Medical Billing Services in New York

Stop losing revenue to denials and delays. Our Medicare- and Medicaid-certified medical billing experts reduce claim rejections by 34%, accelerate reimbursements by 50%, and ensure full compliance — so you can focus on patient care.

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Why New York Providers Need Specialized Medical Billing

New York’s healthcare system is among the most complex in the nation:

  • Massive Medicaid Population: Over 7 million enrollees — strict prior auth and documentation rules
  • Highly Fragmented Payers: Empire BlueCross, UnitedHealthcare, Aetna, Medicare Advantage plans
  • Strict NYS Regulations: NYS Medicaid mandates specific coding, modifiers, and audit triggers
  • Urban & Rural Divide: NYC clinics face different challenges than Upstate rural providers

Generic billing services miss these nuances. We don’t.

Learn About Our U.S.-Aligned Model
Medical billing services for New York hospitals and clinics - Mastermind Healthcare

Top Medical Billing Challenges in New York

We help NY providers overcome these common revenue cycle obstacles

Empire BlueCross Denials

Common reasons: missing -25 modifier on E/M visits, incorrect place-of-service codes.

NYS Medicaid Prior Auth Delays

Delays in pre-authorization for DME, imaging, and surgery cause 60+ day payment holds.

ER Undercoding in NYC

Using 99283 instead of 99284 for high-acuity ER visits costs $60–$90 per claim — lost revenue adds up.

Delayed Reimbursements

NY providers average 46 days to collect — we cut that to 28 days with proactive follow-up.

Client Success: Brooklyn Multi-Specialty Group

After switching to Mastermind Healthcare, this practice reduced claim denials by 36% and recovered $148,000 in written-off revenue within six months — while their billing staff workload dropped by 40%.

Read Full Case Study →

Our New York-Specific Medical Billing Solution

We combine U.S.-based leadership with operational excellence in India — so you get the best of both worlds.

NY Payer Expertise

Trained on Empire BlueCross, NYS Medicaid, Medicare Advantage, and state-specific coding rules — no guesswork.

Real-Time Eligibility

Verify NYS Medicaid, Medicare, and private insurance before service — prevent 60% of denials upfront.

Proactive Denial Prevention

Flag high-risk claims before submission. Appeal denials within 48 hours — average recovery: 87%.

Specialty-Specific Support for New York Providers

We serve practices across NYC, Buffalo, Rochester, Syracuse, and beyond with dedicated teams trained in your specialty.

ER Billing
Outpatient Billing
Hospital Billing
Cardiology Billing
Oncology Billing
Pulmonology Billing

Ready to Transform Your Revenue Cycle?

You’re leaving up to 30% of revenue on the table due to denials, undercoding, and slow reimbursements.

Let’s fix it — at no cost to you.

Get Your Free Revenue Audit

Call Us: +1 (812) 329-2773

Frequently Asked Questions

Do you work with small clinics in New York?

Yes. We serve solo practitioners, multi-physician groups, and hospitals across NY — all with the same level of precision and compliance.

Are your services HIPAA-compliant?

Absolutely. We follow HIPAA, HITECH, and SOC 2 standards. All data transfers are encrypted and audit-ready.

Can you integrate with my current EHR system?

Yes. We seamlessly integrate with Epic, Cerner, Athenahealth, NextGen, eClinicalWorks, and 30+ other platforms — no new software needed.

How quickly can you start?

Most practices go live in 5 business days. Complex setups may take up to 10 days.