Maximize Every Dollar Your NYC Practice Earns
Stop losing revenue to NYC's complex Medicaid rules, Medicare Advantage contracts, and multi-payer denials. Our remote billing team supports New York practices with Medicaid MCO, Medicare Advantage and commercial payer follow-up.
The Hidden Revenue Crisis in NYC Medical Billing
New York's healthcare billing landscape is uniquely complex. These are the specific reasons practices in NYC leave money on the table every day.
NYC Medicaid Denials
NYC Medicaid MCOs like Fidelis, Healthfirst and MetroPlus each have their own prior authorization rules, and missing one means a denial.
Hospital System Contracts
Mount Sinai, NYU Langone, and Northwell each have unique billing protocols that generic billers don't understand.
No-Fault & Workers' Comp
New York's no-fault insurance and workers' comp billing rules are among the most complex in the nation.
Medicare Advantage Dominance
Medicare Advantage covers a large share of New York seniors, and each plan has different authorization and billing requirements.
NY-Specific Compliance
NY DFS surprise billing laws, OPMC regulations, and Medicaid fraud oversight add layers non-local billers miss.
Underpayments Hidden in EOBs
Underpayments against your contracted rates are easy to miss without line-by-line remittance review.
How We Transform Your NYC Practice Revenue
A clear 4-step process from audit to ongoing billing
Free Revenue Audit
We analyze your last 6 months of billing data, identify revenue leaks, and quantify exactly how much you're losing to NYC-specific issues.
Custom NYC Setup
Our team configures your billing for NYC payer networks, Medicaid MCOs, and your specific hospital system contracts.
Launch & Optimize
We begin submitting clean claims with NYC-specific coding and authorization protocols. Denials drop immediately while we pursue aged claims.
Measure & Scale
Monthly performance reports show your revenue growth. We continuously optimize for NYC regulation changes and new payer rules.
End-to-End NYC Medical Billing Services
Every service is built around New York's unique healthcare landscape. We don't just process claims — we understand the local payer ecosystem, compliance requirements, and revenue optimization strategies that generic billing companies miss entirely.
- NYC Medicaid MCO billing (Fidelis, Healthfirst, MetroPlus, EmblemHealth)
- Medicare Advantage plan management for NYC market
- No-fault and workers' compensation billing
- Hospital system contract compliance
- Prior authorization management and tracking
- Denial management and appeals with local payer knowledge
- Patient billing and collections for NYC demographics
- Credentialing with NY-specific payer networks
Medical Billing
Full-cycle claims management. We handle submission, follow-up, payment posting, and patient statements.
Learn MoreMedical Coding
Certified coders specializing in NYC high-complexity specialties. ICD-10, CPT, and HCPCS accuracy that prevents denials before submission.
Learn MoreDenial Recovery
NYC-payer-specific denial analysis and appeals. We know which arguments work with which NYC insurers to overturn denied claims.
Learn MoreCredentialing
NYC and NYS payer enrollment and credentialing. We navigate the bureaucracy so you can start billing new panels faster.
Learn MoreAR Management
Aggressive accounts receivable cleanup. We work aged claims by payer and value so cash that is still collectible doesn't expire.
Learn MoreNYC Specialties We Serve
Deep billing expertise across the specialties most impacted by New York's complex payer landscape
Why NYC Practices Choose Revenue Medics
Specialty-focused billing that applies New York payer rules to your claims.
NYC Medicaid Mastery
Every NYC Medicaid MCO has different rules. We follow the prior authorization and billing rules for Fidelis, Healthfirst, MetroPlus, EmblemHealth and other NYC plans.
Hospital System Protocols
Mount Sinai, NYU Langone, Northwell, NYC Health + Hospitals, Montefiore, NewYork-Presbyterian — each system has unique billing requirements. We apply those requirements before claims go out.
NY Compliance Monitoring
NY DFS surprise billing act, OPMC requirements, Medicaid fraud prevention, NYS workers' comp fee schedules — we monitor regulatory changes that affect your billing.
Your NYC Billing Partner
A remote billing team with deep New York payer experience, serving all five boroughs
Revenue Medics Headquarters
3740 DaVinci Court, Suite 300
Norcross, GA 30092
Serving New York practices remotely
New York Medical Billing FAQs
Straight answers from our NYC billing specialists
Stop Leaving NYC Revenue on the Table
Get a free, no-obligation revenue audit that shows you exactly where your NYC practice is losing money — and how much we can recover.