Trusted Medical Billing Partner
Medical Billing Services in Gastonia
Gastonia’s healthcare landscape runs through CaroMont Health, Gaston County’s dominant hospital system, in a city still shaped by its historic textile manufacturing base, once one of the largest textile-producing counties in the country. Techera Med Systems provides medical billing for Gastonia practices built around that referral network and Gaston County’s Medicaid Tailored Plan structure.
How Much Does Medical Billing Cost in Gastonia?
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.
CaroMont Health Referral and Network Billing
CaroMont Health is Gaston County’s dominant hospital system, and independent practices affiliated with or referring into it need to track that network relationship correctly, alongside occasional referrals into nearby Charlotte-area systems for higher-complexity specialty care.
✔ Claims and referral routing awareness for CaroMont-affiliated practices
✔ Standard commercial and Medicaid billing for non-affiliated claims
NC Medicaid Tailored Plan Billing (Gaston County)
Gaston County’s Medicaid behavioral health, I/DD, and TBI services are carved out to Alliance Health, separately from standard physical-health Medicaid managed care, since the July 2024 Tailored Plan launch.
✔ Physical health Medicaid managed care claims submission
✔ Alliance Health credentialing awareness for behavioral health/I/DD/TBI services
Medical Coding and Denial Management for Gastonia Practices
A Gastonia practice’s patient panel can include CaroMont-affiliated referrals, NC Medicaid Tailored Plan claims, and standard commercial insurance. 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 North Carolina’s prompt-pay requirements.
✔ ICD-10-CM, CPT, and HCPCS Level II coding by certified coders
✔ Root-cause denial review and resubmission
✔ North Carolina prompt-pay deadline tracking
✔ AR follow-up on aged and underpaid claims
Why Choose Techera Med Systems in Gastonia
Coverage and Convenience
Gastonia 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
✔ CaroMont Health referral routing — claims and referrals routed correctly within the system.
✔ Alliance Health Tailored Plan routing — behavioral health claims credentialed and routed correctly.
✔ Certified-coder claims review — documentation gaps flagged before submission.
✔ North Carolina prompt-pay tracking — claims tracked against the state’s payment deadlines.
In-House vs. Outsourced Billing
Gastonia practices weighing in-house billing against outsourcing are weighing whether one person can route CaroMont-affiliated referrals correctly alongside Alliance Health’s behavioral health carve-out.
| Factor | In-House Billing | Techera Med Systems |
|---|---|---|
|
CaroMont Health referral routing |
Frequent source of misrouted claims
|
Coordinated with the correct network entity |
|
Alliance Health Tailored Plan routing |
Frequent source of misrouted claims |
Credentialed and routed correctly |
|
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 Gastonia, including clinics near CaroMont Regional Medical Center. This is a remote billing service; we don’t maintain a physical office in Gastonia, 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 Gastonia?
Techera Med Systems charges a percentage of monthly collections, starting as low as 2.95%, based on claim volume and specialty.
Do you handle billing for practices connected to CaroMont Health?
Yes, we route claims and referrals correctly within the network.
Which Tailored Plan covers Gaston County?
Alliance Health covers behavioral health, I/DD, and TBI services for Gaston County.
Do you offer medical billing for specific specialties in Gastonia?
Yes, across more than 40 specialties. See our specialties page (https://techeramedsystems.com/specialties/) for the full list.
