Billing, marketing, staffing and software for Virginia practices
RCM Finder supports medical practices in 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 Virginia, with sources.
Our services in 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 serviceVirginia billing details
Each row shows its source and when we checked it. If a source changes, we update the row.
| Topic | What applies in Virginia | Source | Checked |
|---|---|---|---|
| Medicare contractor | Palmetto GBA (A/B MAC JM) Part B for Arlington, Fairfax and Alexandria is Novitas, JL. | CMS, A/B MAC Jurisdiction JM | Oct 20, 2026 |
| Medicaid agency | Department of Medical Assistance Services Cardinal Care program | Official provider page | Oct 20, 2026 |
| Provider enrollment and billing | Enrollment, manuals and billing guidance for Virginia Medicaid providers | Open the provider page | Oct 20, 2026 |
| Medicaid fee schedule | Published fee schedules for Virginia Medicaid | Open the fee schedule page | Oct 20, 2026 |
| Claims processor | Conduent | Official provider page | Oct 20, 2026 |
| Commercial prompt payment | Virginia requires a carrier regulated under Title 38.2, including managed care health insurance plans, to pay a claim within 40 days of receipt unless it has a documented reasonable basis such as the claim not being clean, with no separate electronic or paper deadline and interest timing set by cross-referenced sections. Va. Code 38.2-3407.15(B)(1) and (B)(3), version effective until January 1, 2027 | law.lis.virginia.gov | Oct 20, 2026 |
| Medicaid timely filing | The Virginia Medicaid Practitioner manual says providers must bill within 12 months from the date of service, citing 42 CFR 447.45(d), with exceptions such as delayed eligibility. | vamedicaid.dmas.virginia.gov | Oct 20, 2026 |
| Medicaid telehealth | The DMAS Telehealth Services Supplement, revised January 5, 2026, sets Medicaid payment rules for telemedicine, audio-only, store-and-forward, remote patient monitoring and virtual check-ins, including covered services, billing modifiers, consent and documentation requirements. | vamedicaid.dmas.virginia.gov | Oct 20, 2026 |
Major cities in Virginia
We support practices in these cities and everywhere else in 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.
Virginia practice questions
Who processes Medicare claims in Virginia?
Palmetto GBA is the Medicare Administrative Contractor (MAC) that processes Part A and Part B claims in Virginia (A/B MAC JM), according to CMS. Part B for Arlington, Fairfax and Alexandria is Novitas, JL.
Which agency runs Medicaid in Virginia?
Department of Medical Assistance Services runs Medicaid in Virginia (the Cardinal Care program). The official state pages linked in the table above cover provider enrollment and billing.
How quickly must insurers pay a clean claim in Virginia?
Virginia requires a carrier regulated under Title 38.2, including managed care health insurance plans, to pay a claim within 40 days of receipt unless it has a documented reasonable basis such as the claim not being clean, with no separate electronic or paper deadline and interest timing set by cross-referenced sections.
How long do I have to file a Medicaid claim in Virginia?
The Virginia Medicaid Practitioner manual says providers must bill within 12 months from the date of service, citing 42 CFR 447.45(d), with exceptions such as delayed eligibility.
Do you work with practices outside the largest cities in Virginia?
Yes. We work remotely, so a practice in a small town is supported the same way as a practice in Virginia Beach.
Which service should a practice in 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 Virginia practice
We will reply with the details that apply to Virginia and a suggested first step.