Billing, marketing, staffing and software for New Jersey practices
RCM Finder supports medical practices in New Jersey remotely, with end to end revenue cycle management, healthcare digital marketing, virtual medical assistance and a practice management system. Below are the Medicare and Medicaid details that apply in New Jersey, with sources.
Our services in New Jersey
End to End RCM
Coding, billing, denials and payments, managed from patient visit to payment.
See the serviceGROWTHHealthcare Digital Marketing
Local search, ads and inquiry handling that help bring new patients to your practice.
See the serviceTEAMVirtual Medical Assistance
Remote assistants for scheduling, intake, prior authorization and follow-up.
See the serviceSOFTWAREPractice Management System
One system for scheduling, patient records and billing workflow.
See the serviceNew Jersey billing details
Each row shows its source and when we checked it. If a source changes, we update the row.
| Topic | What applies in New Jersey | Source | Checked |
|---|---|---|---|
| Medicare contractor | Novitas Solutions (A/B MAC JL) | CMS, A/B MAC Jurisdiction JL | Oct 20, 2026 |
| Medicaid agency | Division of Medical Assistance and Health Services (DMAHS), NJ Department of Human Services NJ FamilyCare program | Official provider page | Oct 20, 2026 |
| Provider enrollment and billing | Enrollment, manuals and billing guidance for New Jersey Medicaid providers | Open the provider page | Oct 20, 2026 |
| Claims processor | Gainwell Technologies | Official provider page | Oct 20, 2026 |
| Commercial prompt payment | New Jersey law requires health insurers, hospital, medical and health service corporations, and HMOs to pay a clean claim within 30 calendar days of receipt if filed electronically or 40 calendar days if filed on paper, and overdue payments carry 12 percent simple annual interest. P.L.2005, c.352, codified at N.J.S.A. 17B:26-9.1 (health insurers), 17:48-8.4, 17:48A-7.12, 17:48E-10.1 and 26:2J-8.1 (HMOs), subsections d(1) and d(9) | pub.njleg.gov | Oct 20, 2026 |
Major cities in New Jersey
We support practices in these cities and everywhere else in New Jersey, remotely.
Remote by design
No office visit needed
We support practices in every state remotely, so you do not need a local office to work with us.
Rules checked for your state
Each state page lists the Medicare contractor and Medicaid details for that state, with sources and the date we last checked.
One service or all four
Begin where the gap is biggest, whether that is payments, new patients, front-desk capacity or your software.
New Jersey practice questions
Who processes Medicare claims in New Jersey?
Novitas Solutions is the Medicare Administrative Contractor (MAC) that processes Part A and Part B claims in New Jersey (A/B MAC JL), according to CMS.
Which agency runs Medicaid in New Jersey?
Division of Medical Assistance and Health Services (DMAHS), NJ Department of Human Services runs Medicaid in New Jersey (the NJ FamilyCare program). The official state pages linked in the table above cover provider enrollment and billing.
How quickly must insurers pay a clean claim in New Jersey?
New Jersey law requires health insurers, hospital, medical and health service corporations, and HMOs to pay a clean claim within 30 calendar days of receipt if filed electronically or 40 calendar days if filed on paper, and overdue payments carry 12 percent simple annual interest.
Do you work with practices outside the largest cities in New Jersey?
Yes. We work remotely, so a practice in a small town is supported the same way as a practice in Newark.
Which service should a practice in New Jersey start with?
Start where the problem is biggest: End to End RCM if payments are slow or denials are high, Healthcare Digital Marketing if your schedule has gaps, Virtual Medical Assistance if your front desk is stretched, or a Practice Management System if your tools are scattered. Tell us about your practice and we will suggest a first step.
What should I send first?
A short description of your practice, your specialty, your main payers and the biggest problem you want fixed. Our form asks for the basics.
Ask about your New Jersey practice
We will reply with the details that apply to New Jersey and a suggested first step.