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 Mississippi. 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 Mississippi-based practice. Ready to outsource your billing needs? We’ll guide you through your receivable account to make sure that your claims are paid.

Mississippi Billing Challenges we solve

Navigating MississippiCAN’s Fragmented Authorization and Billing Rules

In Mississippi Medicaid runs through the MississippiCAN and CHIP programs, administered by multiple coordinated care organizations. This results in inconsistent authorization rules and benefit limits across plans. They operate with their own workflows, edit logic and medical necessity documentation standards. Keeping track of these differences would be highly impossible without a dedicated manpower. At Shoreline Healthcare Technologies we maintain payer-specific playbooks for each MississippiCAN plan and keep updating them in real time as MCOs changes their requirements. We have a team of authorization specialists for handling PA submissions, follow-ups, renewals, and retro-auths. And any denials caused due to differences in MCO logic like therapy caps or behavioral health documentation structures are managed by a Mississippi-focused denial team that knows exactly what each plan accepts. With Shoreline in your team providers can see a 25–40% decrease in MCO-related denials, especially those tied to inconsistent authorization rules.

Solving the Connectivity Issues with the MMIS Portal

The state of Mississippi still uses an MMIS structure for claim submission which frequently experiences connection drops, system freeze, or off-peak maintenance windows, resulting in delays in checking eligibility, errors during claim submissions or increased claim rejections when batch uploads fail mid-stream. In many rural counties, internet bandwidth is already a challenge and combining that with MMIS instability causes a disproportionate number of “no coverage found” errors that require manual reprocessing. Our team at Shoreline uses redundancy workflows that store claims locally whenever MMIS or MCO portals are down and pushes the claims automatically at the moment the system restores. Our team of Mississippi dedicated staffs keep monitoring the portal status throughout the day, so clinics don’t lose valuable billing hours and can have a smoother billing flow with virtually no claims lost due to system outages.

Behavioral Health billing that aligns with the state Requirements

Behavioral health providers in the state of Mississippi are required to document specific staff credential levels, crisis service timelines and integrated care planning details that are not required in most other states. Community mental health centers face excessive administrative overhead to meet Mississippi’s proprietary documentation standards. We at Shoreline Healthcare Technologies have a BH-specific coding specialists familiar with the CMHC documentation standards, crisis service coding compliance and MCO-integrated care documentation requirements. By partnering with us Behavioral health organizations can see 20-25% increase in their payments with reduced paperwork bottlenecks.

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

Medical Billing Resources for Mississippi

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.

Behavioral & Mental Health Billing rules and guidelines

Specialized billing guidelines and documentation procedures for behavioral health programs.

Revenue Cycle Optimization

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

Telehealth and Remote patient Monitoring in Mississippi

Mississippi’s telehealth and RPM guidelines and regulations.

Serving Healthcare Providers Across Mississippi

From Alcorn to Yalobusha, we provide comprehensive medical billing services across all 82 Mississippi counties.

North Mississippi:

Alcorn, Benton, Bolivar, Calhoun, Chickasaw, Choctaw, Clay, Coahoma, DeSoto, Grenada, Itawamba, Lafayette, Lee, Lowndes, Marshall, Monroe, Montgomery, Oktibbeha, Panola, Pontotoc, Prentiss, Quitman, Tippah, Tishomingo, Tallahatchie, Tate, Union, Webster, Winston, Yalobusha

Central Mississippi:

Attala, Carroll, Clarke, Copiah, Hinds (State Capital, Jackson), Holmes, Humphreys, Issaquena, Jasper, Jefferson, Kemper, Lauderdale, Leake, Madison, Neshoba, Newton, Rankin, Scott, Sharkey, Simpson, Smith, Warren, Washington, Yazoo

South Mississippi:

Adams, Amite, Claiborne, Covington, Forrest, Franklin, Jefferson Davis, Jones, Lamar, Lawrence, Lincoln, Marion, Pearl River, Pike, Walthall, Wayne, Wilkinson

Gulf Coast / Coastal Plains:

George, Greene, Hancock, Harrison, Jackson, Stone

Medical Billing Glossary

Essential Terms for Understanding the Mississippi’s Medical Billing Landscape

Community Mental Health Center (CMHC)

The organization designated by the state for delivering outpatient mental health, substance use, crisis stabilization, mobile crisis response, and community-based support services to children and adults in the state of Mississippi.

