Accurate and Timely Revenue Cycle Management in New York

Managing healthcare revenue goes beyond tracking payments. For New York practices, it’s about navigating Medicaid, Medicare, and commercial payors, especially with value-based care (VBC). TMS Billings specializes in revenue cycle management in New York, helping with everything from registration to final payment collection to maximize your practice’s revenue.

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Why Choose TMS Billing

Your Go-To Team for Revenue Cycle Management in New York

Managing your revenue cycle shouldn’t be complicated. We manage claims from start to finish, keeping New York practices compliant and paid. Here’s how we help:

Real Results for New York Practices Through Better Revenue Management

We offer tailored revenue cycle management services in New York to improve financial stability and care quality.

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Financial Stability

Revenue cycle management in New York is complex. Our services ensure your practice remains financially stable by aligning with New York's Medicaid, Medicare, and commercial payor systems.

Better Cash Flow

By focusing on end-to-end revenue cycle management, our billers ensure your practice gets paid accurately. Our processes reduce days in accounts receivable and increase cash flow, keeping your practice on track.

Cost Control

With outsourcing revenue management, we help you minimize overhead and reduce administrative costs. We focus on value-based care and capturing all eligible reimbursements.

Compliance and Quality of Care

Our solutions ensure you capture quality care incentives and meet regulatory standards for improved patient outcomes.

Data-Driven Decisions

By analyzing performance data, we identify opportunities to enhance both your revenue and patient satisfaction, aligning with value-based care incentives and strategic growth goals.

Our Process

How We Manage Your Revenue Cycle
for New York Practices

Take the complexity out of your revenue cycle management in New York. We manage everything from claim submission to payment, ensuring your practice stays compliant and gets paid on time. Here’s how we manage the process for you:

Swift Claim Submission

We submit claims promptly, ensuring full compliance with New York’s payor systems and avoiding payment delays, in line with revenue cycle management solutions in New York.

Consistent and Proactive Claim Follow-Up

Your claims are tracked diligently, focusing on New York-specific payor rules (like HARP and MLTC), to identify and resolve any issues early, ensuring payments remain on track for your practice.

Resolving Denials Quickly and Effectively

Denied claims are addressed head-on, ensuring swift resolution and proper reimbursement.

Real-Time Payment Posting

Payments are posted immediately, keeping accounts up-to-date and financial records accurate.

Transparent Ongoing Reporting

Receive regular updates on claim statuses and payments, offering clear visibility into your practice’s financial health, with a focus on New York-specific payment models, including VBP and FFS.

Benefits

Benefits That Go Beyond Billing

With our Revenue Cycle Management services, your practice runs smoothly. Moreover, your financials stay healthier. We handle the complexities so you don’t have to.

01

Full-Service Management

We cover everything from patient registration to final payment. 

02

Maximized Reimbursements

We help you boost reimbursements to their fullest potential.

03

Increased Efficiency

We reduce your administrative load, allowing your team to focus on patient care.
04

Enhanced Reporting

Get clear and detailed reports to easily track the status of your claims and payments.

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FAQs

Frequently Asked Questions

Do you have questions about our medical billing and coding company? Let’s help you out.

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.

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Delivering clarity and compliance in every claim.