RCM360 Solutions manages your claims from submission to payment, helping New York providers reduce denials, shorten payment cycles, and keep revenue predictable.
New York practices work with a demanding mix of payers: Medicare through National Government Services, New York Medicaid and Medicaid managed care plans, and commercial carriers such as Empire BlueCross BlueShield, Healthfirst, Fidelis Care, EmblemHealth, Oxford, Aetna, and Cigna. Many practices also handle no-fault and workers’ compensation claims, which follow their own rules and deadlines. RCM360 Solutions manages each stage of your revenue cycle so your team can focus on patient care.
Outstanding claims represent revenue your practice has already earned. Our team monitors every open balance, contacts payers on a regular schedule, and pursues each claim until it is paid in full or formally appealed.
Our billers and coders understand New York payer policies and manage each claim from initial submission through final payment posting.
As your practice adds providers, locations, or patient volume, we expand our support without slowing down claim submission or follow-up.
Scheduled reports show claims submitted, payments received, denial trends, and outstanding balances, giving you full visibility into collections.
We identify the cause behind every denial, correct the underlying issue, and submit appeals within payer deadlines to recover lost revenue.
Claims that remain unpaid beyond 60 days are prioritized and actively pursued, so older balances are collected rather than written off.
From busy practices in New York City and Long Island to independent clinics in Buffalo, Rochester, and Albany, billing delays and claim errors affect cash flow. Our process is designed around accuracy, consistency, and compliance.
Every specialty has its own coding rules and payer requirements. We pair your practice with billers who work in your field every day.
Preventive visits, immunization administration, and Child Health Plus and Medicaid claims for pediatric practices.
Imaging claims with accurate professional and technical component billing, correct modifiers, and authorization tracking.
Infusion and chemotherapy billing, precise drug codes and units, and authorization management for ongoing treatment plans.
Billing for diagnostic testing, cardiac imaging, and in-office procedures, supported by complete clinical documentation.
Our team connects securely to the EHR and practice management software your practice already uses. Your workflow stays the same, and our specialists manage the billing side.
Yes. These claim types have strict filing requirements and documentation rules in New York. Our team tracks the deadlines and submits claims accurately, along with your Medicare, Medicaid, and commercial insurance billing.
We track timely filing limits for each payer and submit claims promptly after charge entry. Any claim that needs correction is flagged and resubmitted before its deadline expires.
We follow HIPAA requirements, use secure systems for all data access and transfer, and restrict access to team members who need it to complete their work.
We review your outstanding claims, prioritize them by age and balance, and begin payer follow-up right away. This helps you recover money already owed to you during the transition.
Learn how RCM360 Solutions can reduce denials, speed up payments, and give your New York practice clearer financial reporting.
