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Billing, marketing, staffing and software for West Virginia practices
RCM Finder supports medical practices in West Virginia 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 West Virginia, with sources.
Our services in West Virginia
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 serviceWest Virginia billing details
Each row shows its source and when we checked it. If a source changes, we update the row.
| Topic | What applies in West Virginia | Source | Checked |
|---|---|---|---|
| Medicare contractor | Palmetto GBA (A/B MAC JM) | CMS, A/B MAC Jurisdiction JM | Oct 20, 2026 |
| Medicaid agency | Bureau for Medical Services (WV Department of Human Services) | Official provider page | Oct 20, 2026 |
| Provider enrollment and billing | Enrollment, manuals and billing guidance for West Virginia Medicaid providers | Open the provider page | Oct 20, 2026 |
| Medicaid fee schedule | Published fee schedules for West Virginia Medicaid | Open the fee schedule page | Oct 20, 2026 |
| Claims processor | Gainwell Technologies | Official provider page | Oct 20, 2026 |
| Commercial prompt payment | Insurers with provider contracts must pay or deny a clean claim within 30 days if submitted electronically or 40 days if submitted manually, and interest of 10 percent per year accrues after the 40-day period; the article does not cover capitation contracts or claims for services the plan does not cover. W. Va. Code § 33-45-2 | code.wvlegislature.gov | Oct 20, 2026 |
| Medicaid timely filing | West Virginia Medicaid requires claims to be submitted within 12 months of the date of service, with corrected claims allowed up to 24 months from the date of service if the original was billed on time. | bms.wv.gov | Oct 20, 2026 |
| Medicaid telehealth | The BMS Provider Manual policy 519.17 (effective 1/1/2022) covers Medicaid payment for practitioner services delivered through an interactive audio and video system with real-time communication, including from the patient's home; e-mail, fax and non-HIPAA-compliant apps are not reimbursable, and the originating-site fee cannot be billed when the member's home is the originating site. | bms.wv.gov | Oct 21, 2026 |
Major cities in West Virginia
We support practices in these cities and everywhere else in West Virginia, 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.
West Virginia practice questions
Who processes Medicare claims in West Virginia?
Palmetto GBA is the Medicare Administrative Contractor (MAC) that processes Part A and Part B claims in West Virginia (A/B MAC JM), according to CMS.
Which agency runs Medicaid in West Virginia?
Bureau for Medical Services (WV Department of Human Services) runs Medicaid in West Virginia. The official state pages linked in the table above cover provider enrollment and billing.
How quickly must insurers pay a clean claim in West Virginia?
Insurers with provider contracts must pay or deny a clean claim within 30 days if submitted electronically or 40 days if submitted manually, and interest of 10 percent per year accrues after the 40-day period; the article does not cover capitation contracts or claims for services the plan does not cover.
How long do I have to file a Medicaid claim in West Virginia?
West Virginia Medicaid requires claims to be submitted within 12 months of the date of service, with corrected claims allowed up to 24 months from the date of service if the original was billed on time.
Do you work with practices outside the largest cities in West Virginia?
Yes. We work remotely, so a practice in a small town is supported the same way as a practice in Charleston.
Which service should a practice in West Virginia 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 West Virginia practice
We will reply with the details that apply to West Virginia and a suggested first step.