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 Georgia. 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. Explore our case studies to see how we’ve helped practices overcome complex billing challenges and improve cash flow.

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 Georgia based practice. Ready to outsource your billing needs? We’ll guide you through your account receivables account to make sure that your claims get paid.

Georgia Healthcare Billing Challenges we solve

Healthcare providers in Georgia faces unique and complex billing environment due to the state’s partial expansion in Medicaid, diverse managed care plans, and rural infrastructure. They must handle the multiple Medicaid Managed Care Organizations (MCOs) that have different claim rules, with frequent state audits and strict documentation requirements resulting in high denials and delay. Additionally, the limited telehealth parity laws, shortages of coders in rural areas, and complex credentialing with the Georgia Department of Community Health (DCH) creates persistent burdens on the providers. As a result, providers often experience fragmented revenue cycles and slower reimbursements compared to the other fully expanded Medicaid states. We at Shoreline Healthcare Technologies, help providers navigate these unique billing challenges with our cloud-based RCM solutions that optimize Revenue Cycle Management.

Non-Expansion of Medicaid (State Policy Divergence)

Unlike many other states, Georgia have not expanded their Medicaid fully under the ACA. This often leads to high uninsured rates, increased uncompensated care and complex billing workflows. These fragmented payer structures and reliance on emergency Medicaid coding for low-income populations can slow down the revenue cycles. We at Shoreline Healthcare Technologies helps providers in Georgia to manage these challenges of limited Medicaid expansion by streamlining complex billing workflows, verifying patient eligibility in real time, and optimizing Medicaid and emergency coding to reduce denials and maximize reimbursements.

State-Specific Medicaid Managed Care Coding Rules

Georgia’s Medicaid Managed Care Organizations (MCOs) like Peach State Health Plan and Amerigroup Georgia have unique claim formatting, modifier requirements, and pre-authorization rules. Errors in these localized rules can account for 22–27% of denials. We at Shoreline Healthcare Technologies have consolidated the claim workflows into one unified system with automated eligibility and verifications and ensure compliance with both state & federal rules,resulting in quicker claims submission and improved cash flow.

Telehealth Billing Variability

While CMS keeps expanding the telehealth codes federally, Georgia’s state-level telehealth laws are lagging with limited reimbursements for asynchronous codes. The need for manual claim submissions on GAMMIS, varying modifiers, and poor rural connectivity results in frequent claim denials and payment delays. So that, providers struggle to maintain an efficient revenue cycle and stay compliance with the telehealth policies. Shoreline Healthcare Technologies helps providers stay compliant with the latest telehealth policies and have automated billing codes, modifiers, and place-of-service updates in line with evolving regulations.

High Audit Frequency and Reimbursement Delays

Georgia’s Program Integrity Unit (PIU) conducts frequent billing audits, particularly for behavioral health and home health providers. These audits often result in repayment demands due to minor documentation discrepancies. We help providers to stay in compliance with all the state-specific requirements and audit ready throughout the year.

Georgia Medical Billing Resources

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

Medicaid Billing Guide

Complete guide to Medicaid billing requirements and policy updates.

Managed Care program rules and guidelines

Specialized billing guidelines for managed care programs.

Revenue Cycle Optimization

Strategies to improve cash flow and reduce denials.

Telehealth and Remote patient Monitoring in Georgia.

Georgia’s telehealth and RPM guidelines and regulations.

Serving Healthcare Providers Across Georgia

From Dade to Camden, we provide comprehensive medical billing services statewide across all 159 counties of Georgia.

North Georgia

Banks, Bartow, Catoosa, Chattooga, Dade, Dawson, Fannin, Floyd, Forsyth, Franklin, Gilmer, Gordon, Habersham, Hall, Haralson, Hart, Lumpkin, Murray, Pickens, Polk, Rabun, Stephens, Towns, Union, Walker, White, Whitfield

Metro Atlanta Region

Cherokee, Clayton, Cobb, Coweta, DeKalb, Douglas, Fayette, Fulton, Gwinnett, Henry, Rockdale, Barrow, Carroll, Forsyth, Newton, Paulding, Spalding, Walton

Central Georgia

Baldwin, Bibb, Crawford, Houston, Jasper, Jones, Lamar, Macon, Monroe, Peach, Pike, Pulaski, Putnam, Twiggs, Upson, Wilkinson

