Medtransic delivers reliable medical billing services to Wisconsin's healthcare community. With major systems like Advocate Aurora Health, Marshfield Clinic, and UW Health serving the state, and BadgerCare Plus providing Medicaid coverage, Wisconsin practices in Milwaukee, Madison, and Green Bay need billing partners who understand the local healthcare ecosystem.
Medtransic delivers comprehensive medical billing and revenue cycle management services to healthcare providers throughout Wisconsin. Our team of certified medical coders and billing specialists understands the unique regulatory environment, payer mix, and healthcare challenges that Wisconsin 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 Wisconsin
Healthcare providers across Wisconsin 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 Wisconsin Practices Choose Medtransic
Healthcare providers across Wisconsin partner with Medtransic because of our proven track record of improving practice revenue and reducing administrative burden.
BadgerCare Plus Billing
Expert billing for Wisconsin's BadgerCare Plus Medicaid managed care through all participating health maintenance organizations.
Health System Alignment
Billing processes compatible with Advocate Aurora, Marshfield Clinic, and UW Health system requirements.
Dairy & Agricultural Health
Specialized billing for occupational and agricultural health services in Wisconsin's farming communities.
Accurate Coding
Precision medical coding that ensures maximum appropriate reimbursement for Wisconsin providers across all specialties.
See How Much Revenue Your Wisconsin 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.
Wisconsin has surprise billing protections that limit patient liability for out-of-network emergency services. The state maintains balance billing restrictions and consumer protection standards through the Office of the Commissioner of Insurance.
Statute of Limitations: 6 years for medical debt collections in Wisconsin.
Timely Filing: Claims must generally be filed within 365 days, though individual payer contracts may impose shorter deadlines.
Surprise Billing Protection: Wisconsin has enacted surprise billing protections for patients.
Surprise billing protections
Balance billing restrictions
OCI oversight
Consumer protection standards
Medical Billing Services We Offer in Wisconsin
Our full suite of revenue cycle management services is available to healthcare practices across Wisconsin. 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 Wisconsin practices
Medical Coding - Certified ICD-10, CPT, and HCPCS coding by specialists familiar with Wisconsin 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 Wisconsin insurance networks
Compliance Auditing - Regular audits to ensure your practice meets Wisconsin and federal billing compliance standards
Patient Billing - Clear, professional patient statements and payment processing
Telehealth Billing - Virtual visit reimbursement following Wisconsin telehealth regulations
Medtransic provides specialty-specific billing expertise for healthcare practices across Wisconsin. Our coders are trained in the unique coding and billing requirements of each medical specialty.
Medtransic serves healthcare providers across every part of Wisconsin with localized billing expertise.
Milwaukee Metro & Southeast Wisconsin
Milwaukee is Wisconsin's largest healthcare market, anchored by Froedtert & Medical College of Wisconsin, Aurora Health Care (now Advocate Aurora Health), Ascension Wisconsin, and Children's Wisconsin. A strong manufacturing and brewing industry heritage drives employer-sponsored coverage, while BadgerCare Plus Medicaid serves a significant urban population.
The concentration of competing health systems in a mid-sized market creates competitive payer contracting dynamics that benefit practices positioned between multiple system referral networks.
Key specialties in demand: Cardiology, orthopedics, oncology, pediatrics, gastroenterology
Madison & South-Central Wisconsin
Madison's healthcare market is dominated by UW Health (University of Wisconsin), with SSM Health and UnityPoint Health serving supplementary roles. The state capital's university-driven economy generates a young, well-insured population, while the surrounding rural counties rely on critical access hospitals and telehealth for specialty care.
UW Health's dual role as a premier academic medical center and the dominant local provider creates unique referral and billing dynamics for independent practices in the Madison area.
Key specialties in demand: Primary care, psychiatry, family medicine, dermatology, oncology
Our Track Record in Wisconsin
Medtransic has a strong track record of delivering results for healthcare practices in Wisconsin.
155++ practices served across Wisconsin
45++ billing specialists dedicated to Wisconsin accounts
15++ years of experience in Wisconsin medical billing
98% first-pass claim acceptance rate
25% average revenue increase for Wisconsin practices
45% average denial rate reduction
Frequently Asked Questions About Medical Billing in Wisconsin
How does BadgerCare Plus (Wisconsin Medicaid) managed care billing work?
BadgerCare Plus is Wisconsin's Medicaid managed care program, operating through HMOs including Quartz, Group Health Cooperative of South Central Wisconsin, Molina Healthcare, Anthem Blue Cross Blue Shield, and UnitedHealthcare Community Plan. Each HMO has distinct authorization requirements and claims submission procedures. Medtransic maintains BadgerCare Plus-specialized billing staff who manage the complexities of each HMO for our Wisconsin providers.
What is Wisconsin's balance billing law and how does it affect practices?
Wisconsin's balance billing protections under Act 56 limit surprise out-of-network billing for emergency services and establish a process for resolving payment disputes between providers and insurers. The law protects patients from unexpected financial liability while preserving provider rights to fair reimbursement. Medtransic applies Wisconsin's balance billing rules to all applicable claims and navigates the dispute resolution process for our providers.
How does the competitive health system market in Wisconsin affect billing?
Wisconsin's healthcare market features intense competition between Advocate Aurora Health, Froedtert/MCW, Ascension, Marshfield Clinic Health System, and UW Health, each with their own affiliated health plans and referral networks. This competition creates overlapping networks and complex credentialing requirements. Medtransic helps Wisconsin practices maintain optimal network participation across competing systems to maximize patient access and reimbursement.
What are Wisconsin's prompt pay requirements for insurance claims?
Wisconsin law requires insurers to pay or deny clean claims within 30 days of receipt for electronic submissions. Insurers that fail to meet this deadline must pay interest at 12% per year on the unpaid amount. Medtransic tracks all Wisconsin claim payment timelines and files complaints with the Office of the Commissioner of Insurance when payers are non-compliant.
What are the timely filing deadlines for Wisconsin insurance claims?
Wisconsin commercial payer timely filing deadlines vary from 90 to 365 days by contract. Medicare requires filing within 12 months, and BadgerCare Plus HMOs generally require submission within 90 to 180 days of the date of service. Medtransic submits clean claims within 24-48 hours to ensure no Wisconsin revenue is lost to missed filing deadlines.
How much do medical billing services cost in Wisconsin?
Medical billing outsourcing for Wisconsin 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 Wisconsin 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 Wisconsin?
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 Wisconsin
Ready to optimize your Wisconsin 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 Wisconsin healthcare. Let us handle the billing complexities so you can focus on what matters most — your patients.