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Kentucky · KY

Billing, marketing, staffing and software for Kentucky practices

RCM Finder supports medical practices in Kentucky 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 Kentucky, with sources.

Kentucky and major cities
LouisvilleLexingtonBowling GreenOwensboroBack to the full map

Kentucky billing details

Each row shows its source and when we checked it. If a source changes, we update the row.

TopicWhat applies in KentuckySourceChecked
Medicare contractorCGS Administrators (A/B MAC J15)CMS, A/B MAC Jurisdiction J15Oct 20, 2026
Medicaid agencyCabinet for Health and Family Services, Department for Medicaid Services
Kentucky Medicaid program
Official provider pageOct 20, 2026
Provider enrollment and billingEnrollment, manuals and billing guidance for Kentucky Medicaid providersOpen the provider pageOct 20, 2026
Medicaid fee schedulePublished fee schedules for Kentucky MedicaidOpen the fee schedule pageOct 20, 2026
Commercial prompt paymentUnder Kentucky's insurer prompt-pay regulation, an insurer meets the deadline by paying a clean claim within 30 days of receipt (60 days for organ transplants), measured by the electronic posting date or the mailing or delivery date of a paper payment.
806 KAR 17:360
apps.legislature.ky.govOct 20, 2026
Medicaid timely filingKentucky Medicaid requires claims to be received within twelve months of the date the service was provided.chfs.ky.govOct 20, 2026
Medicaid telehealthKentucky Medicaid's telehealth regulation sets coverage and reimbursement policy for telehealth, including asynchronous care, remote patient monitoring, telephonic services, originating site fees and patient rights to request in-person or live video visits.apps.legislature.ky.govOct 20, 2026

Major cities in Kentucky

We support practices in these cities and everywhere else in Kentucky, remotely.

LouisvilleLexingtonBowling GreenOwensboro
How we work

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.

Kentucky practice questions

Who processes Medicare claims in Kentucky?

CGS Administrators is the Medicare Administrative Contractor (MAC) that processes Part A and Part B claims in Kentucky (A/B MAC J15), according to CMS.

Which agency runs Medicaid in Kentucky?

Cabinet for Health and Family Services, Department for Medicaid Services runs Medicaid in Kentucky (the Kentucky Medicaid program). The official state pages linked in the table above cover provider enrollment and billing.

How quickly must insurers pay a clean claim in Kentucky?

Under Kentucky's insurer prompt-pay regulation, an insurer meets the deadline by paying a clean claim within 30 days of receipt (60 days for organ transplants), measured by the electronic posting date or the mailing or delivery date of a paper payment.

How long do I have to file a Medicaid claim in Kentucky?

Kentucky Medicaid requires claims to be received within twelve months of the date the service was provided.

Do you work with practices outside the largest cities in Kentucky?

Yes. We work remotely, so a practice in a small town is supported the same way as a practice in Louisville.

Which service should a practice in Kentucky 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.

Free consultation

Ask about your Kentucky practice

We will reply with the details that apply to Kentucky and a suggested first step.

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