Dealing with denied claims and delayed payments? HelloMDs provides reliable medical billing services in NY that help practices recover revenue faster. Our AAPC-certified billing experts handle your claims with precision, letting you focus on patient care. Here’s how we do it:
Schedule a consultation
Healthcare providers in New York are facing significant financial and operational pressure in 2025–26 as claim denial rates and payer scrutiny continue to rise. National trends also reveal that many organizations are understaffed in billing roles, with nearly 43% reporting staffing shortages that directly affect claims accuracy and turnaround times. In New York specifically, audits have uncovered improper Medicaid payments totaling millions of dollars, underscoring the need for stronger claims review and oversight.
A professional medical biller turns these obstacles into actionable solutions, ensuring practices stay compliant, efficient, and financially strong.
Full revenue cycle management from start to finish.
Confirm eligibility and benefits before services.
Expert ICD 10, CPT coding for accurate billing.
Prepare and submit clean claims that meet payer requirements.
Review and correct billing issues to enhance performance.
Tailored solutions for independent and smaller medical offices.
Our medical billing services are available statewide, including in major cities such as
Our certified professionals understand New York billing rules and ensure every claim meets state and federal requirements.
We identify issues before claims are submitted, helping reduce denials and speed up payments.
Access easy-to-read reports showing claim status, collections, and accounts receivable.
We work with Medicaid, Medicare, and major commercial insurers across New York.
We maintain strong privacy protections to keep patient data safe and meet all New York state requirements
We tailor our medical billing services in NY to match your specialty’s coding and documentation needs.
Our medical billing services help control billing expenses while maintaining accuracy, security, and consistent follow-up across all claims.
We focus on clean claim submission and active follow-up so payments arrive on time without unnecessary delays or rework.
By handling billing tasks, we lessen the workload on your staff, allowing them to focus on daily operations and patient coordination.
You receive regular updates on claim status, denials, and collections, keeping you informed without confusion or guesswork.
Our structured workflows support faster claim submissions and help reduce avoidable errors that often lead to rejections.
All billing activities follow HIPAA guidelines and New York regulations to protect patient data and maintain compliance confidence.
We start by confirming patient demographics and coverage, including Medicaid, Medicare, and commercial payers in New York, to prevent claim rejections before submission.
Certified coders apply CPT, ICD‑10, and HCPCS codes accurately according to New York payer guidelines, ensuring compliant and precise billing.
Claims are reviewed for errors, missing modifiers (Modifier 25 and Modifiers like XE, XS, XP, XU), or payer-specific issues before electronic submission to maximize first-pass acceptance.
Once payments are received, EOBs and ERAs are posted accurately, underpayments are identified, and discrepancies are resolved for proper cash flow.
Denied or underpaid claims are quickly analyzed, corrected, and resubmitted. Our team follows up on accounts receivable (AR) to recover outstanding balances efficiently.
Detailed reports on AR aging, denial trends, and revenue performance are provided. Our workflow continuously evolves to reduce future denials and improve reimbursement rate.
Healthcare practices in NY with $5M annual billing can recover an extra $50,000–$100,000 per year with 33% of reduce claims. Hello MDs provides efficient, custom RCM services to ensure smooth medical billing in New York and steady revenue growth.
Medical billing costs in New York usually depend on claim volume, specialty, and coding complexity. Practices billing higher-value CPTs like 93000 (EKG), 20610 (joint injections), or 36415 (venipuncture)—and managing chronic HCC conditions such as I50.9 (Heart Failure) or J44.9 (COPD)—may require more advanced billing expertise. Do not worry. Hello MDs has affordable pricing models that typically range from percentage-based collections to flat monthly fees, especially for NY Medicaid-heavy practices.
Medical billing costs in New York usually depend on claim volume, specialty, and coding complexity. Practices billing higher-value CPTs like 93000 (EKG), 20610 (joint injections), or 36415 (venipuncture)—and managing chronic HCC conditions such as I50.9 (Heart Failure) or J44.9 (COPD)—may require more advanced billing expertise. Do not worry Hello MDs has affordable pricing models typically range from percentage-based collections to flat monthly fees, especially for NY Medicaid-heavy practices.
Practices that frequently deal with high-denial CPT codes benefit the most, including:
Outsourcing helps reduce errors tied to NY-specific payer edits and HCC risk adjustment documentation.
Ideally, before seeing the first patient. New practices often struggle with New York Medicaid enrollment, NPI linking, and correct use of CPTs like 99385–99387 (preventive visits). Early billing support ensures accurate coding of chronic HCC conditions such as E78.5 (Hyperlipidemia) and E11.22 (Diabetes with CKD), preventing cash-flow issues and compliance risks.
New York billing services commonly handle claims for:
Each payer has strict rules for CPTs like 99214, 99490 (Chronic Care Management), and accurate ICD-10/HCC reporting for conditions such as N18.3 (CKD) and E11.65, making payer-specific expertise critical.
