Reading is the center of Berks County's healthcare market, with a large Medicaid population and practices that compete with the Tower Health and Penn State Health systems.
Practices across Reading use Medical Coder's medical billing services to cut denials, shorten payment times and stop depending on a single in-house biller.
Reading Medical Billing Built Around Pennsylvania Payers
Most avoidable denials start with payer rules. For Reading practices we work every major payer in Pennsylvania:
- Medicaid: Pennsylvania Medical Assistance, administered by the Department of Human Services (DHS), through HealthChoices physical health plans such as UPMC for You, Keystone First, AmeriHealth Caritas Pennsylvania and Highmark Wholecare.
- Medicare: Part A and Part B claims through Novitas Solutions (Jurisdiction L), plus Medicare Advantage plans.
- Commercial plans: Highmark Blue Cross Blue Shield, Independence Blue Cross, Capital Blue Cross, UPMC Health Plan, Geisinger Health Plan, Aetna and UnitedHealthcare.
- TRICARE and VA Community Care for military families and veterans.
Pennsylvania has payer rules of its own — see medical billing in Pennsylvania for how we handle them.
Billing Challenges for Reading Practices
With many Medicaid patients enrolled in HealthChoices plans, practices must route physical and behavioral health claims correctly. We send each claim to the right payer the first time.
What Our Reading Medical Billing Services Include
- Patient statements and balance support
- Provider credentialing and payer enrollment
- Monthly reporting on collections, denials and days in A/R
- Eligibility and benefits verification before every visit
- Certified ICD-10, CPT and HCPCS coding with modifier review
- Charge entry and claim scrubbing before submission
- Electronic claim submission and payment posting
- Denial management and appeals
- A/R follow-up on every unpaid claim, including aged A/R
Healthcare in Reading
Reading's healthcare market includes major systems such as Reading Hospital (Tower Health) and Penn State Health St. Joseph. Independent practices compete with these systems for patients and staff — outsourced billing gives you the same revenue cycle depth without building a billing department. We support practices across Reading, West Reading, Wyomissing, Shillington, Exeter and Berks County.
Specialties We Bill For in Reading
We bill for 45+ specialties, including internal medicine, dermatology, laboratory, mental and behavioral health. See all specialties.
Why Reading Practices Outsource Medical Billing
- A dedicated account manager who knows your practice and your payers.
- No single point of failure — your revenue no longer depends on one biller.
- Certified coders who keep up with payer and code changes for you.
- Pay for results — percentage-of-collections pricing ties our fee to your revenue.
Get a Free Medical Billing Audit in Reading
We will review your claims, denials and A/R at no cost and show you where revenue is being lost. Start with a medical billing audit, see how pricing works, or explore our Pennsylvania medical billing services and nearby pages for Erie and Lancaster.