Elevate your practice's financial performance with Medtransic's medical billing services in Colorado. From Denver's thriving medical corridor to mountain community clinics, we provide tailored billing solutions that address Health First Colorado Medicaid requirements and the state's competitive payer environment.
Medtransic delivers comprehensive medical billing and revenue cycle management services to healthcare providers throughout Colorado. Our team of certified medical coders and billing specialists understands the unique regulatory environment, payer mix, and healthcare challenges that Colorado practices face. Whether you operate a solo practice or a multi-location clinic, our customized billing solutions help maximize reimbursement, reduce claim denials, and accelerate collections so you can focus on delivering quality patient care.
Why Partner with Medtransic in Colorado
Healthcare providers across Colorado choose Medtransic for our proven track record of delivering measurable results in medical billing and revenue cycle management.
98% First-Pass Acceptance Rate — Clean claims submitted within 24-48 hours, reducing rejections and accelerating payments
25% Average Revenue Increase — Our clients see significant revenue growth within 90 days of onboarding
45% Denial Rate Reduction — Proactive denial prevention with root cause analysis and targeted appeals
HIPAA-Compliant Operations — SOC 2 certified, fully HIPAA compliant with encrypted data handling
Dedicated Account Manager — A single point of contact who knows your practice, specialty, and payer mix
No Long-Term Contracts — Month-to-month flexibility with transparent pricing and no hidden fees
Why Colorado Practices Choose Medtransic
Healthcare providers across Colorado partner with Medtransic because of our proven track record of improving practice revenue and reducing administrative burden.
Health First Colorado Expertise
Navigate Colorado's Medicaid program with specialists experienced in Regional Accountable Entity billing.
Altitude Medicine Billing
Specialized coding and billing support for altitude-related and sports medicine practices across Colorado.
Integrated Health Support
Billing solutions for Colorado's integrated behavioral health and primary care models.
Technology-Forward Solutions
Advanced billing analytics and reporting aligned with Colorado's tech-savvy healthcare community.
See How Much Revenue Your Colorado Practice Is Leaving on the Table
Get a free, no-obligation practice assessment. We'll analyze your claims, denials, and A/R to show you exactly where you're losing money.
Colorado enacted comprehensive surprise billing protections in 2020 (HB 19-1174). The law limits patient cost-sharing for out-of-network emergency services and establishes a binding arbitration process for payment disputes. Balance billing is prohibited for covered emergency services.
Statute of Limitations: 6 years for medical debt collections in Colorado.
Timely Filing: Claims must generally be filed within 365 days, though individual payer contracts may impose shorter deadlines.
Surprise Billing Protection: Colorado has enacted surprise billing protections for patients.
HB 19-1174 surprise billing protections
Binding arbitration for out-of-network disputes
Balance billing prohibited for emergency services
Medical Billing Services We Offer in Colorado
Our full suite of revenue cycle management services is available to healthcare practices across Colorado. Each service is tailored to meet the specific needs of your practice and specialty.
Denial Management - Proactive denial prevention and aggressive appeals to recover lost revenue for Colorado practices
Medical Coding - Certified ICD-10, CPT, and HCPCS coding by specialists familiar with Colorado payer requirements
Accounts Receivable Management - Systematic follow-up on outstanding claims to reduce days in AR and improve collections
Provider Credentialing - Complete payer enrollment and credentialing for Colorado insurance networks
Compliance Auditing - Regular audits to ensure your practice meets Colorado and federal billing compliance standards
Patient Billing - Clear, professional patient statements and payment processing
Telehealth Billing - Virtual visit reimbursement following Colorado telehealth regulations
Medtransic provides specialty-specific billing expertise for healthcare practices across Colorado. Our coders are trained in the unique coding and billing requirements of each medical specialty.
Medtransic serves healthcare providers across every part of Colorado with localized billing expertise.
Denver Metro & Front Range
The Denver metro area is Colorado's healthcare hub, anchored by UCHealth, SCL Health (now Intermountain Health), Denver Health, and HCA HealthONE. A young, active, and well-insured population driven by the state's tech, aerospace, and outdoor recreation industries supports strong commercial payer revenue and a growing demand for sports medicine and orthopedic services.
Anthem BCBS, Kaiser Permanente Colorado, and Cigna compete aggressively in the Front Range commercial market, creating favorable contract opportunities for well-positioned practices.
