Trusted Revenue Cycle Management in California
Mediknocx manages the full revenue cycle for independent practices and physician groups across California, from eligibility verification through final payment posting. California's Health & Safety Code sets some of the country's most detailed claims rules, including a new 30-day payment deadline under Assembly Bill 3275, and Medi-Cal alone covers close to one in three Californians. Our team builds every California engagement around this specific regulatory environment rather than a generic national playbook.
HIPAA Compliant
Your data stays secure
Faster Payments & Fewer Denials
Improve cash flow
Higher Reimbursement
Get the revenue you deserve
California Billing Compliance Experts
State-specific payer knowledge
Get Your Free Revenue Assessment
Find out how much revenue your practice could be recovering with expert revenue cycle management support. No obligation, just real insights.
Specialized Revenue Cycle Management in California: AB 3275's New 30-Day Claims Deadline
Assembly Bill 3275, effective January 1, 2026, amended California Health & Safety Code sections 1371, 1371.34, and 1371.35 (and parallel Insurance Code sections) to require every complete commercial claim, electronic or paper, to be paid within 30 calendar days, replacing the prior 30-working-day/45-working-day split. That change applies to both DMHC-regulated health plans and CDI-regulated insurers, including Medi-Cal managed care plans, so tracking the new clock correctly is now a direct revenue timing issue for California practices.
Under Health & Safety Code ยง 1371, providers have 180 days from the date of service to submit claims to DMHC-regulated plans. Medi-Cal runs on a separate, shorter fee-for-service window (six months from the end of the service month, with reduced-rate acceptance up to 12 months), while Medi-Cal managed care plans typically set their own 90 to 180 day deadlines. California's largest insurer, Kaiser Foundation Health Plan, operates a closed integrated network that most independent practices cannot bill against directly; for practices billing commercial PPO business, Anthem Blue Cross remains one of the state's largest PPO carriers, and we track its claims edits and contract terms specifically.
Expertise
Built for local care models
Deadline Tracking
We flag at-risk claims early
Fewer Denials
Correct coding, less revenue loss
The Full Revenue Cycle We Manage in California
- Patient Access & Eligibility Verification: confirming Medi-Cal fee-for-service versus managed care enrollment (Anthem, Health Net, Molina, and others) before the visit is billed.
- Charge Capture & Coding: accurate CPT/ICD-10 coding reviewed against payer-specific edits used by California's major managed care plans.
- Claims Submission: clean-claim submission routed correctly and timed against the 180-day commercial deadline and Medi-Cal's shorter fee-for-service window.
- Payment Posting: line-item reconciliation against contracted rates, now checked against AB 3275's 30-calendar-day payment standard.
- Denial Management & Appeals: working denials quickly, with attention to Medi-Cal managed care eligibility mismatches.
- AR Follow-Up: active follow-up on aging claims before any payer's filing deadline approaches.
- Reporting: monthly performance reporting covering collections, denial rates, and days in A/R.
How It Works
From Audit toFaster Payments in 4 Steps
A simple, proven process to streamline your revenue cycle and maximize reimbursements in California.
Free Audit
we review your current California payer mix, denial history, and A/R aging at no cost.
Custom Plan
a revenue cycle plan built around your specialty and your Medi-Cal and commercial payer exposure.
Seamless Transition
we onboard your practice with minimal disruption to claims already in progress.
Ongoing Reporting
monthly reporting keeps you informed on collections, denials, and reimbursement trends.
Get Your FreeRevenue Cycle Audit Report
Ready to see what specialized revenue cycle management looks like for your California practice? Call +1 434-201-9720 or email info@mediknocx.com for a free audit.
What Makes Our California
Revenue Cycle Management Different
We built this program around California's specific payer and regulatory environment, not a copy of our national template.
Full-Cycle Ownership
One team handles every stage from eligibility verification to payment posting, so nothing gets lost between coding and a follow-up call to a payer.
AB 3275 Tracking
Our claims aging system checks payments against the new 30-calendar-day standard so slow payers get flagged immediately.
Medi-Cal Fluency
We handle both fee-for-service and managed care Medi-Cal billing, catching eligibility mismatches before they become denials.
Monthly Reporting Cadence
You get consistent monthly reports on collections, denials, and A/R aging instead of a dashboard you have to interpret yourself.
State Compliance Focus
We keep charity care notices, itemization, and surprise-billing practices aligned with California's own statutes, not just federal minimums.
Specialty Depth
Coders and billers experienced across all 47 specialties Mediknocx serves, so your practice isn't a first attempt at its coding nuances.
Specialty Expertise That Works for You
Mediknocx supports revenue cycle management across all 47 medical specialties we serve, from primary care and cardiology to behavioral health, orthopedics, and pain management. Whatever a California practice's specialty, our coders and billers already know its common denial reasons and documentation requirements.
How Does Mediknocx Ensure Compliance
With California Medical Billing Regulations?
No Surprises Act & AB 72
We follow federal balance-billing protections alongside California's own AB 72 surprise billing law, which predates the federal statute and applies to DMHC-regulated plans.
California Timely Filing Law
Commercial claims are tracked against the 180-day deadline under Health & Safety Code ยง 1371, and Medi-Cal claims against its separate, shorter fee-for-service window.
California Billing Transparency
Hospital partners' charity care and discount payment notices are tracked against the Hospital Fair Pricing Act (Health & Safety Code ยง 127400 et seq.), enforced by the Department of Health Care Access and Information (HCAI).
Payer-Specific Guidelines
We work within claims and prior-authorization guidelines from Anthem Blue Cross, Health Net, and Molina Healthcare, three of the carriers most independent California practices bill against.
Healthcare Billing Services Across California Cities
We support independent practices and physician groups throughout California, including Los Angeles, San Diego, and San Francisco.
- Los Angeles
- San Diego
- San Jose
- San Francisco
- Fresno
Nationwide Revenue Cycle Management
Mediknocx also provides revenue cycle management for practices in Georgia, Illinois, Colorado, Minnesota, North Carolina, Washington, Massachusetts, Utah, Nevada, and New Mexico, among other states nationwide.
Let's find out what's slowing down your California practice's reimbursements. Reach our team at +1 434-201-9720 or info@mediknocx.com to start with a free revenue cycle audit.
Frequently Asked Questions
Find answers to the most common questions about our revenue cycle management services in California.
