Trusted Medical Billing Partner
Medical Billing Services in Dayton
Dayton is headquarters to CareSource, one of the largest nonprofit Medicaid managed care plans in the country and one of seven MCOs in Ohio’s Medicaid program, and sits next to Wright-Patterson Air Force Base, the largest single-site employer in Ohio and a major Air Force research and acquisition installation. Techera Med Systems provides medical billing for Dayton practices built around both realities.
How Much Does Medical Billing Cost in Dayton?
Techera Med Systems charges a percentage of monthly collections, starting as low as 2.95%, with no separate setup fee. The rate is set by claim volume, specialty, and whether the practice needs credentialing support alongside standard billing.
CareSource and Ohio Medicaid MCO Billing
CareSource, headquartered in Dayton, is one of seven Medicaid MCOs operating in Ohio and one of the largest nonprofit Medicaid plans in the country, alongside Anthem, AmeriHealth Caritas, Buckeye, Humana, Molina, and UnitedHealthcare. Dayton practices deal with CareSource’s plan variations and policy updates more directly than practices in cities where it’s just one carrier among several out-of-state ones.
✔ CareSource plan and policy-update tracking
✔ Claims submission across the full seven-MCO Ohio Medicaid lineup
✔ Standard commercial billing for the rest of a practice’s patient panel
Wright-Patterson Air Force Base TRICARE Billing
Wright-Patterson Air Force Base is Ohio’s largest single-site employer, housing major Air Force research, development, and acquisition commands, and generates a steady TRICARE claim volume for Dayton-area practices treating base personnel, dependents, and retirees.
✔ TRICARE claims submission for Wright-Patterson-affiliated patients
✔ Referral and authorization tracking for TRICARE enrollees
✔ Standard commercial and Medicaid billing for the rest of a practice’s patient panel
Ohio BWC Workers' Compensation Billing
Ohio is one of only four monopolistic workers’ compensation states, meaning employers must buy coverage through the state-run Ohio Bureau of Workers’ Compensation rather than private insurers.
✔ Workers’ compensation claims billed against the Ohio BWC fee schedule
✔ Coordination with BWC-certified Managed Care Organizations (MCOs) for claims management
Medical Coding and Denial Management for Dayton Practices
A Dayton practice’s patient panel can include CareSource/Ohio Medicaid, TRICARE, and Ohio BWC workers’ comp claims. Certified coders assign ICD-10-CM, CPT, and HCPCS Level II codes against whichever category applies. For denials, we investigate the root cause, correct and resubmit within the payer’s filing window, and track Ohio’s prompt-pay requirements.
✔ ICD-10-CM, CPT, and HCPCS Level II coding by certified coders
✔ Root-cause denial review and resubmission
✔ Ohio prompt-pay deadline tracking
✔ AR follow-up on aged and underpaid claims
Why Choose Techera Med Systems in Dayton
Coverage and Convenience
Dayton practices get the complete billing cycle from Techera Med Systems: eligibility verification, charge entry, coding, claims submission, denial management, and AR follow-up, priced at a percentage of monthly collections starting at 2.95%, with no separate setup fee.
Local and Regulatory Expertise
✔ CareSource plan tracking — policy updates and plan variations tracked proactively.
✔ Wright-Patterson TRICARE billing — claims submitted correctly for base-affiliated patients.
✔ Ohio BWC workers’ comp billing — claims billed correctly against the state fund’s fee schedule.
✔ Ohio prompt-pay tracking — claims tracked against the state’s payment deadlines.
In-House vs. Outsourced Billing
Dayton practices weighing in-house billing against outsourcing are weighing whether one person can track CareSource’s plan details and Wright-Patterson’s TRICARE volume correctly at once.
| Factor | In-House Billing | Techera Med Systems |
|---|---|---|
|
CareSource plan/policy tracking |
Learned reactively, often after a denial |
Tracked proactively as a standard workflow |
|
Wright-Patterson TRICARE billing |
Frequent source of unfamiliar claim types |
Billed correctly as a standard workflow |
|
Staffing risk
|
Single point of failure
|
Dedicated revenue cycle team
|
|
Cost structure
|
Fixed salary regardless of collections
|
Percentage of collections, starting at 2.95%
|
Service Area & Coverage
We support practices across Dayton, including clinics near Kettering Health Dayton, Miami Valley Hospital, and practices serving Wright-Patterson Air Force Base-affiliated patients. This is a remote billing service; we don’t maintain a physical office in Dayton, and coverage is based on claims volume and specialty, not proximity to a branch location.
Frequently Asked Questions
How much does medical billing cost in Dayton?
Techera Med Systems charges a percentage of monthly collections, starting as low as 2.95%, based on claim volume and specialty.
Why does CareSource matter specifically for Dayton billing?
CareSource, headquartered in Dayton, is one of the largest nonprofit Medicaid plans in the country and one of seven Ohio Medicaid MCOs.
Do you bill TRICARE claims for patients connected to Wright-Patterson Air Force Base?
Yes, we submit and track TRICARE claims for base-affiliated personnel, dependents, and retirees.
Do you offer medical billing for specific specialties in Dayton?
Yes, across more than 40 specialties. See our specialties page (https://techeramedsystems.com/specialties/) for the full list.
