Stop losing revenue to billing errors. We deliver a 98% clean claim rate and faster reimbursements for healthcare providers across the Empire State.
We verify patient eligibility and secure pre-authorizations 48 hours before the visit. Our team is expert in New York’s complex payer landscape, including Empire BlueCross BlueShield and local managed care plans, virtually eliminating front-end denials.
Using direct New York clearinghouse integrations, we submit your claims within 24–48 hours. This proactive approach bypasses the administrative friction common in New York’s busy healthcare hubs and accelerates your payment cycle.
In New York’s competitive market, every dollar counts. If a claim is denied, our team analyzes the root cause, fixes the error, and resubmits it within 48 hours, ensuring your funds are never trapped in a "pending" status.
We send clear, easy-to-read billing statements to your patients. Our professional help-desk handles inquiries with care, improving patient satisfaction scores across the five boroughs and beyond.
Our certified coders are masters of CPT and ICD-10 for the New York market. We stay updated with NGS Medicare and eMedNY (Medicaid) local coverage determinations (LCDs) to ensure every service is coded for maximum ethical reimbursement.
We meticulously record every payment, adjustment, and transaction. This provides you with a transparent, real-time view of your practice's financial health, essential for navigating New York’s high-overhead environment.
Unpaid claims are a liability. Our A/R experts aggressively target claims older than 90 days, specifically chasing down stagnant revenue from New York-based commercial and government payers.
By combining licensed coders with advanced auditing tools, we minimize human error. This results in superior compliance with HIPAA and New York State healthcare laws, safeguarding your practice’s reputation.
Our Revenue Cycle Management services in New York are designed for providers who need a more efficient, stress-free financial workflow. From Manhattan surgical centers to Upstate family clinics, we provide the localized expertise needed to thrive.
Outsourcing your RCM to The Medicator’s allows you to bypass the high costs of hiring and training in-house billing staff in New York. You get a dedicated team of experts that reduces mistakes and ensures consistent cash flow, so you can focus on your patients.
Make More Money Save More Time
Provide Better Care
Additional annual revenue for a typical practice by increasing collections.
Spravato and TMS encounters, making our billing algorithm the most robust in the industry.
Monthly time savings per clinician with psychiatry-tailored workflows.
Annual savings from automated Spravato REMS compliance alone.
Why Go With The Medicator's
Whether you’re opening a new practice or expanding, we’ve got you covered. See how we compare to other solutions.
Feature
The Medicator's
3rd Party Biller
DIY In-House
Industry-leading expertise and practice partnership
Hire, train, and manage
95%
Prior Auth Turnaround
Frequently Asked Questions
New York has unique Medicaid rules (eMedNY) and complex commercial payer requirements. A local expert ensures you don’t lose money to regional administrative errors.
We have a dedicated task force that specializes in NY commercial payers, ensuring appeals are filed with the correct documentation to overturn denials quickly.
Yes. We support healthcare providers across all of New York City, Long Island, Westchester, and Upstate New York.
We utilize encrypted, high-end platforms that exceed HIPAA standards to ensure your practice data is 100% protected.
Absolutely. Our AR team is specialized in recovering “lost” revenue from aged claims that other billers often ignore.
If you’re viewing for a fast, reliable, and efficient service provider to control eligibility verification and prior authorization services. Contact our officials!
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