Medical Billing Services in Madison, Wisconsin (WI) by Stars Pro are designed to maximize reimbursements, reduce claim denials, and ensure compliance with state-specific healthcare regulations. Our billing specialists have expertise across multiple specialties, our team streamline billing processes, help providers focus more on patient care while improving financial performance.
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90% of local clinics see higher profits in just 3–6 months—make the switch today and let Stars Pro take the billing stress off your team.
In Madison, where Medicaid reimburses psychiatric services at rates 15% below cost, many mental health providers struggle to maintain financial stability—especially as demand grows and county-operated inpatient beds have plunged from 13,234 in 1970 to fewer than 250 today. Coupled with frequent authorization delays, under-coding, and payer-specific documentation standards, these hurdles drag on your team’s valuable time and shrink cash reserves.
Stars Pro relieves by following Wisconsin’s Medicaid rules, ensuring correct modifiers (such as “UB” for PMHNP services) and robust documentation so fewer services go unbilled or denied.
Stars Pro delivers a streamlined billing process tailored for Madison providers, ensuring compliance with Wisconsin Medicaid rules and private payers. Our step-by-step workflow reduces denials, improves collections, and keeps your practice financially strong.
We verify insurance upfront to prevent costly denials.
Specialty-specific coding aligned with Wisconsin guidelines.
Timely and accurate entry of all services to capture full reimbursement.
Clean claim checks reduce Madison providers’ denial rates by 30%.
Stars Pro tracks every claim until it’s processed, cutting AR delays.
Immediate appeal of rejected claims ensures minimal revenue loss.
Fast and accurate posting keeps your books up to date.
Clear, compliant statements improve collections from patients.
Regular audits and transparent reports keep you aligned with HIPAA and Wisconsin payer rules.
Stars Pro’s Physical Therapy Billing Services in Madison, Wisconsin (WI) help clinics overcome rising denial rates, complex CPT coding (97110, 97140, 97530), and payer delays that reduce profitability. By cutting administrative hours, accelerating reimbursements by up to 20%, and ensuring compliance with Wisconsin Medicaid and private insurers, Stars Pro empowers therapists to focus fully on patient recovery while we optimize their revenue cycle.
Podiatrists in Madison, WI face constant billing obstacles such as incorrect CPT coding for foot and ankle procedures, high claim denials on routine foot care (CPT 11719–11721), and delayed Medicare reimbursements. With over 120+ podiatrists practicing across Wisconsin, billing errors can lead to up to 15–20% revenue loss annually, but outsourcing ensures compliance, faster payments, and reduced denials.
Learn how outsourcing your podiatry billing to us ensures every claim is coded accurately and submitted on time for faster payment. Our specialists maximize CPT code reimbursement while handling denials, appeals, and follow-ups with payers. With our support, your team gains peace of mind and more time to focus on patient care instead of billing headaches.
Pediatricians in Madison often struggle with complex billing for vaccines, well-child visits, and developmental screenings, leading to claim denials and underpayments. With over 130 pediatricians practicing in Wisconsin and rising Medicaid-covered pediatric visits in Madison, errors can cost practices up to 19% of revenue. Our pediatric billing services ensure accurate coding, faster reimbursements, and compliance with Wisconsin Medicaid and commercial insurance rules, helping your practice maximize collections while focusing on children’s care.
Cardiologists in Madison face constant billing hurdles like denials on echocardiogram codes (93306–93351), stress tests, and cardiac cath procedures due to documentation gaps and modifier errors. With over 220 cardiologists practicing across Wisconsin and Madison’s rising Medicare cardiovascular claims, billing mistakes can cause up to 20% revenue leakage and delayed reimbursements, directly impacting clinic cash flow.
Our cardiology billing specialists know how to manage complex coding for electrophysiology studies, angioplasties, and chronic care management while ensuring compliance with Wisconsin Medicaid and private payer requirements.
Oncologists in Madison deal with some of the most complex billing challenges, including chemotherapy infusion coding, radiation therapy claims, and bundled procedure reimbursements. With over 90 oncology specialists practicing across Wisconsin and rising cancer treatment costs, billing mistakes can cause claim denials and a 15–22% drop in collections, limiting your clinic’s revenue.
We are providing Nephrology Medical Billing Services in Madison, Wisconsin (WI) designed to maximize reimbursements and reduce claim denials. With over 45 practicing nephrologists in Dane County and a growing demand due to rising CKD and dialysis cases, our billing experts ensure compliance, accuracy, and faster collections for nephrology practices.
Healthcare providers in Madison, Wisconsin (WI) outsource their medical billing to our experts because it reduces overhead costs, improves claim accuracy, and accelerates reimbursements. With the city’s healthcare market serving over 270,000 residents, outsourcing helps providers focus on patient care while we handle billing complexities.
Providers in Madison outsource billing to reduce administrative costs, lower claim denials, and comply with Wisconsin Medicaid and private payer regulations. With Dane County having over 5,000 active physicians, outsourcing ensures accuracy, faster reimbursements, and more time for patient care.
In Wisconsin, providers must follow HIPAA, Wis. Stat. § 146.82 (patient confidentiality), and Wis. Admin. Code DHS 106 (Medicaid billing rules). Failure to meet compliance can result in audits, denied claims, or penalties. Billing companies in Madison ensure providers remain fully compliant.
Primary Care in Madison averages $110–$125 per visit, while Orthopedic procedures like knee arthroscopy can exceed $2,500. Nephrologists receive higher reimbursements for dialysis services, often billed under CPT 90935/90937. Specialty billing expertise is critical for maximizing revenue.
Wisconsin Medicaid, run by ForwardHealth, has strict coding rules and prior authorization requirements. Common challenges include behavioral health billing, where telehealth codes must meet DHS 107 regulations. A billing partner ensures timely claims and prevents unnecessary denials.
Major hospitals like UW Health and SSM Health St. Mary’s serve thousands of patients daily. With high patient volumes, errors in coding or delayed submissions can cost millions annually. Outsourced billing reduces denials and improves cash flow in large hospital networks.
In Wisconsin, claim denial rates hover around 9–11%, often due to coding errors, incomplete documentation, or payer-specific requirements. Billing experts use denial management strategies to reduce rejections by 40–50%, saving providers significant revenue.
Behavioral health is expanding in Madison, with 1 in 5 adults reporting mental health needs. Medicare reimburses around $75–$90 per 45-minute psychotherapy session (CPT 90834), while Medicaid may reimburse less. Accurate coding ensures providers get paid fairly for services.
Since Wisconsin expanded telehealth under 2021 Act 9, reimbursement parity exists for many services. For example, telehealth for pediatrics or cardiology consults can be reimbursed at the same rate as in-person visits, if billed correctly with modifier 95. Billing services ensure compliance with these rules.
Nephrology practices rely heavily on dialysis billing. CPT 90935 (hemodialysis single evaluation) in Madison averages $260–$310 reimbursement, while peritoneal dialysis (90945/90947) can vary based on payer. Errors in coding dialysis frequency are a top denial reason, making expert billing crucial.
Madison has a diverse healthcare market: