Medical Billing Services in Mississippi
Mississippi runs Medicaid on two tracks at once: a managed care program for many beneficiaries and fee-for-service for the rest, and the managed care roster changed recently. A practice that bills only one track, or works from an outdated plan list, will watch a share of its claims deny for reasons that have nothing to do with the care provided.
MedPlus RCM provides medical billing, coding, credentialing, and denial management for Mississippi practices of every specialty, built around the state’s actual payers and programs.
Mississippi’s payer landscape
Mississippi Medicaid runs through MississippiCAN (the Mississippi Coordinated Access Network), delivered by three coordinated care organizations since July 1, 2025: Magnolia Health, Molina Healthcare, and TrueCare (Mississippi True). TrueCare replaced UnitedHealthcare Community Plan on that date, so older guides that still list UnitedHealthcare among the MississippiCAN plans are out of date. At the same time, a large share of Mississippi Medicaid beneficiaries remain in fee-for-service rather than managed care, so a practice has to handle both tracks: verifying whether the member sits in a coordinated care plan or in fee-for-service before the claim is built.
Commercial coverage is led by Blue Cross and Blue Shield of Mississippi. Mississippi has not expanded Medicaid, which leaves a larger self-pay population than in expansion states, and that revenue needs its own billing discipline rather than being written off by default.
What MedPlus RCM handles for Mississippi practices
- End-to-end medical billing. Charge entry, claim scrubbing, submission, payment posting, and patient billing, the full cycle.
- Medical coding. Certified coders assign current ICD-10, CPT, and HCPCS codes matched to your documentation and specialty.
- Provider credentialing and enrollment. End-to-end enrollment with MississippiCAN plans, commercial payers, and Medicare, plus re-credentialing maintenance.
- Denial management and recovery. Every denial investigated to root cause, corrected, and appealed with documentation.
- A/R recovery. Aged and outstanding balances audited and pursued, including balances already written off where the appeal window is still open.
- Financial reporting. Clean claim rates, collections, denial patterns, and A/R aging visible by payer and provider.
We serve practices statewide, Jackson, Gulfport, Southaven, Hattiesburg, Biloxi, and Meridian, across specialties including primary care, mental and behavioral health, cardiology, orthopedics, dermatology, and physical therapy.
Results Mississippi practices can check
MedPlus RCM maintains a 99% clean claim rate and keeps client accounts receivable under 30 days. Pricing is a performance-based percentage of successfully collected revenue: if you don’t get paid, we don’t get paid. We are 100% HIPAA compliant, and onboarding takes 2 to 4 weeks depending on practice size, with no disruption to your daily cash flow.
Frequently asked questions
Is UnitedHealthcare still a MississippiCAN plan?
No. TrueCare replaced UnitedHealthcare Community Plan in MississippiCAN effective July 1, 2025. The current plans are Magnolia Health, Molina Healthcare, and TrueCare.
Do you handle both managed care and fee-for-service Medicaid?
Yes. A large share of Mississippi Medicaid beneficiaries remain in fee-for-service, so we verify each member’s track before building the claim.
How long does it take to switch our billing to MedPlus RCM?
Onboarding takes between 2 and 4 weeks depending on practice size, including data migration and payer clearinghouse setup.
What does MedPlus RCM charge?
A performance-based percentage of successfully collected revenue. If you don’t get paid, we don’t get paid.
Get a free financial audit
Find out where your Mississippi practice is losing revenue. Request a free financial audit and our specialists will review your claims, denials, and A/R.
