New York is the most populous state in the U.S. and is home to diverse demographics. With over 19 million residents, various age groups, ethnicities, and healthcare needs completely affect the healthcare revenue cycle at the professional and institutional level. MedsIT Nexus is a trusted medical billing company in NYS that provides specialized billing services with a complementary practice audit tailored to the unique needs of diverse demographic medical procedures, resulting in streamlined claims processing and maximizing revenue
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Billing complications slow down operational efficiency. Get rid of the hassle with our qualified billing experts and boost your revenue
Get a QuoteUnlike hospital affiliates, private practices often have smaller administrative staffs, which can lead to increased workloads for physicians. Without a dedicated billing team, errors in coding and payer requirements lead to delayed or denied reimbursements.MedsIT Nexus provides tailored billing solutions, ensuring accurate claim submissions, reducing denials, and optimizing revenue cycles. Our services help private practices improve financial stability, maintain compliance, and reduce administrative burdens, allowing physicians to focus on quality patient care.
Small practices are independently owned clinics with limited staff and resources, making efficient billing crucial for financial stability. These practices face challenges such as high claim denial rates, complex insurance policies, delayed reimbursements, and regulatory compliance. Without dedicated billing teams, physicians' administrative workload increases. MedsIT Nexus offers specialized billing services for small practices, ensuring accurate claim submissions, timely reimbursements, and compliance with payer regulations. Our solutions streamline revenue cycles, reduce denials, and enhance financial performance, allowing small practice physicians to focus on quality patient care.
In 2024, New York State's healthcare spending reached $101.5 billion, the second highest in the United States. This impacts practice revenue with increased administrative tasks. Inefficiencies in RCM processes may lead to delayed insurance collection. Partnering with MedsIT Nexus' advanced revenue cycle billing services reduces the administrative burden, allowing you to maximize revenue without worrying about claim rejections.
MedsIT Nexus specializes in performing comprehensive audits for the larger healthcare facilities and professionals in New York. Our medical billing audit services address region-specific challenges such as Medicaid Managed Care. With a team of experts well-versed in local payer regulations and New York State-specific billing guidelines, we ensure compliance, maximize revenue, and identify billing inefficiencies. This results in reducing errors and optimizing the reimbursement process
With a significant elderly population, New York has a high Medicare enrollment rate, making expertise in navigating Medicare billing guidelines essential. Our comprehensive medical billing and credentialing services help enhance operational efficiency and secure faster payer approvals. We streamline the credentialing process with our customized software, verifying qualifications and ensuring compliance with the New York State Department of Health (NYSDOH) and insurance-specific guidelines.
In New York, the Value-Based Care (VBC) model is widely followed, requiring accurate and detailed coding to align with quality-based reimbursements. This complexity demands expertise in risk adjustment, compliance, and payor-specific guidelines. We ensure accuracy, compliance, and up-to-date coding for hospitals and professionals to maximize reimbursements and reduce claim denials. Trust MedsIT Nexus medical coding services to streamline the process with reliable solutions.
Are claim denials quietly draining your revenue? New York’s Medicaid program mistakenly paid out $16.2 million in just six months—and that’s only what audits caught. Even worse, $1.5 billion was spent on unenrolled providers over four years, illustrating the costly impact of system flaws. At MedsIT Nexus, our denial management services are designed to prevent revenue leaks before they occur. With proactive audits and compliance-first billing workflows, our medical billing professionals reclaim lost revenue and boost cash flow, just like Albany Medical Center, which recovered $3 million with our improved denial management processes.
With over 30% of residents speaking a language other than English, ensuring effective follow-up communication is critical to reducing unpaid balances. By strategically approaching the state's unique demographic and payer landscape, our medical billing accounts receivable services streamline collections, reduce outstanding balances, and improve cash flow for hospital facilities and specialty physicians.
After completing In New York, there are persistent disparities among Black, Asian, and Latino populations, which complicate the data collection process. Our expertise in navigating New York State Medicaid, Medicare, commercial insurance plans, and Managed Care Organizations (MCOs) for multicultural and multilingual populations ensures timely verification of patients' benefits eligibility, preventing claim denials and payment delays. Our medical insurance verification services solve key financial challenges, such as copayment identification and coinsurance calculation, before a patient receives care.
