Medtransic provides dedicated medical billing services to South Carolina's healthcare providers. With Charleston's growing medical community, MUSC's academic influence, and Healthy Connections Medicaid serving the state's covered population, South Carolina practices need billing partners who drive results in this evolving market.
Medtransic delivers comprehensive medical billing and revenue cycle management services to healthcare providers throughout South Carolina. Our team of certified medical coders and billing specialists understands the unique regulatory environment, payer mix, and healthcare challenges that South Carolina 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 South Carolina
Healthcare providers across South Carolina 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 South Carolina Practices Choose Medtransic
Healthcare providers across South Carolina partner with Medtransic because of our proven track record of improving practice revenue and reducing administrative burden.
Healthy Connections Medicaid
Expert billing for South Carolina's Healthy Connections Medicaid managed care plans including Select Health and First Choice.
Charleston Medical Growth
Billing support for Charleston's rapidly growing healthcare sector and its expanding specialty practice landscape.
Military Health Billing
Specialized TRICARE billing for providers near South Carolina's major military installations including Fort Jackson and Joint Base Charleston.
Revenue Cycle Analytics
Data-driven insights that identify revenue opportunities and optimize billing performance for South Carolina practices.
See How Much Revenue Your South Carolina 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.
South Carolina has a 3-year statute of limitations for medical debt. The state does not have comprehensive surprise billing legislation and relies on federal protections under the No Surprises Act.
Statute of Limitations: 3 years for medical debt collections in South Carolina.
Timely Filing: Claims must generally be filed within 365 days, though individual payer contracts may impose shorter deadlines.
3-year statute of limitations
Federal No Surprises Act applies
General insurance regulations
Medical Billing Services We Offer in South Carolina
Our full suite of revenue cycle management services is available to healthcare practices across South Carolina. 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 South Carolina practices
Medical Coding - Certified ICD-10, CPT, and HCPCS coding by specialists familiar with South Carolina 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 South Carolina insurance networks
Compliance Auditing - Regular audits to ensure your practice meets South Carolina and federal billing compliance standards
Patient Billing - Clear, professional patient statements and payment processing
Telehealth Billing - Virtual visit reimbursement following South Carolina telehealth regulations
Medtransic provides specialty-specific billing expertise for healthcare practices across South Carolina. Our coders are trained in the unique coding and billing requirements of each medical specialty.
Medtransic serves healthcare providers across every part of South Carolina with localized billing expertise.
Charleston & Lowcountry
Charleston's healthcare market is anchored by the Medical University of South Carolina (MUSC), Roper St. Francis Healthcare, and Trident Health System (HCA). The region's growing retirement and tourism economy attracts an influx of Medicare and Medicare Advantage patients, while a significant military presence from Joint Base Charleston adds TRICARE billing volume.
MUSC's academic medical center draws patients from across the state for complex specialty care, creating referral billing opportunities for surrounding practices.
Key specialties in demand: Cardiology, oncology, orthopedics, dermatology, family medicine
Columbia & Midlands
Columbia is South Carolina's capital and home to Prisma Health (the state's largest health system), Lexington Medical Center, and Providence Health. The state government workforce, University of South Carolina community, and Fort Jackson military installation create a diverse payer mix of FEHB, TRICARE, commercial, and Medicaid plans.
Prisma Health's dominant regional presence influences payer contract rates and referral patterns for independent practices throughout the Midlands.
Key specialties in demand: Primary care, OB/GYN, behavioral health, orthopedics, internal medicine
Upstate: Greenville & Spartanburg
The Upstate region is served by Prisma Health (Greenville campus) and Spartanburg Medical Center, anchoring a growing healthcare market fueled by BMW, Michelin, and other international manufacturing employers. Strong employer-sponsored commercial coverage and a growing population from out-of-state migration drive increasing healthcare demand.
The Upstate's proximity to North Carolina's Charlotte metro creates some cross-border patient and payer dynamics that practices must navigate.
Key specialties in demand: Orthopedics, family medicine, cardiology, general surgery, pediatrics
Our Track Record in South Carolina
Medtransic has a strong track record of delivering results for healthcare practices in South Carolina.
125++ practices served across South Carolina
38++ billing specialists dedicated to South Carolina accounts
14++ years of experience in South Carolina medical billing
98% first-pass claim acceptance rate
25% average revenue increase for South Carolina practices
45% average denial rate reduction
Frequently Asked Questions About Medical Billing in South Carolina
How does South Carolina Medicaid (Healthy Connections) managed care billing work?
South Carolina's Healthy Connections Medicaid program operates through managed care organizations including Select Health of South Carolina (AmeriHealth Caritas), Absolute Total Care (Centene), Molina Healthcare, and Healthy Blue (BCBSSC). Each MCO has distinct authorization requirements and claims processes. Medtransic maintains expertise in each SC Medicaid MCO to ensure accurate claims submission and maximum reimbursement for our providers.
What is South Carolina's surprise billing law (Act 141) and how does it work?
South Carolina Act 141 protects patients from surprise out-of-network billing for emergency services and establishes a dispute resolution process for payment disagreements between providers and insurers. The law caps patient liability at in-network cost-sharing levels. Medtransic applies Act 141 rules to all applicable South Carolina claims and navigates the dispute resolution process to secure fair reimbursement for our providers.
How does BlueCross BlueShield of South Carolina's market position affect billing?
BCBSSC holds the dominant commercial insurance market share in South Carolina and also administers the state's Medicare operations. BCBSSC's plan products, authorization requirements, and claims submission procedures are critical knowledge for every SC practice. Medtransic maintains BCBSSC-specialized billing staff who understand every aspect of BCBSSC claims processing and appeals to maximize reimbursement.
What are South Carolina's prompt pay requirements for insurance claims?
South Carolina 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 the unpaid amount. Medtransic monitors all South Carolina claim payment timelines and files complaints with the SC Department of Insurance when payers are non-compliant.
What are the timely filing deadlines for South Carolina insurance claims?
South Carolina commercial payer timely filing deadlines vary from 90 to 365 days by contract, with BCBSSC typically requiring 180 days for participating providers. Medicare requires filing within 12 months, and Healthy Connections MCOs generally require submission within 180 days. Medtransic submits clean claims within 24-48 hours to protect our South Carolina clients from filing deadline revenue loss.
How much do medical billing services cost in South Carolina?
Medical billing outsourcing for South Carolina 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 South Carolina 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 South Carolina?
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 South Carolina
Ready to optimize your South Carolina 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 South Carolina healthcare. Let us handle the billing complexities so you can focus on what matters most — your patients.