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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 New Jersey. 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 New Jersey 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 New Jersey 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.

New Jersey Billing Challenges we solve

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Complex Payer Mix and State-Specific Regulations

The healthcare providers in New Jersey must deal with a wide range of insurance payers, and each one have their own set of rules and requirements, making accurate billing and coding a complex task. In addition to this the state-specific laws also adds another layer of complexity to the billing process. Shoreline's expertise in handling various payers ensure accurate coding and compliance with state-specific regulations, streamlining the billing process for providers.

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Low Integration of Electronic Medical Records

The adoption of Electronic Medical Records (EMR) among physicians has been relatively slow, which creates obstacles in meeting the industry standards and delivering the best possible healthcare outcomes. This Limited EMR use often reduces billing efficiency and coding accuracy, as many practices still rely on manual data entry. We at Shoreline Healthcare Technologies use secure, cloud-based solutions helping healthcare providers manage the patient data efficiently, improving overall workflow and operational performance.

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Managing the Stringent Compliance Requirements

New Jersey enforces strict compliance regulations in healthcare billing that can lead to coding errors. Healthcare Providers must maintain the strict compliance to avoid legal consequences and to get proper reimbursement. The team of experienced billing specialists at Shoreline Healthcare Technologies are well-versed in the latest industry standards and regulations and keep themselves updated with the ever-changing healthcare regulatory. We help to keep the practices compliant and profitable, handling all the billing needs with precision and care.

At Shoreline Healthcare Technologies we provide personalized support tailored to the unique needs of NJ providers. Our team of experts understands the intricacies of the New Jersey healthcare 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 New Jersey

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Specialized Services tailored to meet New Jersey’s Medicaid rules and regulations

🩺 Services 📍 New Jersey Specialization 📈 Typical Improvement ⏱️ Turnaround Time
Medicaid Billing Integration with NJMMIS for Medicaid billing, virtual assistants for real-time eligibility verification and electronic claim scrubbing software. +35% Faster reimbursements, clean claims and reduced rejections. 1-2 weeks
Billing for Managed Care Plans Unified billing for NJ FamilyCare MCOs, automated payer-specific validation and modifier mapping. +20% increase in revenue through cross-payer optimization. 24-48 Hours
Denial Management AI based tools to track and flag denial codes, identify high-risk categories and automate resubmissions Reduce rate of denial by 75% and with quicker appeals. 5-7 days
Credentialing & Enrollment Comprehensive provider enrollment and revalidation support with NJMMIS and NJ FamilyCare MCOs, including CAQH profile management, MCO credentialing audits Ensures timely reimbursement and eligibility for incentive programs. 45-90 days
Patient Statements & Follow-Up Communicate with patients and give Explanation of Benefits (EOBs) 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 New Jersey

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

Medicaid Billing Guide

A Complete guide covering New Jersey Medicaid billing requirements and policy updates and compliance standards.

Managed Care program 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 New Jersey

New Jersey’s telehealth and RPM guidelines and regulations.

Serving Healthcare Providers Across New Jesrsey

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From Atlantic to Warren, we provide comprehensive medical billing services statewide across all 21 counties of New Jersey.

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North Jersey

Bergen, Essex, Hudson, Morris, Passaic, Sussex, Warren, Union.

Central Jersey

Hunterdon, Mercer, Middlesex, Monmouth, Somerset.

South Jersey

Atlantic, Burlington, Camden, Cape May, Cumberland, Gloucester, Ocean, Salem.

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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 New Jersey

Q1. How can providers check the patient’s eligibility for NJ Medicaid/NJFamily Care programs?

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Providers can verify the eligibility by

  • ✔ Dialling the Automated Voice Response System (AVRS) at 1-800-776-6334
  • ✔ Online eligibility verification through the NJMMIS Portal
  • ✔ Through an EDI 270/271 transaction.

Q2. What is the claim submission limit for Medicaid claims in New Jersey?

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Original Medicaid claims in New Jersey must be submitted within 180 days from the date of service. If the claim was first submitted to another insurer, it must be filed to Medicaid within 60 days from the date of that insurer’s EOB.

Q3. How can providers enroll in the NJ Medicaid/NJFamily care Programs?

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  • ✔ Calling the Gainwell Technologies Provider Enrollment Unit at 609-588-6036
  • ✔ Visiting the Online portal of NJMMIS and submit the appropriate forms.

Once enrolled, providers must revalidate every five years to maintain active status.

Q4. What do you mean by NJ Medicaid and NJ FamilyCare?

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NJ Medicaid is a Joint State and Federal funded program providing healthcare services to certain eligible low-income residents of New Jersey.

NJ FamilyCare is a broader state program that also includes the Medicaid, CHIP, and other state-funded plans, covering a wider range of residents, including children and families with slightly higher incomes.

Q5. How can Shoreline Healthcare Technologies help providers in New Jersey?

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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 like NJMMIS 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.

New Jersey Licensed

Licensed to operate in New Jersey

Medical Billing Glossary

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Essential Terms for Understanding New Jersey’s Medical Billing Landscape

Consumer Assessment of Healthcare Providers and Systems (CAHPS)

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The standardized survey tool used to measure the patients’ experiences with healthcare providers and health plans. It focuses on the patient perspective rather than clinical outcomes and was developed by the Agency for Healthcare Research and Quality (AHRQ).

Get Covered New Jersey (GetCoveredNJ)

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The official health insurance marketplace of New Jersey where residents can compare their health plans, apply for coverage, and qualify for financial assistance programs. It was established under the Affordable Care Act (ACA).

NJFamilyCare

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NJ FamilyCare is New Jersey’s publicly funded health insurance program for eligible residents, comprises Medicaid (full coverage), CHIP (Children’s Health Insurance Program), Family planning and other state-supported health coverage. NJMMIS

New Jersey Medicaid Management Information System (NJMMIS)

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The state’s central claims processing and information management system for handling the end-to-end Medicaid administrative operations of NJ FamilyCare (New Jersey’s Medicaid and CHIP program).

Our Top-Notch Medical Billing Features

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 New Jersey 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 New Jersey’s-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
  • New Jersey billing specialists
  • 24-48 hour claim turnaround
  • Dedicated New Jersey support team