West Georgia

Carroll, Chattahoochee, Clay, Coweta, Harris, Heard, Marion, Meriwether, Muscogee, Quitman, Randolph, Stewart, Talbot, Troup

East Georgia / Northeast Piedmont

Clarke, Columbia, Elbert, Greene, Hancock, Lincoln, Madison, McDuffie, Morgan, Newton, Oconee, Oglethorpe, Taliaferro, Walton, Warren, Wilkes

South Georgia

Baker, Ben Hill, Berrien, Brooks, Calhoun, Colquitt, Cook, Crisp, Decatur, Dooly, Dougherty, Early, Echols, Grady, Irwin, Lanier, Lee, Lowndes, Miller, Mitchell, Seminole, Sumter, Terrell, Thomas, Tift, Turner, Worth

Southeast Georgia / Coastal Plain

Appling, Atkinson, Bacon, Brantley, Bulloch, Camden, Candler, Charlton, Clinch, Coffee, Effingham, Emanuel, Evans, Glynn, Jeff Davis, Liberty, Long, McIntosh, Montgomery, Pierce, Screven, Tattnall, Telfair, Toombs, Treutlen, Ware, Wayne, Wheeler

Medical Billing Glossary

Essential Terms for Understanding Georgia’s Medical Billing Landscape

Georgia Medicaid Management Information System (GAMMIS):

The official online portal of Georgia maintained by the Department of Community Health (DCH). It serves as the central hub for processing all Medicaid and PeachCare claims. It is also used to check eligibility verification, prior authorizations and remittance advice.

Georgia Medicaid Advanced Performance & Patient Care System (GAMAP2Care):

It is a state-level data integration and analytics platform developed to focus on quality-based reimbursement, population health tracking, and value-based care billing models.

Indigent Care Trust Fund (ICTF)

The state fund of Georgia to support hospitals and providers for delivering uncompensated care to low-income or uninsured residents. It provides supplementary payments for services that are not covered by Medicaid or private insurances.

Program of All-Inclusive Care for the Elderly (PACE)

PACE is a joint funded program by the state and federal for providing comprehensive medical and social services to the frail, elderly individuals. It aims to reduce hospital readmissions and long-term care costs through integrated service delivery. In Georgia, PACE is jointly administered by DCH and CMS. Providers can for bill for these services through GAMMIS.

PeachCare:

It is Children’s Health Insurance Program (CHIP) of Georgia which offers affordable health coverage for children in families with incomes too high for Medicaid but too low for private insurance with coverage for physician visits, hospitalization, dental, and vision services.

Our Top-Notch Medical Billing Features

Claim Submission :

Shoreline Healthcare Technologies is a top Medical Billing Company in Georgia, we use electronic claim scrubbing software that ensures all claims are submitted quickly and accurately, reducing delays in payments.

Denial Management :

Our denial management services are designed to resolve claim issues promptly. As a premier Medical Billing Company in Georgia, we handle denials efficiently to maximize your revenue.

Electronic Remittance Advice

Electronic Remittance Advice (ERA) streamlines payment processing. Shoreline, your go-to Medical Billing Company in Georgia, integrates ERA into our services for fast, reliable transactions.

Batch Payments :

We have simplified the process of batch payments to ease the administrative burden.

Rules Engine :

Our automated rules engine ensures to stay in compliance with billing regulations. Shoreline stands out as a top Medical Billing Company in Georgia by utilizing advanced tools for precise billing.

eVerification :

Shoreline offers eVerification services to ensure eligibility and coverage. As a leading Medical Billing Company in Georgia, we streamline patient verification processes.

Local Support :

We provide expert support and services that are tailored to meet the needs of practices in Georgia.

Centralized Billing :

Our centralized billing system enhances efficiency and reduces errors. Shoreline is your trusted Medical Billing Company in Georgia for comprehensive billing solutions.

Cloud-Based :

Our cloud-based RCM solutions ensure to keep your billing data safe and easy to manage.

Data Migration :

We offer seamless data migration services. Trust Shoreline, a premier Medical Billing Company in Georgia, to handle your data transfer with precision.

EHR Integration:

Our services include seamless EHR integration to streamline your workflow. As a leading Medical Billing Company in Georgia, we make technology work for you.

