Medical Billing Services in New York
Medical billing for New York practices that bill NY Medicaid through eMedNY, Medicaid managed care plans, Medicare and commercial payers.
Billing support for New York practices
New York Medicaid has one of the shortest filing windows in the country. Claims generally have to be submitted within 90 days of the date of service, and anything later needs a valid delay reason. Add Medicaid managed care plans and a crowded commercial market, and a few slow weeks can cost a practice real money.
We handle New York billing remotely. Our team verifies coverage before the visit, submits claims quickly so they stay inside the 90-day window, works denials and follows up on aging balances, all through secure online access to your systems.
We support practices across New York, including New York City, Long Island, Buffalo, Rochester, Syracuse and Albany. Learn more about our medical billing, denial management, claims processing and revenue cycle management services.
What we handle for New York practices
- Medicare Part B claims through the Jurisdiction K Medicare Administrative Contractor for New York
- NY Medicaid claims through eMedNY, submitted well inside the 90-day window
- Delay reason codes on any claim that must go out after 90 days
- Medicaid managed care plans, each with its own filing and authorization rules
- Commercial payers such as Anthem (Empire) BCBS, Excellus, EmblemHealth and Healthfirst
- Monthly reports on collections, denials and days in A/R
New York billing rules at a glance
The payer rules that shape how New York claims get paid. Plan contracts can differ, so we confirm each payer's current requirements during onboarding.
Medicaid program
New York Medicaid through eMedNY, plus Medicaid managed care plans
Medicaid filing limit
90 days from the date of service for eMedNY claims; later claims need an accepted delay reason code
Medicare contractor (Part A/B)
The Jurisdiction K (JK) Medicare Administrative Contractor
Major commercial payers
Anthem (Empire) Blue Cross Blue Shield, Excellus, EmblemHealth, Healthfirst, UnitedHealthcare and Aetna
Common New York denials and how we prevent them
Timely filing
Claims that miss the 90-day eMedNY window are denied unless an accepted delay reason applies. We submit within days of the visit and track every open claim.
Eligibility and plan changes
Members move between Medicaid fee-for-service and managed care plans. We re-check eligibility before visits and route the claim to the right payer.
Coding and documentation
Dense commercial and Medicaid edits catch modifier and diagnosis mismatches. Our certified coders review claims before they are submitted.
Specialties we bill for in New York
Frequently Asked Questions
What is the New York Medicaid timely filing limit?
New York Medicaid generally requires claims to be submitted within 90 days of the date of service. Claims submitted after 90 days must include an accepted delay reason, so we submit quickly and track every claim against that window.
Do you bill New York Medicaid managed care plans?
Yes. We bill Medicaid through eMedNY and the Medicaid managed care plans, and follow each plan's own authorization and filing requirements.
Who is the Medicare contractor for New York?
New York is in Medicare Jurisdiction K. Medicare Part A and Part B claims for New York practices go to the JK Medicare Administrative Contractor.
Do you support practices in New York City and upstate?
Yes. We work remotely, so practices in all five boroughs, Long Island and upstate New York work with us the same way.
How much does medical billing cost for a New York practice?
We charge a percentage of the payments we successfully collect, with no upfront or setup fees. The percentage depends on your specialty and claim volume, so we quote it after a free review.
Other states we serve
Ready to Get Paid Faster?
Get a free billing review. We'll look at your current collections, denials and A/R and show you where revenue is being lost.