Prime Doc Billing is a trusted provider of Revenue Cycle Management Services in New York. We understand the unique complexities of New York’s healthcare landscape. That makes our team excel in managing high patient volume.
Our team navigates private, public, and Medicaid Managed Care Programs to ensure your practice’s smooth revenue flow. We also offer a tailored workflow designed to address New York’s diverse payer mix. That makes our RCM strategies scalable and results-driven all across New York.
At Prime Doc Billing, we process claims in our RCM services and navigate the maze of New York’s complex payer system. We constantly adapt to New York’s evolving RCM guidelines to ensure maximum reimbursement in this tightly regulated environment.
The following are a few of many RCM challenges that arise in New York’s healthcare system:
New York has Multiple Medicaid Managed Care Organizations (MMCOs). Each of them has its own billing requirements, documentation standards, and portals. This increases the chances of denial due to a significant administrative burden.
Prime Doc Billing ensures every claim submission is tailored according to the respective MMCO, resulting in the highest possible reimbursements. We maintain payer-specific guidelines in every claim for a smooth revenue flow.
New York’s healthcare practice is shifting rapidly towards the Value-Based Payment (VBP) model. It requires the providers to align their financial performance with patient outcomes.
Prime Doc Billing offers VBP services to provide advanced data reporting, performance tracking, and risk scoring. This helps providers maintain a financial circulation of their practice in New York.
New York’s high patient volume and language barriers can lead to delays, denial, and lost revenue.
Our RCM experts conduct real-time insurance verification and eligibility checks, ensuring accuracy from the start. Prime Doc Billing provides multilingual support and culturally competent tools to help patients understand their financial responsibilities. This reduces the chances of confusion, which leads to missed payments.
The New York State Office of the Medicaid Inspector General (OMIG) frequently conducts external audits on New York practices. Prime Doc Billing implements internal audits in advance for coding accuracy reviews and OMIG-compliant documentations. These audits from our team protect your practice from financial and legal exposure.
Since New York has a vast number of payers across the state, maintaining communication with them can be difficult for the providers. Prime Doc Billing’s RCM experts specialize in New York major payer protocols.
We use integrated systems to ensure faster turnaround times and a proactive preauthorization process to maintain financial stability.
Prime Doc Billing offers comprehensive RCM services tailored to the unique needs and challenges of healthcare providers in New York.
Prime Doc Billing offers front-end services to New York’s high-volume practices. This includes patient registration, insurance verification, and streamlining prior authorizations. Our team reduces the administrative burden on your staff to reduce errors and delays, which results in revenue loss.
Incorrect coding can lead to audits, penalties, or delayed payments. Therefore, we ensure that your coding is compliant with New York’s Medicaid and MCOs’ guidelines. We help your practice capture maximum reimbursements while avoiding administrative errors.
We manage and submit claims to align with respective payer-specific rules, formats, and submission portals. Prime Doc Billing tailors its claim workflow to New York insurers’ unique requirements. Such insurers include Healthfirst, Fidelis, and MetroPlus.
We reduce the chances of claim rejections with our precise submissions, which are very common in New York’s multi-payer environment.
From missing documentation to incorrect treatment plan, a lot of factors can lead to denial in New York’s complex environment. We perform root cause analysis that is specific to New York’s MCOs and commercial plans.
Our team makes necessary corrections or files for an appeal if necessary, using payer-specific strategies. We also monitor common denial trends in New York to proactively resolve recurring issues to maintain revenue flow.
A/R management in New York can become overwhelming and delay cash flow due to its payer diversity. We prioritize A/R based on New York-specific payers to ensure faster resolutions and high recovery rates of outstanding claims.
Due to New York’s constantly changing payer regulations, patients can get confused with their financial responsibilities. Our team helps them set up payment plans if necessary. This increases patient satisfaction while improving collection rates for your practice.
In a large-scale and time-sensitive healthcare market of New York, it is important to track financial performance. Our team identifies root causes of commonly occurring denials and develops strategies to overcome them. We meet New York-specific reporting standards to keep you in the loop with your practice’s revenue.
Prime Doc Billing also provides value-based incentive tracking to make healthy financial decisions for your practice.
At Prime Doc Billing, we deliver tailored RCM solutions. Our experts design them to meet the demands of New York’s complex healthcare structure. From insurance verification to denial resolution, we comply with the guidelines of all major Medicaid Managed Care Organizations (MMCOs) in New York.
We combine our in-depth New York expertise with regulatory insight at every stage of the RCM cycle. Our team is focused on navigating New York’s complex healthcare structure to keep your practice financially healthy and compliant.
From eligibility checks to denial management, Prime Doc Billing has got it all covered. We deliver specialized RCM tailored to New York’s unique regulations and patient population. Contact us today or book a demo on your website now!
Join hundreds of healthcare providers who have transformed their practice with our RCM services.
(347) 650-2656
(347) 650-2656
info@primedocbilling.com