Testimonials

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.

★ ★ ★ ★ ★

Family Medicine Centre in Maine

“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.”

★ ★ ★ ★ ★

Nephrology Group in New Hampshire

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.

★ ★ ★ ★ ★

Pain Management in New Jersey

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

★ ★ ★ ★ ★

Internal Medicine & Nephrology in Georgia

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!

★ ★ ★ ★ ★

Peds OT Clinic in Maine

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.

★ ★ ★ ★ ★

Nurse Practitioner Group in Washington

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.

★ ★ ★ ★ ★

Nurse practitioner in Delaware

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.

★ ★ ★ ★ ★

🩺 Services	📍 Georgia Specialization	📈 Typical Improvement	⏱️ Turnaround Time
Medicaid & PeachCare Billing	Integration with GAMMIS for Georgia Medicaid and PeachCare for Kids, real-time eligibility verification, electronic claim scrubbing based on DCH rules.	+35% Faster reimbursements, clean claims and reduced rejections.	1-2 weeks
Billing for Managed Care Plans	Unified billing framework for Georgia’s Medicaid MCOs (Peach State Health Plan, WellCare, Amerigroup, and CareSource). Automated payer-specific modifier mapping and pre-authorization validation.	+20% increase in revenue through cross-payer optimization.	24-48 Hours
Denial Management	AI-powered analytics to track Georgia DCH denial codes, identify high-risk categories (e.g., behavioral health, home health), and automate resubmissions through GAMMIS	Reduce denial rates by 75% and quicker appeals processing.	5-7 days
Credentialing & Enrollment	Full-service credentialing with Georgia Department of Community Health (DCH), Medicaid and PeachCare provider enrollment.	Direct payment activation and inclusion in Georgia value-based care incentive programs.	45-90 days
Patient Statements & Follow-Up	Patient communication with clear Explanation of Benefits (EOBs), follow-up for PeachCare and private insurance balances.	Significant reduction in overdue patient balances and better collection rates.	1-2 weeks

The Best Medical Billing Company in Georgia - Shoreline

Best In The Industry

Georgia Healthcare Billing Challenges we solve

Non-Expansion of Medicaid (State Policy Divergence)

State-Specific Medicaid Managed Care Coding Rules

Telehealth Billing Variability

High Audit Frequency and Reimbursement Delays

Comprehensive Medical Billing Services for Georgia

Georgia Medical Billing Resources

Medicaid Billing Guide

Managed Care program rules and guidelines

Revenue Cycle Optimization

Telehealth and Remote patient Monitoring in Georgia.

Serving Healthcare Providers Across Georgia

North Georgia

Metro Atlanta Region

Central Georgia

West Georgia

East Georgia / Northeast Piedmont

South Georgia

Southeast Georgia / Coastal Plain

Savings Estimation Calculator

Frequently Asked Questions

Q1. How can Providers check the patient’s eligibility for Georgia Medicaid programs?

Q2. What is the timely filing limit for Medicaid claims in Georgia?

Q3. How can providers enroll themselves as Georgia Medicaid Providers?

Q4. What is the difference between GAMMIS and GAMAP2Care?

Q5. How can Shoreline Healthcare Technologies help Georgia providers?

Compliance & Certifications

HIPAA Compliant

AAPC Certified

Georgia Licensed

Medical Billing Glossary

Georgia Medicaid Management Information System (GAMMIS):

Georgia Medicaid Advanced Performance & Patient Care System (GAMAP2Care):

Indigent Care Trust Fund (ICTF)

Program of All-Inclusive Care for the Elderly (PACE)

PeachCare:

Our Top-Notch Medical Billing Features

Claim Submission :

Denial Management :

Electronic Remittance Advice

Batch Payments :

Rules Engine :

eVerification :

Local Support :

Centralized Billing :

Cloud-Based :

Data Migration :

EHR Integration:

Our Services

Testimonials

Family Medicine Centre in Maine

Nephrology Group in New Hampshire

Pain Management in New Jersey

Internal Medicine & Nephrology in Georgia

Peds OT Clinic in Maine

Nurse Practitioner Group in Washington

Nurse practitioner in Delaware

Internal Medicine in Arizona

We Care

Ready to Optimize Your Medical Billing?

Get Your Free Consultation

Contact Information

Why work with us?