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  • 445 Main Street, 2nd Floor, #1, Saco, ME 04072
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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 Kansas. 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 Kansas-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 Kansas 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.

Kansas Billing Challenges we solve



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Managing the KMMS / KMAP Enrollment & Revalidation Complexity

Providers in Kansas must enroll via the KMAP Online Provider Enrollment System and complete their periodic revalidation to bill for Medicaid claims. Any missteps can lead to claims being denied. They must also revalidate their status every five years with the KMAP, and every three years with the MCOs. Inactive enrollment will impact payment cycles even for correctly billed claims. We at Shoreline Healthcare Technologies track all your KMMS / KMAP / MCO revalidation dates and keep the calendar updated for your group. We completely manage the end-to-end enrollment workflow (new locations, new providers, specialty changes) so all credentialing is completed quickly, and claims are got paid smoothly.

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Clean Claim & Timely Payment Rules Across KanCare MCOs

Kansas contracts require MCOs to pay clean claims within 30 days, but the bar for “clean” is high which requires all details like member ID, plan, date of birth, provider data, diagnosis/procedure codes, and TPL fields to be correct. If the first submission isn’t “clean,” claims fall into pending, edit, or denial status and may run up against MCO-specific timely filing deadlines. We at Shoreline helps providers to apply Kansas-specific pre-submission edits (e.g., required fields, provider ID checks, formatting rules), runs eligibility verification and plan checks before DOS or before claim submission. Our built-in dashboards can track clean claim rate, average days to payment, and top edit codes by MCO. As a result, we have achieved more that 90% of clean-claim rate, with payments closer to 30 days, and fewer write-offs from missed filing limits.

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Overcoming the Eligibility Redeterminations & Policy Changes

Under KanCare and KMAP, members eligibility and payer assignments may change mid-service with members moving between FFS, KanCare MCOs, or losing coverage. Providers must deal with frequent eligibility redeterminations. As Incorrect eligibility or billing the wrong payer can lead to denials. We at Shoreline Healthcare Technologies run real-time eligibility checks and capture payer changes at every stage like appointment scheduling, encounter with the physicians and before claim submission. Our team flag accounts where coverage is uncertain (redeterminations, lapsed coverage) for financial counseling. We also train the front-desk teams on Kansas eligibility quirks, so they know what questions to ask patients. With Shoreline onboard you have fewer eligibility denials and stronger collections even when the policy rules change.

We at Shoreline Healthcare Technologies provide personalized support tailored to the unique needs of Kansas providers. Our team of experts understands the intricacies of the Kansas 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 Kansas

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Specialized Services tailored to meet Kansas Medicaid rules and regulations

🩺 Services 📍Kansas Specialization 📈 Typical Improvement ⏱️ Turnaround Time
End-to-End Medical Billing Tailored to meet the needs of Kansas Medicaid, KanCare, and all major MCOs and FFS Medicaid Programs 20–35% reduction in denials, faster payment cycles across multiple plans. Claim submission within 24–48 hours
Eligibility & Coverage Verification Real-time eligibility checks for Kansas’s frequent redeterminations and eligibility switches. 15–30% drop in eligibility-based denials. Instant + daily auto-refresh
Prior Authorization Management Kansas-specific PA/authorization requirements and payer transitions 40–60% reduction in PA denials 3–5 business days for standard PAs
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. 7–14 days for backlog cleanup; ongoing daily follow-up
Telehealth Billing Applies telehealth geography rules, specific codes, modifiers, and POS 25–40% fewer telehealth denials Same-day telehealth claim processing.
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 Kansas

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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 Billing rules and guidelines

Specialized billing guidelines and documentation procedures for MCOs.

Revenue Cycle Optimization

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

Telehealth and Remote patient Monitoring in Kansas

Kansas’s telehealth and RPM guidelines and regulations.

Serving Healthcare Providers Across Kansas

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From Alexander to Williamson, we provide comprehensive medical billing services across all 105 Kansas counties.

