Medical billing for Nevada practices

Medical Billing Services in Nevada

Nevada Medicaid is not Medi-Cal. The Medicare contractor is the one California uses. Nevada Medicaid is administered by the Division of Health Care Financing and Policy. Managed-care members are billed to their plan. Fee-for-service Medicaid is a separate submission. A California Medi-Cal county plan will not pay a Nevada member.

BAASigned with every client
AAPCCertified coders
AHIMACertified coders
E&OErrors and omissions insured
50 StatesRemote billing nationwide

What a claim follows in Nevada

Nevada Medicaid is not Medi-Cal. The Medicare contractor is the one California uses.

Nevada Medicaid

Nevada Medicaid is administered by the Division of Health Care Financing and Policy. Managed-care members are billed to their plan. Fee-for-service Medicaid is a separate submission. A California Medi-Cal county plan will not pay a Nevada member.

Noridian, Jurisdiction E

Medicare Part A and Part B for a Nevada practice go to Noridian Healthcare Solutions, Jurisdiction E, with California and Hawaii. Arizona, Utah, and Idaho use Noridian Jurisdiction F. The jurisdiction letter changes at those borders.

Workers' compensation

Nevada is not a no-fault state. A work injury is billed to the employer's carrier under the Division of Industrial Relations. It is not a Nevada Medicaid claim.

Las Vegas and Los Angeles can share a Medicare contractor and still not share a Medicaid claim. Enrollment follows Nevada. A provider enrolled only in Medi-Cal is not payable on Nevada Medicaid.

Nearby states

Nevada billing questions

Where does a Nevada Medicare claim go?

Noridian Healthcare Solutions, Jurisdiction E, the same contractor as California.

Is Nevada Medicaid the same as Medi-Cal?

No. Medi-Cal is California, and the plan follows the California county.

Does a Nevada practice change the fee?

The fee is a percentage of net collections. The written rate follows volume, specialty, and how much of the cycle you hand over. There is no setup fee, and the agreement is month to month. The state is not a surcharge. How pricing is set.