Medical Billing Services in New York
Stop leaving money on the table in the Empire State. Get compliant, get paid faster. For Physicians, Clinics, and Hospitals with our best medical billing in New York.
Exceptional Medical Billing in New York
We understand that compliance issues, such as the 90-day timely filing limit for Medicaid claims and the extensive documentation required for Workers’ Compensation claims, can severely impact your cash flow.
From the intricate regulations of the New York State Medicaid (eMedNY) system and the nuances of the Surprise Billing Law to managing high-volume claims in Manhattan, Brooklyn, or Buffalo, our dedicated Medical Billing Services in New York provide the local expertise you need.
Our certified coding experts and RCM specialists are equipped to handle the unique payer mix of the region, ensuring clean claim submissions, minimizing denials, and accelerating reimbursement for your healthcare providers throughout the state. We’re your local partner for seamless, compliant, and profitable billing.
Our Core Revenue Cycle Management Services in New York
We offer a comprehensive suite of Revenue Cycle Management (RCM) solutions tailored specifically for the New York healthcare market, designed to streamline your administrative processes and boost your practice’s financial health.
Medical Billing Services
in New York
Our full-cycle Medical Billing Services in New York begin with meticulous charge capture and automated claim scrubbing, leveraging the most current CPT, HCPCS, and ICD-10 codes, alongside state-specific modifiers. We specialize in navigating the intricate submission portals for major New York payers, including the mandatory electronic process for NYS Medicaid (eMedNY).
Medical Credentialing
Services in New York
We efficiently manage the comprehensive and often prolonged process of payer enrollment and facility credentialing for individual New York physicians, physician groups, and Article 28 clinics. This includes initial applications, re-credentialing, and maintenance with all critical networks, notably Medicare, NYS Medicaid, and high-volume commercial plans in the New York market.
Eligibility Verification
Services in New York
As patient financial responsibility rises in New York State, our real-time Eligibility Verification service is critical. Performed before the patient's visit, we confirm active insurance coverage, verify patient benefits, determine co-pay and deductible amounts, and check for necessary Prior Authorization requirements, particularly for specialty services. This prevents claims from being denied.
Denial Management
Services in New York
New York's strict timely filing rules (90 days for initial Medicaid claims) make rapid denial resolution essential. Our team employs a systematic approach, performing root-cause analysis on all rejected claims, especially those from eMedNY or relating to the Surprise Billing Law protocols. We correct documentation, accurately re-code, and resubmit rejected claims within the tight 60-day window.
Accounts Receivable
Services in New York
We execute persistent, and technology-driven follow-up on all outstanding and underpaid claims, tackling the high volume of AR that often plagues New York medical billing. Our specialists engage in targeted follow-up with specific payers to expedite processing, challenge incorrect fee schedule reductions, and address system delays related to complex claims for Workers' Compensation.
Provider Credentialing
Services in New York
This dedicated service focuses specifically on the maintenance of individual New York healthcare providers' enrollment status, which is distinct from facility credentialing. We handle the continuous monitoring of licenses, certifications, DEA numbers, and malpractice coverage, ensuring all are up-to-date with every contracted payer. We proactively manage the required re-validation cycles.
Salient Features of Our Medical Billing
in New York
Our features are designed to directly address the specific financial and administrative pain points faced by medical practices in New York. We offer a transparent, flexible, and high-performance approach to Revenue Cycle Management (RCM). Our team provides Dedicated Support for New York Practices, meaning you have local billing specialists who are intimately familiar with the complex regulatory environment, including the eMedNY system for Medicaid and the Surprise Billing Law protocols.
- Eligibility Check
- Charge Entry
- Claim Scrubbing
- Electronic Submission
- Payment Posting
- Follow-up & Appeals
- Patient Statements
- Customized Reports
Why Choose Us to Outsource Medical Billing in New York
Choosing our Medical Billing Services in New York means opting for a partner with proven success in the local market, turning your administrative challenge into a clear competitive advantage. We offer specialized expertise in the demanding New York City healthcare environment, successfully navigating the diverse patient and payer population, which is crucial for maximizing collections. Our commitment to NYS Medicaid compliance and expertise in managing Workers’ Compensation claims reduces your audit risk and ensures full adherence to stringent state regulations.