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Northeast Kansas:

Atchison, Brown, Doniphan, Douglas, Franklin, Jackson, Jefferson, Johnson (most populous), Leavenworth, Marshall, Miami, Nemaha, Osage, Pottawatomie, Shawnee, Wabaunsee, Wyandotte

North Central Kansas:

Chase, Clay, Cloud, Dickinson, Ellsworth, Geary, Jewell, Lincoln, Marion, Mitchell, Morris, Ottawa, Republic, Riley, Russell, Saline, Washington

Northwest Kansas:

Cheyenne, Decatur, Gove, Graham, Greeley, Logan, Norton, Osborne, Rawlins, Sheridan, Sherman, Thomas, Trego, Wallace, Wichita

South Central Kansas:

Barber, Barton, Butler, Cowley, Edwards, Harvey, Kingman, Kiowa, McPherson, Pawnee, Pratt, Reno, Rice, Sedgwick (Wichita), Stafford, Sumner

Southeast Kansas:

Allen, Anderson, Bourbon, Chautauqua, Cherokee, Coffey, Crawford, Elk, Greenwood, Labette, Linn, Montgomery, Neosho, Wilson, Woodson

Southwest Kansas:

Clark, Comanche, Finney, Ford, Grant, Gray, Hamilton, Haskell, Hodgeman, Kearny, Lane, Meade, Morton, Ness, Scott, Seward, Stanton, Stevens

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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 Kansas

Q1. How can providers enroll in the KMAP Programs?

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Physicians who wish to enroll themselves in the KMAP program can do so by submitting the required documents through the provider enrolment wizard available at the KMAP home page.

Q2. What does denial code EOB 0183 mean and how to fix it?

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The denial code EOB 0183 means that the claim submitted is more than 12 months old from the date of service and that there is no proof for timely filing. We can resubmit the claim with necessary documentation for timely filling. If not, the claim will be denied and must be written off according to Kansas timely-filing rules.

Q3.What is the timely filing rules for Medicaid claims in Kansas?

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Original Claims Within 12 months from the DOS
Corrected or Adjusted claims Within 12 months from the date of EOB

Q4.How can Shoreline Healthcare Technologies help providers in Kansas?

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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.ile 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.

Kansas Licensed

Licensed to operate in Kansas

Medical Billing Glossary

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Essential Terms for Understanding the Kansas’s Medical Billing Landscape

Clean Claim

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A claim that the payer can process without needing more information from the provider.

KanCare

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KanCare is Kansas’s Medicaid managed care program. Instead of the state paying providers directly, members are enrolled into the contracted Managed Care Organizations (MCOs) which handles claims, prior authorizations, provider enrollment, and benefit management.

Kansas Modular Management System (KMMS)

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KMMS is the new, modernized Medicaid management system rolled out by the government of Kansas. It acts as the master record system for provider enrollment, data validation, eligibility, and other Medicaid operations. It also serves as the central platform replacing older systems like PES and improving accuracy, consistency, and automation in Medicaid processes.

Kansas Medical Assistance Program (KMAP)

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KMAP is the umbrella program for Kansas Medicaid and CHIP. It includes both fee-for-service (FFS) operations and the KanCare managed-care plans. even though many services flow through the MCOs. Even though many services flow through the MCOs, providers still access KMAP Portal to check eligibility, submit claims, view bulletins, and read manuals.

MediKan

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MediKan is a limited medical assistance program for low-income adults in Kansas who are not eligible for standard Medicaid but are applying for federal disability benefits. Coverage is very limited, time-restricted, and does not resemble full Medicaid benefits.

Provider Electronic Solutions (PES)

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PES is the legacy electronic claims submission software used in Kansas for decades. The state has announced it will be retired and unsupported after October 14, 2025. Providers must transition to KMMS-compatible EDI workflows or use clearinghouses/portals to submit claims going forward.

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 Kansas 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 Kansas -specialized billing services.

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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 Kansas support team