Shoreline is a proud Maine-based company that offers end to end revenue cycle management services to physicians and Medical billing companies in Maine. 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.
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 Maine based practice. Ready to outsource your billing needs? We’ll guide you through your account receivables to make sure that your claims get paid.
Shoreline medical billing services in Maine 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.
Maine healthcare presents unique challenges like rural infrastructure, aging populations and state specific laws that requires a hyper-local understanding.Shoreline Healthcare Technologies, an expertise in state-specific compliance and payer rulers provides you with the most effective solution for all your billing needs.
The frequent updates by MaineCare regarding their coverage rules, codes and modifiers, can affect billing and claim eligibility. At Shoreline we continuously monitor MaineCare provider updates and payer bulletins, pushing changes into our automated scrubbing software minimizing denials and maximizing reimbursements.
Maine is a predominantly a rural state, with many providers located in remote areas with limited digital infrastructure. With our auto-sync software we queue charges and claims locally hosting them live when connectivity returns, improving the Timely Filing Limit.
Maine has the oldest median age population in the U.S., increasing the demand for chronic disease management services. Our specialized CCM/RPM compliance checklist can improve your Net CCM collections rate by 15–25%.
MaineCare’s telehealth billing guidelines emphasize on correct usage of modifiers and POS codes to avoid denials. Our POS & Modifier Mapping Engine auto assigns POS & Modifiers and maps them accurately based on payer rules reducing the denial rates.
Specialized services tailored to Maine's healthcare system and regulations.
| 🩺 Service | 📍 Maine Specialization | 📈 Typical Improvement | ⏱️ Turnaround Time |
|---|---|---|---|
| MaineCare Billing | MaineCare specialists, real-time eligibility verification | +35% faster payments | 24–48 hours |
| Telehealth Billing | Maine telehealth regulations compliance, modifier expertise | −40% denial rate | Same day |
| Rural Health Billing | FQHC/RHC billing expertise, geographic adjustments | +25% revenue increase | 24–48 hours |
| Credentialing | Maine state licensing, MaineCare provider enrollment | 50% faster approval | 30–45 days |
| Denial Management | Maine-specific denial patterns, appeals expertise | +60% appeal success | 5–7 days |
Comprehensive resources specifically designed for Maine healthcare providers to navigate the complex billing landscape.
Complete guide to Maine's Medicaid billing requirements and policy updates
A comprehensive overview of Maine's telehealth regulations and billing procedures
Specialized billing guidance for Maine's rural health centers
Strategies to improve cash flow and reduce denial rates for Maine practices
From Portland to Presque Isle, we provide comprehensive medical billing services statewide.
Portland, Biddeford, Sanford, Scarborough, Westbrook
Augusta, Lewiston, Auburn, Waterville, Skowhegan
Bangor, Presque Isle, Caribou, Fort Kent, Calais
Bar Harbor, Ellsworth, Rockland, Camden, Belfast
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Common questions about medical billing services in Maine.
Providers can check eligibility in two ways: By IVR Phone System – Call 1-866-690-5585 (24/7) and enter the member’s ID/DOB to hear eligibility status and through MaineCare Health PAS Online Portal.
MaineCare requires claims to be filed within 12 months from the date of service. Resubmissions or corrections must also meet this window.
Advanced imaging, certain injections/biologics, PT/OT beyond initial limits, many BH services, and some DME. Always check plan-level policy.
Complete the enrollment application process through online via the MIHMS provider portal. The process involves submitting practice information, provider credentials, and signing a provider agreement to abide by all MaineCare rules and regulations.
Yes, absolutely. We have specialized expertise in RHC billing. We understand the complexities of billing under the All-Inclusive Rate (AIR) for qualifying visits and managing the annual cost reporting required for reconciliation. We ensure your claims are coded correctly to maximize reimbursement under the RHC model.
We at Shoreline Healthcare Technologies handle the entire process of RCM Cycle from eligibility checks, prior auths, coding, claim submissions, denials, and appeals, ensuring faster payments and compliance with MaineCare rules.
Your data security and compliance are our top priorities.
Full HIPAA compliance with regular audits
Certified Professional Billers on staff
Licensed to operate in Maine
Essential terms for understanding Maine's medical billing landscape.
Maine's official marketplace site for health insurance established under the Affordable Care Act (ACA), to shop and enroll health coverage for individuals and small businesses.
A claim submitted to a payer that has no errors and can be processed without needing additional information from the provider. Maine's prompt pay laws are tied to the receipt date of a clean claim.
Eligible rural hospital designated by CMS to get different reimbursements on cost-basis. These are established to get access to essential healthcare in underserved areas.
The Maine state agency which in charge of public health, child welfare and Medicaid programs like MaineCare. It also issues license to healthcare providers.
Community clinics that provides primary care in underserved areas. They are reimbursed under a special Prospective Payment System (PPS).
The official name of Maine’s Medicaid program. It offers free or low-cost health insurance to the eligible residents of Maine State.
The Maine’s online portal where providers can verify member eligibility, submit claims, request prior authorizations, and receive remittances.
The specific division of DHHS responsible for managing the day-to-day operations, policy updates, and reimbursements of MaineCare.
The pre-approval process that is mandatory to qualify for coverage, before a specific medication, service, or diagnostics is done.
Outpatient clinics which delivers primary care in rural areas. They are reimbursed by cost-per-visit basis.
The Maine state agency that administers the workers' compensation system. They have specific billing procedures and medical fee schedule. And Providers treating patients for work-related injuries must follow the WCB's guidelines.
Shoreline proudly supports physicians, medical groups, and medical billing companies. Following are the revenue cycle management steps we offer.
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.
“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.”
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.
We switched to Shoreline Medical Billing. Our claims are getting paid, and we are
getting friendly, knowledgeable service. We highly recommend Shoreline.
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!
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.
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.
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.
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 medical billing services in Maine understands how to navigate today’s complex healthcare revenue environment.
Get your free consultation and discover how much you could save with our Maine-specialized billing services.
