Medical Billing Services in New York
MedPrecision works with practices across New York state, where billing complexity is driven by the intersection of Medicaid Managed Care (through plans like Fidelis, Healthfirst, and MetroPlus), the state's surprise billing protections under the No Surprises Act and state law, and one of the highest cost-of-living environments for practice operations. NYC practices face different payer dynamics than practices in Buffalo, Rochester, or the Hudson Valley — and our billing team understands both.
MedPrecision serves private practices, specialty groups, clinics, and telehealth providers across New York. Our remote billing model provides the same dedicated support whether you are in New York City, Buffalo, Rochester or anywhere else in the state.
The New York Billing Landscape
New York has one of the most complex Medicaid systems in the country, with over 7 million enrollees in managed care plans including Healthfirst, Fidelis Care (Centene), Emblem Health, MetroPlus, Affinity Health Plan, and dozens of regional plans. The state's Essential Plan provides coverage for residents who don't qualify for Medicaid but can't afford marketplace plans, adding another layer of billing complexity. The commercial market is led by Empire BlueCross BlueShield (Anthem), UnitedHealthcare, Aetna, Cigna, and Oscar Health. New York's prompt pay law requires clean claims to be paid within 30 days for electronic and 45 days for paper submissions, with interest penalties at the greater of 12% annually or the federal funds rate plus 4%. The state's surprise billing law (enacted in 2015, before the federal NSA) established an independent dispute resolution process. New York City practices operate in one of the most competitive, high-overhead markets in the nation, with NYU Langone, Mount Sinai, NewYork-Presbyterian, and Northwell Health shaping contracting dynamics. Upstate New York is markedly different — Rochester, Buffalo, and Syracuse have regional health systems and lower reimbursement rates, while rural communities face provider shortages. New York mandates telehealth parity and has some of the most comprehensive behavioral health parity requirements in the nation.
Who We Serve in New York
Major Metro Areas Served
Payer Landscape in New York
Medicaid Program
New York Medicaid Managed Care
Managed Care Organizations
Key Commercial Payers
Timely Filing Deadlines
Prompt Pay Law
New York Insurance Law Section 3224-a requires insurers to pay clean electronic claims within 30 days and paper claims within 45 days. Late payments incur interest at the greater of the rate used by the IRS or 12% per annum.
Core Services in New York
Medical Billing
End-to-end billing from charge entry to payment posting.
gavelDenial Management
Root cause analysis, appeals, and denial prevention.
searchMedical Billing Audits
Identify revenue leakage and compliance gaps.
assignment_turned_inPrior Authorization
Timely authorization submissions to prevent delays.
badgeProvider Credentialing
Enrollment and re-credentialing across all payers.
account_balanceA/R Follow-Up
Systematic follow-up to keep your A/R days low.
How Remote Onboarding Works
Discovery Call
We learn about your New York practice, current billing setup, and pain points.
Billing Audit
A complimentary review of your recent claims, denials, and A/R aging.
Workflow Transition
Direct integration with your EHR/PM system — no disruption to patient care.
Ongoing Reporting
Monthly performance reports with actionable insights to keep collections growing.
New York Billing Regulations & Compliance
State Insurance Regulator
New York State Department of Financial Services (DFS)
Surprise Billing Protection
New York's surprise bill protections (Financial Services Law 603) predate the federal No Surprises Act, protecting patients from balance billing for emergency and inadvertent out-of-network services with an independent dispute resolution process.
Telehealth Billing Parity
New York requires insurers to cover telehealth services on the same basis as in-person visits. Medicaid covers telehealth including audio-only and telephonic services.
Common Questions
Common questions about medical billing services in New York.
Get a Free Billing Audit
See where denials, follow-up delays, or workflow gaps may be hurting your New York practice.
Get a Free Billing Audit arrow_forwardHow do you handle New York Medicaid Managed Care?
New York Medicaid Managed Care runs through plans like Fidelis, Healthfirst, and MetroPlus. Each has different billing rules, prior auth requirements, and appeal timelines. Our team manages the payer-specific workflows for your contracted plans.
What about billing differences between NYC and upstate practices?
NYC practices typically deal with higher Medicaid managed care volume and more complex multi-payer environments. Upstate practices often have a heavier commercial and Medicare mix. We adjust billing strategy based on your specific payer profile.
How does New York's surprise billing law affect us?
New York's out-of-network billing protections predate the federal No Surprises Act. We ensure compliant billing for both in-network and out-of-network claims, and manage IDR when needed.
What specialties do you support in New York?
We work with mental health practices, primary care groups, cardiology, orthopedics, and urgent care centers across New York. Each specialty team understands NY-specific payer rules and coding requirements.
Services in New York
Specialties in New York
Other Locations We Serve
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Get a Free Billing Audit
See where denials, follow-up delays, or workflow gaps may be hurting your New York practice's collections.