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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 Maryland. 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 Maryland-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 Maryland 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.

Maryland Billing Challenges we solve



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Solving Maryland-Specific COMAR Interpretation Issues

Maryland’s COMAR rules are detailed but leave a lot of room for interpretation. Two auditors can read the same section differently. This leads to denials where the provider technically followed the rule, but the reviewer followed a stricter interpretation. We at Shoreline maintains a state-specific compliance desk that keeps track of how local auditors interpret COMAR sections, recent denial trends and MCO-specific interpretations. This means Shoreline doesn't just code the claim correctly but in the way Maryland reviewers expect it, preventing surprise denials.

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Managing ePREP Enrollment & Revalidation So Claims Don’t Get Stuck

Maryland forces all Medicaid providers to use ePREP for enrollment, revalidation, maintenance, and ownership updates. The portal is known for hidden pending statuses, fields that auto-lock and updates that don’t sync to MDH’s payment system. Providers often find that their claims stop paying simply because of these issues, even if the portal insists everything is active. Our team at Shoreline monitors the ePREP daily, resolves hidden pending statuses and handles ownership updates. We ensure to see that the credentialing syncs between ePREP and MDH’s claim system.

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Home Health & PCS Time-Stamped Documentation Review

Maryland requires extremely detailed timestamping for services like home health, private duty nursing, personal care services (PCS), and CFSA foster care health services. Documentation must prove that the caregiver was trained under Maryland’s specific guidelines. This goes beyond typical EVV standards and creates unexpected denials when the timestamp grid doesn’t mirror the POC exactly. At Shoreline we thoroughly check all EVV timestamps, visit summaries, POC alignment and caregiver compliance. Our QC team fixes mismatches before the claim is submitted resulting in more than 95% of First pass Acceptance Rate.

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

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Specialized Services tailored to meet Maryland Medicaid rules and regulations

🩺 Services 📍Maryland Specialization 📈 Typical Improvement ⏱️ Turnaround Time
End-to-End Medical Billing Fully customized workflows for Maryland Medicaid, HealthChoice MCOs, includes COMAR-aligned documentation review and claim formatting. 20–35% reduction in denials, faster payment cycles across multiple plans. Claim submission within 24–48 hours
Eligibility & Coverage Verification Multi-layer checks through eMedicaid, MCO portals, and Maryland Health Connection to catch the mid-month eligibility shifts. 15–30% drop in eligibility-based denials. Same-day verification
Prior Authorization Management Handles MCO-specific PA rules for Maryland HealthChoice 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 Maryland

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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 Maryland

Maryland’s telehealth and RPM guidelines and regulations.

Serving Healthcare Providers Across Maryland

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From Adair to Woodford, we provide comprehensive medical billing services across all 23 Maryland counties.

South Carolina Map
Western Maryland:

Allegany, Garrett, Washington

Capital Region:

Frederick, Montgomery, Prince George's

Central Maryland:

Anne Arundel, Baltimore City, Baltimore County, Carroll, Harford, Howard

Southern Maryland:

Calvert, Charles, St. Mary's

Eastern Shore:

Caroline, Cecil, Dorchester, Kent, Queen Anne's, Somerset, Talbot, Wicomico, Worcester

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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 Maryland

Q1. How can providers check a patient’s Medicaid eligibility in Maryland?

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Eligibility can be checked through the eMedicaid portal, where providers can see information regarding the MCO assignment (HealthChoice plan), any carve-outs, retroactive eligibility, Medicare crossover status and limited benefit categories. Always check for eligibility on the exact date of service.

Q2. Why do claims get denied even when the documentation matches COMAR language?

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In Maryland, the COMAR rules are often interpreted differently by each MDH/MCO reviewers. Even though the note matches the written rule, the reviewer may apply a stricter or narrower reading of COMAR. This is a uniquely Maryland issue because the rules are detailed but not always applied consistently. Providers must often need COMAR-aligned + MCO-specific documentation simultaneously.

Q3. What is the timely filing limit for Maryland Medicaid and its MCOs?

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Medicaid FFS Claims Within 12 months from the DOS
HealthChoice MCOs Within 90-180 days

Q4. Do Maryland MCOs require separate credentialing?

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Yes. Every Maryland HealthChoice MCO requires its own credentialing process, even though the provider is enrolled in Medicaid through ePREP.

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

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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.

Maryland Licensed

Licensed to operate in Maryland

Medical Billing Glossary

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Essential Terms for Understanding the Maryland’s Medical Billing Landscape

Code of Maryland Regulations (COMAR)

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The official rulebook of Maryland that lays out the regulations for every Medicaid service like who can bill, what documentation is required, service limits, fee schedules, and program guidelines. If a claim is not compliant with the COMAR, Maryland won’t pay for it.

eMedicaid

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eMedicaid is the Maryland’s online portal for providers. It’s used for

  • ✓ checking patient eligibility
  • ✓ submitting certain types of claims
  • ✓verifying coverage details
  • ✓ pulling remittance advice
  • ✓ accessing fee schedules and program info

All day-to-day billing and eligibility criteria are checked using this portal.

Electronic Provider Revalidation and Enrollment Portal (ePREP)

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The official portal of Maryland for Medicaid provider enrollment, revalidation, credentialing updates, ownership changes, and MCO contracting. If something is “pending” in ePREP, payments often stop until it’s corrected.

HealthChoice

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It is the Maryland’s Medicaid managed care program. Most Medicaid beneficiaries are enrolled in one of several HealthChoice MCOs, each with its own billing rules, authorization processes, and claims workflows.

Health Connection

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It is the state’s health insurance marketplace used by individuals to buy and apply for Medicaid, CHIP, or other private plans. All coverage shifts and plan changes happen through this portal.

Medical Assistance Program (MAP)

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The entire Medicaid program of Maryland that includes both fee-for-service and MCOs.

Maryland Department of Health (MDH)

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The state agency that administers the Medicaid programs in Maryland. It oversees operations like COMAR rules, audits, MCO compliance, behavioral health, ePREP management, and other statewide Medicaid policy.

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.

RCM
Solution

powered by AI

Eligibility Verification
Prior Authorization
Virtual Assistance
Coding ICD-10
Charge Capture
Claims Submission
Claims Audit
Payment Posting
Denial Management
AR Follow Up
Patient Statements
Credit Balance
Credentialing

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 Maryland 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 Maryland -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 Maryland support team