Medtransic delivers innovative medical billing services to Oregon's forward-thinking healthcare community. With Coordinated Care Organizations managing Oregon Health Plan Medicaid and the state's emphasis on value-based payment, Portland and statewide practices need billing partners who align with Oregon's healthcare transformation goals.
Medtransic delivers comprehensive medical billing and revenue cycle management services to healthcare providers throughout Oregon. Our team of certified medical coders and billing specialists understands the unique regulatory environment, payer mix, and healthcare challenges that Oregon 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 Oregon
Healthcare providers across Oregon 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 Oregon Practices Choose Medtransic
Healthcare providers across Oregon partner with Medtransic because of our proven track record of improving practice revenue and reducing administrative burden.
Oregon Health Plan Billing
Expert billing for Oregon Health Plan through all 16 Coordinated Care Organizations across the state.
Value-Based Payment
Billing infrastructure supporting Oregon's transition to value-based payment models and alternative payment methodologies.
Behavioral Health Integration
Specialized billing for Oregon's integrated behavioral health and physical health care delivery models.
Balance Billing Compliance
Ensure compliance with Oregon's surprise billing protections and balance billing regulations.
See How Much Revenue Your Oregon 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.
Oregon has surprise billing protections (HB 2089) that prohibit balance billing for emergency services and limit patient liability for out-of-network services at in-network facilities. The state also requires price transparency.
Statute of Limitations: 6 years for medical debt collections in Oregon.
Timely Filing: Claims must generally be filed within 365 days, though individual payer contracts may impose shorter deadlines.
Surprise Billing Protection: Oregon has enacted surprise billing protections for patients.
HB 2089 surprise billing protections
Balance billing prohibited for emergencies
Price transparency requirements
Medical Billing Services We Offer in Oregon
Our full suite of revenue cycle management services is available to healthcare practices across Oregon. 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 Oregon practices
Medical Coding - Certified ICD-10, CPT, and HCPCS coding by specialists familiar with Oregon 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 Oregon insurance networks
Compliance Auditing - Regular audits to ensure your practice meets Oregon and federal billing compliance standards
Patient Billing - Clear, professional patient statements and payment processing
Telehealth Billing - Virtual visit reimbursement following Oregon telehealth regulations
Medtransic provides specialty-specific billing expertise for healthcare practices across Oregon. Our coders are trained in the unique coding and billing requirements of each medical specialty.
Medtransic serves healthcare providers across every part of Oregon with localized billing expertise.
Portland Metro & Willamette Valley
Portland's healthcare market is anchored by OHSU (Oregon Health & Science University), Providence Health, Legacy Health, and Kaiser Permanente Northwest. Oregon's innovative Coordinated Care Organization (CCO) model for Medicaid delivery shapes the entire healthcare billing landscape, emphasizing value-based payment and integrated care coordination.
Providence and Kaiser Permanente's strong integrated delivery systems compete with independent practices, creating a market where efficient revenue cycle management is essential for practice survival.
Key specialties in demand: Primary care, psychiatry, oncology, dermatology, neurology
Southern & Central Oregon: Medford, Bend & Eugene
Southern and Central Oregon's healthcare markets are served by Asante Health System in Medford, PeaceHealth in Eugene, and St. Charles Health System in Bend. These communities serve a mix of retirees, outdoor recreation workers, and rural populations with significant healthcare access challenges and provider shortages.
Oregon's CCO model extends statewide, and rural CCOs often have different covered benefits, authorization requirements, and quality metrics than their urban counterparts.
Key specialties in demand: Family medicine, orthopedics, urgent care, rural health, behavioral health
Our Track Record in Oregon
Medtransic has a strong track record of delivering results for healthcare practices in Oregon.
135++ practices served across Oregon
42++ billing specialists dedicated to Oregon accounts
14++ years of experience in Oregon medical billing
98% first-pass claim acceptance rate
25% average revenue increase for Oregon practices
45% average denial rate reduction
Frequently Asked Questions About Medical Billing in Oregon
How does Oregon Health Plan (OHP) and the CCO model affect medical billing?
The Oregon Health Plan is the state's Medicaid program, delivered through Coordinated Care Organizations (CCOs) including CareOregon, AllCare Health, PacificSource Community Solutions, Trillium Community Health Plan, and Umpqua Health Alliance. Each CCO operates as a local managed care entity with distinct covered services, authorization requirements, and reimbursement structures. Medtransic maintains expertise in each Oregon CCO's billing requirements to ensure maximum reimbursement for our providers.
What is Oregon's surprise billing law (HB 2527) and how does it work?
Oregon HB 2527 protects patients from surprise out-of-network bills for emergency services and certain non-emergency services at in-network facilities. The law establishes a dispute resolution process for payment disagreements between providers and insurers. Medtransic applies HB 2527 rules to all applicable Oregon claims and navigates the dispute resolution process to secure fair reimbursement for our providers.
How does Oregon's Prioritized List of Health Services affect billing and coverage?
Oregon is the only state that uses a Prioritized List of Health Services to determine Medicaid coverage, ranking condition-treatment pairs by effectiveness and cost. Services above the funding line are covered; those below are not. Medtransic helps Oregon practices understand which services are covered under the Prioritized List and ensures proper coding to align with OHP coverage determinations.
What are Oregon's prompt pay requirements for insurance claims?
Oregon law requires insurers to pay or deny clean claims within 30 days of receipt for electronic submissions and 45 days for paper claims. Insurers that miss these deadlines owe interest on unpaid amounts. Medtransic monitors all Oregon claim payment timelines and files complaints with the Oregon Division of Financial Regulation when payers are non-compliant.
What are the timely filing deadlines for Oregon insurance claims?
Oregon commercial payer timely filing deadlines vary from 90 to 365 days depending on the payer contract. Medicare requires filing within 12 months, and OHP CCOs generally require submission within 120 to 365 days depending on the specific CCO. Medtransic submits clean claims within 24-48 hours to ensure no revenue is lost to missed filing windows for our Oregon providers.
How much do medical billing services cost in Oregon?
Medical billing outsourcing for Oregon 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 Oregon 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 Oregon?
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 Oregon
Ready to optimize your Oregon 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 Oregon healthcare. Let us handle the billing complexities so you can focus on what matters most — your patients.