Hospital billing involves managing complex claims, verifying insurance, and ensuring compliance with federal and state regulations. Hospitals face challenges such as high claim volumes, coding errors, reimbursement delays, and changing payer policies, which can lead to financial losses. Inefficient billing processes lead to increased denials and administrative burdens. MedsIT Nexus offers specialized hospital billing services, ensuring accurate coding, timely claim submissions, and strict adherence to regulations. Our solutions optimize revenue cycles, reduce denials, and improve financial performance, enabling hospitals to focus on delivering high-quality patient care without financial disruptions.
Family Medicine, Emergency Medicine, Anesthesiology, Surgery, and Internal Medicine are the most in-demand medical specialties in New York State due to increasing healthcare needs, an aging population, and the growing demand for specialized care. Each specialty has its unique set of billing requirements, necessitating specialized knowledge and expertise in the local payor’s guidelines for that specific branch of medicine. With our partnership in specialty billing services, your practice will have a dedicated team of billing experts in your specialty, ensuring accurate coding, timely claims submission, and optimized revenue cycle management.
Healthcare providers trust MedsIT Nexus
medical billing services company
We understand the unique billing complications in New York, from navigating complex payor guidelines to managing inpatient and outpatient coding challenges. Our expertise ensures accurate claim submissions, reducing denials and maximizing reimbursements for healthcare providers.
Medical billing services start at just 2.69% to maximize savings.
Customized pricing based on your practice’s unique billing needs.
Reduce costs while ensuring higher reimbursements and profitability.
According to the latest available data, approximately 13.4 million people in New York State are enrolled in private health insurance plans. As of 2023, an estimated 7.7 million and 3.7 million residents were enrolled in Medicare and Medicaid, respectively. Our medical billing team expertly caters to the requirements of both payors while managing your practice’s revenue cycle management. With over 11 years of experience serving medical practices and organizations in the industry, MedsIT Nexus has a credible reputation and trustworthy payer relationships, ensuring compliance with healthcare regulations and optimizing financial performance.
Call us at +1 (516) 665-1869 for further information.
Doctors lose up to
Billion in U.S
Because of poor billing practices
MedsIT Nexus is a trusted medical billing provider in New York State, providing services in every city with precision and care.
Locate MedsIT Nexus medical billing office at your nearest location in New York.
Outsourcing medical billing services involves key processes such as patient data entry, claim submission, payment posting, denial management, and follow-up on accounts receivable (AR). However, common challenges include claim denials, coding errors, delayed reimbursements, and compliance issues. MedsIT Nexus solves these problems by ensuring accurate coding, real-time claim tracking, and strict compliance management. Our expertise streamlines the billing process, reducing denials and accelerating reimbursements for healthcare providers in New York.
our revenue cycle experts Identify gaps & unlock higher profitability
Dr. Ndidi Uka
A-plus Dentistry
"I want to thank MedsIT Nexus for their impeccable service. They are incredibly knowledgeable and work to make sure you receive the maximum reimbursement. Sam, my dedicated Practice Manager, is always available to answer my questions and keep my abreast on the status of my submitted claims. Being able to bill medical services has allowed me to offer the best care."
M. Techeira
Family Medicine
"We are an outpatient family medicine/ primary care practice. Have offices in NYC and Nassau County. MedsIT Nexus handles all our medical billing and insurance claims. We switched from another company and the process was hassle free, no fees and FAST which was important since we operate 6/7 days. They are always available to answer any questions. We definitely recommend!"
Memoona Waheed
Family Medicine & Pain Management
"After reviewing different medical billing companies, I came across MedsIT Nexus. Not only do they offer billing and coding services, but specialize in credentialing and unpaid claims. Their staff is knowledgeable, professional and are easily accessible- inquiries are answered quickly. Thank you MedsIT Nexus for helping us improve our healthcare practice at a competitive rate!"
S. Dhillon
Physical Medicine & Rehabilitation
"I am the manager at a private physical medicine & rehabilitation practice. We operate in 2 different boroughs in NYC through multiple clinics. MedsIT Nexus handles all our medical billing, coding, denials and prior authorizations for all procedures. We are pleased with their same day approvals as well. Their staff is easily accessible, fast & pleasant to work with."
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Medical Billing Audit
Medical Credentialing
Medical Coding
Denial Management Services
Accounts Receivable Management
Medical Insurance Verification Services
