Medical Billing Services in New Hampshire

Helping Granite State Providers Thrive — One Clean Claim at a Time
Healthcare in New Hampshire is evolving rapidly independent practices, rural clinics, and specialty centers are under pressure to remain compliant while managing shrinking reimbursements. That’s where Swiftcare Billing steps in. We specialize in end-to-end medical billing services for New Hampshire providers, helping small and mid-sized practices stay profitable without drowning in paperwork or payer red tape. Whether you run a primary care clinic in Concord, a cardiology center in Manchester, or a behavioral health group in Nashua, we bring accuracy, compliance, and speed to your billing workflow.

New Hampshire’s Billing Challenges: Where Most Practices Lose Revenue

New Hampshire might be one of the smallest states, but its billing environment is anything but simple. From tight payer audits to Medicaid coverage limitations, small billing errors can quickly snowball into major revenue leaks. Here’s what providers struggle with most:

Swiftcare’s team tracks every payer policy and update — from Anthem BCBS to New Hampshire Healthy Families — so your claims never get caught in the compliance maze.

Our New Hampshire Medical Billing Services

We provide a complete RCM solution, but more importantly, we customize it to your practice’s workflow and payer mix.

Eligibility & Prior Authorization

We verify patient insurance in real time and secure preapprovals for high-cost services and procedures before the visit — preventing denials before they happen.

Accurate Coding & Documentation Review

Our certified coders stay up to date on ICD-10, CPT, and HCPCS changes, ensuring every claim reflects the correct code and justification.

Claim Submission & Payer Follow-Up

Swiftcare submits claims electronically within 24 hours of charge capture. Every submission goes through a pre-check scrubber to ensure compliance with payer-specific edits.

Denial Management & A/R Recovery

We don’t just track denials—we fix them. Our team identifies the root cause, corrects documentation issues, and appeals effectively to recover lost revenue.

Financial Reporting & Analytics

We deliver monthly insights on collections, payer trends, and denial ratios — helping you make informed financial decisions.

Technology That Keeps You Ahead

Our tech stack is built for precision and speed. Swiftcare integrates seamlessly with all major EHRs, including Epic, Kareo, Athenahealth, and AdvancedMD.

We use AI-driven claim scrubbing, secure patient data encryption, and advanced reporting tools to reduce billing cycle times by up to 25%. Plus, with our New Hampshire-based account managers, you get real-time updates and complete visibility into every claim.

Cities We Serve in New Hampshire

We support practices statewide — whether in small towns or urban centers. Our top service regions include:

Manchester

Nashua

Concord

Dover

Keene

Portsmouth

Each city presents its own billing challenges, from commercial payer dominance in the south to Medicaid focus in the north — and Swiftcare’s team is equipped to handle both.

New Hampshire Laws You Can’t Ignore

Billing in New Hampshire comes with unique compliance responsibilities. Swiftcare helps your practice stay in complete alignment with state and federal laws, including:

NH Medicaid Managed Care Rules

We ensure claims meet MCO documentation and prior authorization standards.

HIPAA & State Data Privacy

All patient information is encrypted, stored, and transmitted in compliance with both HIPAA and NH privacy statutes.

Balance Billing Restrictions

We train your team to avoid violations of state balance billing laws, especially for emergency care and Medicaid patients.

NH Insurance Department Updates

Our compliance monitors track payer policy bulletins, ensuring your billing complies with the latest requirements.

Why New Hampshire Providers Choose Swiftcare Billing

Swiftcare doesn’t just manage your billing — we help you build a predictable, profitable revenue cycle that supports your patient care mission.

Let’s Strengthen Your Practice’s Financial Health

Your patients deserve focus — not billing stress. Let Swiftcare Billing handle the complexities of payer compliance, coding, and collections while you get back to care. See measurable results in under 90 days: faster payments, fewer denials, and higher revenue stability.

Frequently Asked Questions

Do you work with small rural clinics or only large hospitals?
Absolutely. Most of our New Hampshire clients are independent clinics, FQHCs, and specialty groups. We customize our billing solutions based on your volume, staff size, and payer mix — no one-size-fits-all contracts.
New Hampshire’s payer landscape is dominated by Anthem BCBS, Harvard Pilgrim, and NH Medicaid. Each has its own claim submission and prior authorization rules, and we stay on top of those updates to ensure faster reimbursement.
Yes, our billing team handles all NH Medicaid plans, including Well Sense and NH Healthy Families. We also manage retroactive eligibility, managed care enrollments, and resubmission of claims for denials.
We apply correct POS codes (02, 10) and modifiers (95, GT) to ensure compliance with both CMS and local payer rules. We also help providers take advantage of NH’s telehealth reimbursement parity laws.
You’ll receive detailed monthly and quarterly reports that break down payer performance, denial rates, and revenue trends — so you can make smarter business decisions.
Yes, 100%. All systems are encrypted and audited regularly. We follow HIPAA, CMS, and state-specific privacy standards to safeguard patient data.

REQUEST A QUOTE

Contact Us Form