Key specialties in demand: Orthopedics, sports medicine, primary care, dermatology, psychiatry
Colorado Springs & Southern Colorado
Colorado Springs is home to a significant military population centered around Fort Carson, Peterson Space Force Base, and the U.S. Air Force Academy. UCHealth Memorial Hospital and Centura Health (now CommonSpirit) serve both military families and a growing civilian population in the Pikes Peak region.
TRICARE billing from the heavy military presence combines with a rapidly growing retiree population to create a diverse payer mix requiring military insurance and Medicare expertise.
Key specialties in demand: Family medicine, military medicine, orthopedics, behavioral health, cardiology
Mountain Communities & Western Slope
Colorado's mountain communities and Western Slope are served by Vail Health, Valley View Hospital in Glenwood Springs, and St. Mary's Medical Center in Grand Junction. These resort and rural communities face extreme seasonal population swings and a high rate of sports injuries, creating unique billing patterns with significant out-of-state insurance claims.
Tourism-driven healthcare demand means practices must handle a high volume of out-of-state insurance plans and emergency/urgent care billing during ski and summer recreation seasons.
Key specialties in demand: Orthopedics, emergency medicine, sports medicine, family medicine, urgent care
Our Track Record in Colorado
Medtransic has a strong track record of delivering results for healthcare practices in Colorado.
175++ practices served across Colorado
50++ billing specialists dedicated to Colorado accounts
14++ years of experience in Colorado medical billing
98% first-pass claim acceptance rate
25% average revenue increase for Colorado practices
45% average denial rate reduction
Frequently Asked Questions About Medical Billing in Colorado
How does Health First Colorado (Medicaid) managed care billing work?
Health First Colorado is Colorado's Medicaid program, operating through Regional Accountable Entities (RAEs) that coordinate physical and behavioral health care. MCOs including Rocky Mountain Health Plans, Colorado Access, and Northeast Health Partners manage different regions. Medtransic maintains expertise in each RAE's billing requirements and authorization processes to ensure maximum reimbursement for our Colorado providers.
What is Colorado's surprise billing law (HB 20-1285) and how does it work?
Colorado HB 20-1285 protects patients from surprise out-of-network bills for emergency services and non-emergency services at in-network facilities. The law caps patient responsibility and establishes an arbitration process for payment disputes. Medtransic applies HB 20-1285 rules to all applicable Colorado claims and navigates the arbitration process to secure fair reimbursement for our providers.
How does Colorado's Option (public option) affect healthcare billing?
Colorado enacted the Colorado Option (HB 21-1232), creating a standardized health insurance plan available on the state exchange with specific premium and reimbursement targets. The law requires participating hospitals and insurers to offer the Colorado Option with rates initially benchmarked to Medicare plus a percentage. Medtransic helps Colorado practices understand and bill Colorado Option plans as they become a growing segment of the payer mix.
How does out-of-state insurance billing work for Colorado mountain resort practices?
Colorado's ski resorts and mountain recreation areas generate high volumes of out-of-state patient encounters, particularly for orthopedic injuries and emergency services. Practices must be enrolled with hundreds of out-of-state payers and navigate varying fee schedules and authorization requirements. Medtransic manages multi-state payer enrollment and billing for mountain community practices to ensure seamless reimbursement regardless of patient origin.
What are the timely filing deadlines for Colorado insurance claims?
Colorado commercial payer timely filing deadlines typically range from 90 to 365 days depending on the payer contract. Medicare requires filing within 12 months, and Health First Colorado MCOs generally require submission within 120 days of the date of service. Medtransic submits clean claims within 24-48 hours to ensure no revenue is lost to missed filing windows in Colorado.
How much do medical billing services cost in Colorado?
Medical billing outsourcing for Colorado practices typically ranges from 4-8% of monthly collections, depending on practice size, specialty, and claim volume. Medtransic offers transparent, competitive pricing with no hidden fees. Most Colorado practices see a net revenue increase after partnering with us because of reduced denials and faster collections. View our pricing plans for details.
How do I get started with Medtransic in Colorado?
Getting started is simple. Contact us for a free practice assessment where we analyze your current billing processes and identify improvement opportunities. Our onboarding typically takes 2-4 weeks, during which we integrate with your existing EHR system and begin processing claims with zero disruption to your practice.
Get Started with Medical Billing Services in Colorado
Ready to optimize your Colorado practice's revenue cycle? Contact Medtransic today for a free, no-obligation practice assessment. Call us at 888-777-0860 or submit a contact form to speak with a billing specialist who understands Colorado healthcare. Let us handle the billing complexities so you can focus on what matters most — your patients.