Medtransic powers Tennessee's healthcare providers with expert medical billing services. As a major healthcare industry hub with HCA Healthcare headquartered in Nashville, Tennessee practices across Memphis, Knoxville, and Chattanooga benefit from our TennCare Medicaid expertise and deep understanding of the state's managed care landscape.
Medtransic delivers comprehensive medical billing and revenue cycle management services to healthcare providers throughout Tennessee. Our team of certified medical coders and billing specialists understands the unique regulatory environment, payer mix, and healthcare challenges that Tennessee 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 Tennessee
Healthcare providers across Tennessee 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 Tennessee Practices Choose Medtransic
Healthcare providers across Tennessee partner with Medtransic because of our proven track record of improving practice revenue and reducing administrative burden.
TennCare Medicaid Billing
Expert billing for TennCare managed care organizations including BlueCare, Amerigroup, and UnitedHealthcare Community Plan.
Nashville Healthcare Hub
Deep knowledge of Nashville's healthcare industry ecosystem and its unique provider-payer dynamics.
Multi-State System Support
Billing solutions for Tennessee-based health systems operating across multiple southeastern states.
Music City Workers' Comp
Specialized workers' compensation billing for Tennessee's entertainment, manufacturing, and logistics industries.
See How Much Revenue Your Tennessee 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.
Tennessee has a 6-year statute of limitations for medical debt. The state relies on federal protections for surprise billing. Tennessee operates the TennCare Medicaid managed care program with specific billing requirements.
Statute of Limitations: 6 years for medical debt collections in Tennessee.
Timely Filing: Claims must generally be filed within 365 days, though individual payer contracts may impose shorter deadlines.
6-year statute of limitations
Federal No Surprises Act applies
TennCare billing requirements
Medical Billing Services We Offer in Tennessee
Our full suite of revenue cycle management services is available to healthcare practices across Tennessee. 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 Tennessee practices
Medical Coding - Certified ICD-10, CPT, and HCPCS coding by specialists familiar with Tennessee 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 Tennessee insurance networks
Compliance Auditing - Regular audits to ensure your practice meets Tennessee and federal billing compliance standards
Patient Billing - Clear, professional patient statements and payment processing
Telehealth Billing - Virtual visit reimbursement following Tennessee telehealth regulations
Medtransic provides specialty-specific billing expertise for healthcare practices across Tennessee. Our coders are trained in the unique coding and billing requirements of each medical specialty.
Medtransic serves healthcare providers across every part of Tennessee with localized billing expertise.
Nashville & Middle Tennessee
Nashville is the healthcare capital of the United States, home to the headquarters of HCA Healthcare, Community Health Systems, Ardent Health Services, and dozens of other healthcare companies. Vanderbilt University Medical Center and Ascension Saint Thomas anchor the provider landscape in a market that is simultaneously a provider hub and a payer/management company epicenter.
The concentration of healthcare industry headquarters creates a sophisticated, well-insured population with deep knowledge of healthcare operations and expectations for efficient billing and collections.
Key specialties in demand: Cardiology, oncology, orthopedics, gastroenterology, neurology
Memphis & West Tennessee
Memphis is home to St. Jude Children's Research Hospital, Methodist Le Bonheur Healthcare, and Baptist Memorial Health Care, serving a diverse population that spans the tri-state area of Tennessee, Mississippi, and Arkansas. High Medicaid enrollment and significant uninsured rates create challenging collections dynamics for practices in the region.
Cross-state billing with Mississippi and Arkansas adds complexity, as practices frequently treat patients covered by neighboring states' Medicaid programs.
Key specialties in demand: Pediatrics, family medicine, oncology, behavioral health, cardiology
Knoxville & East Tennessee
East Tennessee's healthcare market is anchored by the University of Tennessee Medical Center, Covenant Health, and Tennova Healthcare. The region serves a mix of urban and rural Appalachian populations with distinct health disparities and insurance coverage challenges, including higher rates of uninsured residents compared to Nashville and Memphis.
The Appalachian region's health challenges and provider shortages create demand for rural health clinic billing expertise and telehealth reimbursement optimization.
Key specialties in demand: Primary care, pulmonology, orthopedics, behavioral health, rural health
Our Track Record in Tennessee
Medtransic has a strong track record of delivering results for healthcare practices in Tennessee.
210++ practices served across Tennessee
58++ billing specialists dedicated to Tennessee accounts
16++ years of experience in Tennessee medical billing
98% first-pass claim acceptance rate
25% average revenue increase for Tennessee practices
45% average denial rate reduction
Frequently Asked Questions About Medical Billing in Tennessee
How does TennCare (Medicaid) managed care billing work in Tennessee?
TennCare is Tennessee's Medicaid managed care program, operating through managed care organizations including BlueCare Tennessee (BCBST), Amerigroup, and UnitedHealthcare Community Plan. Each MCO has specific authorization requirements, provider enrollment processes, and fee schedules. Medtransic maintains TennCare-specialized billing staff who manage each MCO's unique requirements to ensure maximum reimbursement for our Tennessee providers.
What does Tennessee's surprise billing law (SB 1869) require?
Tennessee SB 1869 protects patients from surprise out-of-network bills for emergency services and establishes a dispute resolution process for payment disagreements between providers and insurers. The law limits patient liability to in-network cost-sharing amounts for covered surprise billing scenarios. Medtransic ensures all applicable Tennessee claims comply with SB 1869 and navigates the dispute resolution process for our providers.
How does Nashville's healthcare industry concentration affect billing for practices?
Nashville's position as the healthcare capital creates a uniquely competitive market where major health system headquarters, private equity-backed groups, and physician management companies set aggressive benchmarks for billing performance. Independent practices must operate at peak efficiency to compete. Medtransic helps Nashville-area practices match the billing sophistication of large corporate healthcare operations while maintaining personalized service.
What are Tennessee's prompt pay requirements for insurance claims?
Tennessee law requires insurers to pay or deny clean electronic claims within 21 days, one of the shortest windows in the country. Paper claims must be processed within 30 days. Insurers that miss these deadlines owe interest on the unpaid amount. Medtransic monitors all Tennessee claim payment timelines and aggressively pursues prompt pay compliance from payers.
What are the timely filing deadlines for Tennessee insurance claims?
Tennessee commercial payer timely filing deadlines vary from 90 to 365 days by contract. Medicare requires filing within 12 months, and TennCare MCOs generally require submission within 180 days of the date of service. Medtransic submits clean claims within 24-48 hours to ensure no revenue is lost to missed filing deadlines in Tennessee.
How much do medical billing services cost in Tennessee?
Medical billing outsourcing for Tennessee 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 Tennessee 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 Tennessee?
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 Tennessee
Ready to optimize your Tennessee 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 Tennessee healthcare. Let us handle the billing complexities so you can focus on what matters most — your patients.