Coordinated Care Organization (CCO)

The term used interchangeably with Managed Care Organization (MCO), that technically refers to the model in which the state contracts with private insurers to coordinate care for beneficiaries. In Mississippi they are responsible for medical management, prior authorization, provider network building, quality oversight, and claims processing.

Division of Medicaid (Mississippi DOM)

The state agency responsible for running all Medicaid programs for the state of Mississippi. They set coverage guidelines, fee schedules, service caps, and billing rules.

Medicaid Enterprise System Assistance (MESA)

It is the state’s version of MMIS, rebuilt to integrate claims, eligibility, provider enrollment, and member management in one place. It includes the provider portal for eligibility checks, claim status, and remits, the provider enrollment portal and the claims processing engine.

Mississippi Coordinated Access Network (MississippiCAN)

The Medicaid managed care program for eligible adults, children, pregnant women, and individuals with certain medical conditions in the state of Mississippi.

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	📍Mississippi Specialization	📈 Typical Improvement	⏱️ Turnaround Time
Eligibility & Benefits Verification	Automated API Driven Real-time verification across MississippiCAN plans, DOM portal checks.	Reduction in eligibility-related denials by 30–45%	Instant/ Within 24 hours
Prior Authorization Management	Handling MississippiCAN-specific PA rules (variable visit caps, therapy limits, BH authorizations), EPSDT-specific PA workflows	Faster approvals and 25–40% drop in PA-related claim denials	48–72 hours depending on payer
Claims Submission & Clean Claim Scrubbing	Scrubbing claims against Mississippi DOM edits, MississippiCAN MCO edit logic, EVV-integrated claim validation for HCBS	First-pass clean claim rate increases to 95–98%	Claims filed within 24–48 hours
Behavioral Health Billing	Expertise in Mississippi BH documentation rules, crisis service coding, Community Mental Health Center (CMHC) requirements	Improved reimbursement accuracy by 20-25%	Claims processed within 48 hours
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

The Best Medical Billing Company in Mississippi - Shoreline

Best In the Industry

Mississippi Billing Challenges we solve

Navigating MississippiCAN’s Fragmented Authorization and Billing Rules

Solving the Connectivity Issues with the MMIS Portal

Behavioral Health billing that aligns with the state Requirements

Comprehensive Medical Billing Services for Mississippi

Medical Billing Resources for Mississippi

Medicaid Billing Guide

Behavioral & Mental Health Billing rules and guidelines

Revenue Cycle Optimization

Telehealth and Remote patient Monitoring in Mississippi

Serving Healthcare Providers Across Mississippi

North Mississippi:

Central Mississippi:

South Mississippi:

Gulf Coast / Coastal Plains:

Savings Estimation Calculator

Frequently Asked Questions

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

Q2. What are the timely filing limits for Mississippi Medicaid and MississippiCAN plans?

Q3. Does Shoreline Healthcare Technologies provide any analytics reporting to healthcare organizations in Mississippi?

Q4. Why CMHC Billing is uniquely complex in Mississippi?

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

Compliance & Certifications

HIPAA Compliant

AAPC Certified

Mississippi Licensed

Medical Billing Glossary

Community Mental Health Center (CMHC)

Coordinated Care Organization (CCO)

Division of Medicaid (Mississippi DOM)

Medicaid Enterprise System Assistance (MESA)

Mississippi Coordinated Access Network (MississippiCAN)

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?