Medtransic provides world-class medical billing services across New York State. From Manhattan's elite medical practices to Buffalo's community health centers, New York's stringent billing regulations, complex Medicaid managed care landscape, and the nation's most diverse payer mix demand expert billing partners who deliver results.
Medtransic delivers comprehensive medical billing and revenue cycle management services to healthcare providers throughout New York. Our team of certified medical coders and billing specialists understands the unique regulatory environment, payer mix, and healthcare challenges that New York practices face. Whether you operate a solo practice or a multi-location clinic, our customized billing solutions help maximize reimbursement, reduce claim denials, and accelerate collections so you can focus on delivering quality patient care.
Why Partner with Medtransic in New York
Healthcare providers across New York choose Medtransic for our proven track record of delivering measurable results in medical billing and revenue cycle management.
98% First-Pass Acceptance Rate — Clean claims submitted within 24-48 hours, reducing rejections and accelerating payments
25% Average Revenue Increase — Our clients see significant revenue growth within 90 days of onboarding
45% Denial Rate Reduction — Proactive denial prevention with root cause analysis and targeted appeals
HIPAA-Compliant Operations — SOC 2 certified, fully HIPAA compliant with encrypted data handling
Dedicated Account Manager — A single point of contact who knows your practice, specialty, and payer mix
No Long-Term Contracts — Month-to-month flexibility with transparent pricing and no hidden fees
Why New York Practices Choose Medtransic
Healthcare providers across New York partner with Medtransic because of our proven track record of improving practice revenue and reducing administrative burden.
NY Medicaid Managed Care
Expert billing across New York's extensive Medicaid managed care network including Healthfirst, Fidelis, and MetroPlus.
Surprise Bill Compliance
Full compliance with New York's landmark surprise billing law and independent dispute resolution process.
Multi-Specialty Billing
Comprehensive billing for New York's diverse specialty practices from cardiology to dermatology to psychiatry.
NYC Market Mastery
Deep expertise in New York City's unique healthcare billing environment with its complex payer landscape.
See How Much Revenue Your New York Practice Is Leaving on the Table
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New York was a pioneer in surprise billing protections with its Emergency Medical Services and Surprise Bills law (2015). The law established an independent dispute resolution process and prohibits balance billing for emergency services and surprise out-of-network services. New York's law served as a model for the federal No Surprises Act.
Statute of Limitations: 6 years for medical debt collections in New York.
Timely Filing: Claims must generally be filed within 365 days, though individual payer contracts may impose shorter deadlines.
Surprise Billing Protection: New York has enacted surprise billing protections for patients.
Emergency Medical Services and Surprise Bills law (2015)
Independent Dispute Resolution (IDR) process
Balance billing prohibited
Assignment of benefits provisions
Medical Billing Services We Offer in New York
Our full suite of revenue cycle management services is available to healthcare practices across New York. Each service is tailored to meet the specific needs of your practice and specialty.
Denial Management - Proactive denial prevention and aggressive appeals to recover lost revenue for New York practices
Medical Coding - Certified ICD-10, CPT, and HCPCS coding by specialists familiar with New York payer requirements
Accounts Receivable Management - Systematic follow-up on outstanding claims to reduce days in AR and improve collections
Provider Credentialing - Complete payer enrollment and credentialing for New York insurance networks
Compliance Auditing - Regular audits to ensure your practice meets New York and federal billing compliance standards
Patient Billing - Clear, professional patient statements and payment processing
Telehealth Billing - Virtual visit reimbursement following New York telehealth regulations
Medtransic provides specialty-specific billing expertise for healthcare practices across New York. Our coders are trained in the unique coding and billing requirements of each medical specialty.
Medtransic serves healthcare providers across every part of New York with localized billing expertise.
New York City Metro
New York City is the most competitive healthcare market in the United States, with Mount Sinai Health System, NYU Langone Health, and NewYork-Presbyterian Hospital leading a dense network of academic medical centers and specialty practices. Complex Medicaid managed care through Healthfirst, Fidelis Care, and MetroPlus serves a large low-income population alongside robust commercial payer markets.
