Statewide Healthcare RCM Coverage • 974 Cities & Towns
Medical Billing & RCM Services in Indiana
Delivering tailored medical coding, billing, and credentialing services across Indiana. Serving healthcare providers, clinics, and hospital groups with an exceptional 98% clean claim rate.
Statewide Regulatory & MAC Compliance Hub
Indiana Medicare MAC Jurisdiction & Payer Regulations (J-8)
Comprehensive Part A/B Medicare contractor policies, LCD standards, and state Medicaid filing rules for Indiana medical practices.
98.2% First-Pass Clean Claim Rate
Medicare Administrative Contractor (MAC)
J-8
Jurisdiction 8 (J-8)
Contractor:
Wisconsin Physicians Service (WPS GHA) (HQ: Madison, WI)
State Medicaid & Public Health Agency
IN
Indiana Health Coverage Programs (IHCP / CoreMMIS)
Governing Agency:
Indiana Family and Social Services Administration (FSSA / OMPP)
Medicaid Timely Filing:
365 days from Date of Service / 90 days from Medicare RA
Medicare Timely Filing Window
12 months (365 days) from Date of Service
First-Level Appeals (Redetermination)
120 calendar days from Remittance Advice (Redetermination)
First-Pass Clean Claim Target
98.2% Scrubber Rate
Active Local Coverage Determinations (LCDs) in Indiana (J-8):
4 Active LCDs
L34739
Peripheral Vascular Interventions
L34697
Cosmetic and Reconstructive Services
L34711
Implantable Cardiac Pacemakers & Defibrillators
L34723
Spinal Cord Stimulation for Chronic Intractable Pain
Regional Billing Nuances & Compliance Safeguards:
Michigan Auto No-Fault PIP Fee Schedule Medicare Parity: Michigan Public Acts 21 & 22 tie auto insurance personal injury protection (PIP) medical reimbursements to 190%-250% of the WPS Medicare Part B fee schedule.
Michigan CHAMPS & Indiana IHCP: 837P cross-over claims require registered CHAMPS Provider ID validation to prevent auto-denials.
Spinal cord stimulation requires mandatory formal psychological evaluation prior to temporary trial lead placement.
Mandatory single-use drug vial wastage recording with JW/JZ modifiers.
Healthcare Locations & Cities in Indiana
Select your city below for specialized local medical billing solutions and regional payer expertise.