New York, NY

Medical Billing Services in New York, NY

Medical billing and revenue cycle management for New York practices dealing with Medicaid managed care, commercial payer denials and growing AR.

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Medical Billing Support for Independent New York Practices

Running an independent practice in New York means competing for patients with systems like NewYork-Presbyterian, Mount Sinai, NYU Langone and Northwell, while paying New York rents and New York salaries for billing staff. That squeeze is why outsourced medical billing for New York practices has become a common choice for owners who cannot afford gaps in follow-up. When a biller leaves, claims back up. When a payer changes a policy, denials climb before anyone notices. Many practice owners only see the problem when AR over 90 days is already a large share of the total.

Unstoppable Revenue is a medical billing company handling claims and revenue cycle work remotely from Dallas for practices in New York. We cover claims submission, eligibility checks, prior authorizations, coding, payment posting, denial management and AR follow-up, using HIPAA-conscious processes throughout. For one multi-provider mental health practice, that work produced an 18% increase in collections and a $1M reduction in AR over 12 months, with a 75% denial overturn rate.

New York's Payer Mix Is Not Simple

A large share of New Yorkers are covered through Medicaid, and most of them are enrolled in managed care plans rather than straight fee-for-service. That means a practice may bill eMedNY directly for some patients and several managed care plans, such as Healthfirst or Fidelis Care, for others, each with its own authorization rules and timely filing limits. Add Medicare, Medicare Advantage and commercial plans, and one front desk can be juggling dozens of payer policies.

Eligibility is where many New York denials start. Patients move between Medicaid managed care plans, marketplace coverage through NY State of Health and employer plans more often than practices realize. We verify coverage before visits, track which plans require prior authorization for which services, and work denials by root cause so the same mistake does not repeat next month. That is less glamorous than appeals, but it is where most of the recovered money comes from.

We support practices in Manhattan, Brooklyn, Queens, the Bronx and Staten Island, as well as Westchester County and Nassau and Suffolk counties on Long Island.

Revenue Cycle Services for New York Practices

Eligibility and Prior Authorization

Coverage checks before every visit, with authorization requests submitted and tracked, so Medicaid managed care and commercial patients are not seen under a plan that has already changed.

Medical Coding and Charge Audit

Coding review and charge entry audits that catch missed modifiers, under-coded visits and mismatched diagnoses before the claim goes out, not after it comes back denied.

Denial Management

Every denial is categorized, appealed where it makes sense and traced back to its cause. Over time the goal is fewer denials, not just faster rework of the same ones.

AR Recovery and Cleanup

Old balances worked payer by payer, with timely filing deadlines prioritized. Especially useful when a biller has left or a practice has switched systems and the backlog never got cleaned up.

Reporting and Patient Statements

Monthly medical billing reports showing collections, AR aging and denial trends, plus clear patient statements that cut down on confused calls to your front desk and help balances get paid.

FAQs

Medical billing in New York: common questions

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