NYC practices face strict compliance requirements and among the highest claim denial rates in the country, making expert billing management critical for financial viability.
Key specialties in demand: Cardiology, oncology, psychiatry, orthopedics, dermatology, gastroenterology
Western New York: Buffalo & Rochester
Western New York's healthcare market is anchored by Kaleida Health and Rochester Regional Health, with a payer landscape dominated by Excellus BlueCross BlueShield rather than the NYC-centric plans. The region sees cross-border patients from Canada seeking specialty care and elective procedures not readily available through the Canadian healthcare system.
Practices in Western NY navigate a distinctly different payer mix than their NYC counterparts, with lower reimbursement rates but also lower overhead costs.
Key specialties in demand: Primary care, orthopedics, cardiology, neurology, oncology
Our Track Record in New York
Medtransic has a strong track record of delivering results for healthcare practices in New York.
400++ practices served across New York
110++ billing specialists dedicated to New York accounts
18++ years of experience in New York medical billing
98% first-pass claim acceptance rate
25% average revenue increase for New York practices
45% average denial rate reduction
Frequently Asked Questions About Medical Billing in New York
How does New York's surprise billing law affect medical billing practices?
New York's surprise billing law is considered the strongest in the nation, protecting patients from unexpected out-of-network bills for emergency services and non-emergency services at in-network facilities. The law established an independent dispute resolution process that has been a model for federal legislation. Medtransic ensures all out-of-network claims are processed in compliance with New York's requirements and navigates the IDR process when disputes arise.
How complex is Medicaid managed care billing in New York?
New York's Medicaid managed care system is among the most complex in the country, with dozens of managed care organizations operating across the state. Plans like Healthfirst, Fidelis Care, MetroPlus, and Amerigroup each have unique authorization requirements, formularies, and billing procedures. Medtransic maintains current payer matrices for every NY Medicaid MCO and assigns specialists who understand each plan's requirements.
How does Workers' Compensation billing work in New York?
New York Workers' Compensation billing follows the NY Workers' Compensation Board fee schedule, which sets maximum reimbursement rates for medical services. Providers must use specific WCB forms and authorization procedures, and claims must be filed through the board's electronic system. Our team handles the entire WCB billing process from initial claim filing through fee schedule verification and appeals.
What are the requirements for No-Fault auto injury billing in New York?
New York's No-Fault insurance system requires auto insurers to cover medical expenses regardless of fault, but providers must submit NF-3 verification forms within 45 days and bills within 45 days of treatment. Late submissions result in denial with limited appeal rights. Medtransic tracks all No-Fault deadlines rigorously and ensures proper NF-form submissions to protect our clients' reimbursement.
What is New York's prompt payment law deadline?
New York's prompt payment law requires insurers to pay or deny clean claims within 30 days of receipt for electronic claims and 45 days for paper claims. Insurers that miss these deadlines owe interest on the unpaid amount. Medtransic monitors all claim payment timelines and files prompt pay complaints with the NY Department of Financial Services when payers fail to meet their obligations.
How much do medical billing services cost in New York?
Medical billing outsourcing for New York practices typically ranges from 4-8% of monthly collections, depending on practice size, specialty, and claim volume. Medtransic offers transparent, competitive pricing with no hidden fees. Most New York practices see a net revenue increase after partnering with us because of reduced denials and faster collections. View our pricing plans for details.
How do I get started with Medtransic in New York?
Getting started is simple. Contact us for a free practice assessment where we analyze your current billing processes and identify improvement opportunities. Our onboarding typically takes 2-4 weeks, during which we integrate with your existing EHR system and begin processing claims with zero disruption to your practice.
Get Started with Medical Billing Services in New York
Ready to optimize your New York practice's revenue cycle? Contact Medtransic today for a free, no-obligation practice assessment. Call us at 888-777-0860 or submit a contact form to speak with a billing specialist who understands New York healthcare. Let us handle the billing complexities so you can focus on what matters most — your patients.