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Billing, marketing, staffing and software for Rhode Island practices
RCM Finder supports medical practices in Rhode Island 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 Rhode Island, with sources.
Our services in Rhode Island
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 serviceRhode Island billing details
Each row shows its source and when we checked it. If a source changes, we update the row.
| Topic | What applies in Rhode Island | Source | Checked |
|---|---|---|---|
| Medicare contractor | National Government Services (A/B MAC JK) | CMS, A/B MAC Jurisdiction JK | Oct 20, 2026 |
| Medicaid agency | Executive Office of Health and Human Services (EOHHS) Rhode Island Medicaid program | Official provider page | Oct 20, 2026 |
| Provider enrollment and billing | Enrollment, manuals and billing guidance for Rhode Island Medicaid providers | Open the provider page | Oct 20, 2026 |
| Medicaid fee schedule | Published fee schedules for Rhode Island Medicaid | Open the fee schedule page | Oct 20, 2026 |
| Commercial prompt payment | Rhode Island requires accident and sickness insurers, nonprofit hospital and medical service corporations, and HMO-type health plans to pay a complete claim within 30 calendar days if filed electronically or 40 calendar days if filed on paper, with 12 percent annual interest after that. R.I. Gen. Laws 27-18-61 | webserver.rilegislature.gov | Oct 20, 2026 |
| Medicaid timely filing | Rhode Island Medicaid fee-for-service claims for clients with no other insurance must reach the fiscal agent, Gainwell Technologies, within 365 days of the date of service, with exceptions such as retroactive eligibility. | eohhs.ri.gov | Oct 20, 2026 |
| Medicaid telehealth | The EOHHS Telemedicine Billing Guidance, effective September 1, 2025, covers Rhode Island Medicaid telehealth reimbursement, including consent, medical necessity, audio-only limits, and excluded services such as email, text, fax and social media. | eohhs.ri.gov | Oct 20, 2026 |
Major cities in Rhode Island
We support practices in these cities and everywhere else in Rhode Island, 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.
Rhode Island practice questions
Who processes Medicare claims in Rhode Island?
National Government Services is the Medicare Administrative Contractor (MAC) that processes Part A and Part B claims in Rhode Island (A/B MAC JK), according to CMS.
Which agency runs Medicaid in Rhode Island?
Executive Office of Health and Human Services (EOHHS) runs Medicaid in Rhode Island (the Rhode Island 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 Rhode Island?
Rhode Island requires accident and sickness insurers, nonprofit hospital and medical service corporations, and HMO-type health plans to pay a complete claim within 30 calendar days if filed electronically or 40 calendar days if filed on paper, with 12 percent annual interest after that.
How long do I have to file a Medicaid claim in Rhode Island?
Rhode Island Medicaid fee-for-service claims for clients with no other insurance must reach the fiscal agent, Gainwell Technologies, within 365 days of the date of service, with exceptions such as retroactive eligibility.
Do you work with practices outside the largest cities in Rhode Island?
Yes. We work remotely, so a practice in a small town is supported the same way as a practice in Providence.
Which service should a practice in Rhode Island 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 Rhode Island practice
We will reply with the details that apply to Rhode Island and a suggested first step.