Billing, marketing, staffing and software for Wisconsin practices
RCM Finder supports medical practices in Wisconsin 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 Wisconsin, with sources.
Our services in Wisconsin
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 serviceWisconsin billing details
Each row shows its source and when we checked it. If a source changes, we update the row.
| Topic | What applies in Wisconsin | Source | Checked |
|---|---|---|---|
| Medicare contractor | National Government Services (A/B MAC J6) | CMS, A/B MAC Jurisdiction J6 | Oct 20, 2026 |
| Medicaid agency | Wisconsin Department of Health Services | Official provider page | Oct 21, 2026 |
| Provider enrollment and billing | Enrollment, manuals and billing guidance for Wisconsin Medicaid providers | Open the provider page | Oct 21, 2026 |
| Commercial prompt payment | Wisconsin's general claims rule says an insurer must promptly pay every insurance claim. A claim is overdue if it is not paid within 30 days after the insurer is furnished written notice of the fact of a covered loss and of the amount of the loss. If the notice covers only part of the claim, that part is overdue after 30 days, and any later-supported part gets its own 30 days. A payment is not overdue when the insurer has reasonable proof that it is not responsible. Overdue payments bear simple interest at 7.5 percent per year. For chiropractic services the 30 days run from the insurer's receipt of the chiropractor's clinical documentation. The section applies only to the classes of claims listed in Wis. Stat. 646.31(2); it is a general claims rule with no separate electronic and paper deadlines. Wis. Stat. 628.46(1), (2m), (3) | docs.legis.wisconsin.gov | Oct 21, 2026 |
| Medicaid timely filing | Under the ForwardHealth Online Handbook for Wisconsin Medicaid and BadgerCare Plus, claims and adjustment requests must be received within 365 days of the date of service. This applies to claims, corrected claims and adjustments. For services Medicare allows, claims for coinsurance, copay and deductible must be received within 365 days of the date of service or within 90 days of the Medicare processing date, whichever is later. State and federal law allow eight exceptions, such as retroactive member enrollment, a Medicare denial after the deadline, and a refund request from another health insurer; ForwardHealth has no authority to approve any other exception. | forwardhealth.wi.gov | Oct 21, 2026 |
| Medicaid telehealth | The ForwardHealth Online Handbook telehealth topic says Wisconsin Medicaid covers listed services delivered by interactive video and audio from a distant-site provider, paid at the same rate as face-to-face care, with the same restrictions as in-person services. | forwardhealth.wi.gov | Oct 20, 2026 |
Major cities in Wisconsin
We support practices in these cities and everywhere else in Wisconsin, 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.
Wisconsin practice questions
Who processes Medicare claims in Wisconsin?
National Government Services is the Medicare Administrative Contractor (MAC) that processes Part A and Part B claims in Wisconsin (A/B MAC J6), according to CMS.
Which agency runs Medicaid in Wisconsin?
Wisconsin Department of Health Services runs Medicaid in Wisconsin. The official state pages linked in the table above cover provider enrollment and billing.
How quickly must insurers pay a claim in Wisconsin?
Wisconsin's general claims rule says an insurer must promptly pay every insurance claim. A claim is overdue if it is not paid within 30 days after the insurer is furnished written notice of the fact of a covered loss and of the amount of the loss. If the notice covers only part of the claim, that part is overdue after 30 days, and any later-supported part gets its own 30 days. A payment is not overdue when the insurer has reasonable proof that it is not responsible. Overdue payments bear simple interest at 7.5 percent per year. For chiropractic services the 30 days run from the insurer's receipt of the chiropractor's clinical documentation. The section applies only to the classes of claims listed in Wis. Stat. 646.31(2); it is a general claims rule with no separate electronic and paper deadlines.
How long do I have to file a Medicaid claim in Wisconsin?
Under the ForwardHealth Online Handbook for Wisconsin Medicaid and BadgerCare Plus, claims and adjustment requests must be received within 365 days of the date of service. This applies to claims, corrected claims and adjustments. For services Medicare allows, claims for coinsurance, copay and deductible must be received within 365 days of the date of service or within 90 days of the Medicare processing date, whichever is later. State and federal law allow eight exceptions, such as retroactive member enrollment, a Medicare denial after the deadline, and a refund request from another health insurer; ForwardHealth has no authority to approve any other exception.
Do you work with practices outside the largest cities in Wisconsin?
Yes. We work remotely, so a practice in a small town is supported the same way as a practice in Milwaukee.
Which service should a practice in Wisconsin 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 Wisconsin practice
We will reply with the details that apply to Wisconsin and a suggested first step.