrolment revalidation, and credentialing. Ensures active status and timely reimbursements. 45-90 days
Patient Statements & Follow-Up Communicate with patients and give Explanation of Benefits (EOBs). Includes text/email payment reminders and online payment options. Reduces overdue balances and better collection rates. 1-2 weeks
Audit & Compliance Support Conducts Audit Review and mock audits, including documentation, encounter verification, and claim reconciliation. Minimizes risk of penalties and supports successful audits. Ongoing, depending on audit schedule

Medical Billing Resources for Arkansas

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Comprehensive resources specifically designed for Medicaid Providers to navigate the state’s complex Billing Landscape.

Medicaid Billing Guide

A Complete guide covering all billing requirements, policy updates and compliance standards.

Managed Care Organizations rules and guidelines

Specialized billing guidelines and documentation procedures for managed care programs.

Revenue Cycle Optimization

Best Practices and Strategies to improve cash flow and reduce denials.

Telehealth and Remote patient Monitoring in Arkansas

Arkansas’s telehealth and RPM guidelines and regulations.

Serving Healthcare Providers Across Arkansas

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From Baxter to Woodruff, we provide comprehensive medical billing services across all 75 Arkansas counties.

South Carolina Map
Ozark Plateau (Northwest & North Central):

Baxter, Benton, Boone, Carroll, Fulton, Izard, Madison, Marion, Newton, Searcy, Sharp (partially), Stone, Washington

Arkansas River Valley (West-Central):

Conway, Crawford, Faulkner (partially), Franklin, Johnson, Logan, Perry, Pope, Sebastian (partially), Yell

Ouachita Mountains (Southwest & West-Central):

Clark (partially), Garland, Hot Spring, Montgomery, Pike, Polk, Saline (partially), Scott, Sevier (partially)

Gulf Coastal Plain (South):

Ashley, Bradley, Calhoun, Clark (partially), Columbia, Dallas, Drew, Grant, Hempstead, Howard, Lafayette, Little River, Miller, Nevada, Ouachita, Union

Mississippi Alluvial Plain (The Delta) - East:

Arkansas, Chicot, Clay, Craighead (partially), Crittenden, Desha, Greene (partially), Jackson, Jefferson, Lawrence, Lee, Lincoln, Mississippi, Monroe, Phillips, Poinsett (partially), Prairie, St. Francis, Woodruff

Crowley's Ridge:

Clay, Craighead, Cross, Greene, Lee, Phillips, Poinsett

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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 Arkansas

Q1. What is ARHOME and how is it different from traditional Medicaid?

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ARHOME helps adults who qualify for Medicaid to get private insurance coverage through qualified health plans. The state pays the premiums, and members still get Medicaid-covered services. It helps to promote preventive care and healthy living, unlike the traditional Medicaid which pays directly to the providers for the services rendered.

Q2. What is the timeline for claim submissions in Arkansas?

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Claim Type Filing Deadline
Original Claims Within 12 months (365 days) from the date of service
Resubmissions or corrected claims 12 months from the last processed claim date

Q3. How often must providers revalidate or renew their Medicaid enrollment?

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Providers are required to revalidate their status every five years to remain active. Failing to complete the revalidation might results in payment holds or termination of enrollment.

Q4. What should providers know about Medicaid audits in Arkansas?

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Audits in Arkansas are handled by the AFMC and the Division of Medical Services. Providers must maintain encounter documentation, prior authorization records, and signed patient charts.

Q5. How can Shoreline Healthcare Technologies help providers in Arkansas?

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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 state specific rules. We also offer analytics and process automation to reduce first pass rejects in state systems and to reconcile managed-care encounter reporting.

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.

Arkansas Licensed

Licensed to operate in Arkansas

Medical Billing Glossary

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Essential Terms for Understanding the Arkansas’s Medical Billing Landscape

Arkansas Foundation for Medical Care (AFMC)

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A nonprofit organization for improving the healthcare quality, managing the utilization and for reviewing the Medicaid services. It ensures that providers follow both the state and federal billing standards by partnering with the Arkansas Department of Human Services (DHS)

ARChoices

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The Medicaid program for older adults and physically disabled people to receive care at their home instead of nursing facilities. They are provided with personal care, case management, and support for other services through this program.

Arkansas Health and Opportunity for Me (ARHOME)

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A Medicaid initiative program designed to improve healthcare and provide community support to eligible adults and obtain private health insurance through qualified plans while keeping the essential services under Medicaid benefits.

Arkansas Medicaid Program (ARMedicaid)

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It is the state’s program that provides medical coverage to low-income families, children, pregnant women, and individuals with disabilities. It is managed by the Division of Medical Services (DMS) under the Arkansas Department of Human Services (DHS).

Division of Medical Services (DMS)

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The part of DHS for overseeing the daily operations of Arkansas Medicaid. They set policies, manages provider payments, monitors program integrity, and ensures compliance with federal Medicaid rules.

MyARMedicaid App

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It is a mobile app that connects patients, providers, and Medicaid offices. It allows Medicaid members to check their eligibility, explore benefits, manage their coverage, and find providers.

Provider-Led Arkansas Shared Savings Entity (PASSE)

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The unique care model where networks of providers manage services for Medicaid beneficiaries with behavioral health needs or developmental disabilities. They manage care coordination, billing, and reimbursement for its members.

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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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 Healthcare Technologies in Arkansas 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 Arkansas-specialized billing services.

Get Your Free Consultation

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Contact Information

  • 445 Main Street, 2nd Floor, #1, Saco, ME 04072
  • 1-855-838-1370
  • info@shorelinemb.com
  • M-F, 9am - 5pm EST

Why work with us?
  • 40% average denial rate reduction
  • Local billing expertise
  • 24-48 hour claim turnaround
  • Dedicated Arkansas support team