New York is the core focus. We also support surrounding states when a group has locations that cross state lines, for example New Jersey and Connecticut. The approach stays the same. Regional payor rules, portals, and workflows, not generic billing.

Yes. We handle New York Medicaid fee for service workflows tied to eMedNY, plus Medicaid managed care plan billing. That includes eligibility checks, claim status follow up, denials, resubmissions, and appeals.

eMedNY is New York’s Medicaid system for provider billing operations, reference material, and tools like claim status inquiry. If a billing team does not know how to work eMedNY correctly, you usually see it in slow claim fixes and aging A R.

We merge into your existing workflow. If you want, we take specific steps off your staff’s plate while you keep control of the rest. If you want a full transition, we take the workflow over from the prior billers and keep it moving with minimal disruption.

Yes. Most practices want continuity. We work in your existing system and document the workflow so your team knows what is happening and where to look.

If you do not have a platform, or your current platform is controlled by a billing vendor and you cannot keep it, TMS can provide a platform so you are not boxed in.

If your practice prefers paper and superbills, we can run the workflow that way too.

We do billing, coding, credentialing, and A R projects. You can hand us full billing end to end, or bring us in for a narrower engagement, like coding support, credentialing, or an A R recovery push.

Yes. Many practices prefer one team accountable for claims and enrollment status.

If you want it set up that way, we handle new enrollments, recredentialing, and maintenance as needs arise. As part of maintenance, we can also submit regular requests to payors for fee schedule increases, based on the payors and contracts you are participating in.

Yes. We handle No Fault and PIP workflows, including the documentation and form requirements that trip up generalist teams.

For example, the New York NF 3 form includes specific submission timing language that providers have to follow, and missing those windows can create avoidable payment issues.

New York Workers’ Comp billing has submission requirements that differ from standard commercial workflows.

For CMS 1500 medical bills, the Workers’ Compensation Board requires electronic submission through Board approved submission partner processes. We run the submission and follow up cadence so these claims do not sit untouched.

You get a primary point of contact, plus a team aligned to your specialty and regional workflows. When something needs action from your side, it should be clear what is needed, why it is needed, and who owns the next step.

We focus reporting on what owners and admins actually use, collections trend, aging A R movement, denial categories, payor turnaround, write offs, and follow up inventory.

We can also provide provider specific reporting for performance tracking and provider compensation, based on what your platform supports.

Yes. We operate under HIPAA requirements and we sign a BAA. Access is role based, limited to what is needed for the work, and aligned to your platform’s permissions, MFA, and audit logs.

Yes. TMS uses advanced AI tools configured around New York workflows, payor rules, and common denial patterns.

In practice, that means we use automation to spot missing data and claim risks earlier, and to surface trend shifts, like a payor suddenly rejecting a field or a particular code mix starting to deny. Your team still gets a clear human explanation of what changed and what we are doing about it.

Timing is driven by access and required documents. Once logins, portals, and clearinghouse connectivity are in place, we can begin work without a long ramp.

Just fill out our short consultation request form. Pick your practice type, add your practice name and best contact info, then drop a quick note in Comments. If you know your monthly collections, include that too so we can route you to the right team and come prepared.

Once you hit Send, you will hear from us shortly.