The New York RCM Authority
Master Revenue in
New York.
New York City.
Buffalo.
Rochester.
Syracuse.
Operating a practice in the Empire State means navigating Empire BCBS complexities, extreme urban/rural volume variations, and strict NGS (J6) guidelines. We engineer 98% clean claim rates to ensure your cash flow never stalls.
Takes less than 60 seconds
98%
Clean Claims
9+
Years in AL
$2B
Revenue Managed
- HBS NY-GATEWAY
NGS (J6)
LCD Scrubber Rules
Synced
Empire BCBS
Policy & Modifiers
Active
NY State Medicaid
Provider Portal Sync
Scanning
Core Capabilities
The HBS Advantage in NY.
Beyond standard billing, we offer a comprehensive revenue cycle management ecosystem tailored specifically for New York’s mix of massive urban healthcare networks and distinct rural clinics.
AI-Driven Scrubbing
Our proprietary rules engine preemptively identifies coding errors and NGS (J6) LCD mismatches before claims ever reach the payer, ensuring our 98% clean claim rate.
Dedicated NY Teams
You don’t get a generalized call center. You are assigned a dedicated pod of RCM specialists who strictly handle New York accounts and understand the nuances of Empire commercial plans and state Medicaid.
Transparent Analytics
Stop guessing about your financial health. We provide real-time, granular dashboards showing exact A/R aging, denial reasons, and daily cash flow projections.
Seamless Transition
How We Partner With You.
We designed our onboarding to be frictionless. We integrate with your existing systems without disrupting your daily patient care.
1
Deep-Dive Audit
We analyze your historical data to identify leaks in your revenue cycle.
2
EHR Integration
Secure, remote tunnels into your Epic, Cerner, Athena, or cloud EHR system.
3
A/R Rescue
Our specialists immediately attack your aging buckets (>90 days).
Maximized Profit
Clean claims go out daily. Revenue goes up. You focus on patients.
Operational Footprint
Statewide Integration.
We securely tunnel into your existing EHR remotely, providing world-class RCM support across the state. We understand the specific payer nuances in every major New York region.
New York City Metro
Primary Challenge: Extreme density of competing health systems, complex multi-specialty practices, and high commercial plan density (Empire BCBS).
HBS Solution: Advanced clearinghouse rules engines tailored for complex commercial networks and swift denial appeals to maintain high cash flow amidst fierce competition.
Top EHRs:
Epic | NextGen
Long Island
Primary Challenge: High-wealth demographics, concierge medicine hybrids, and strict out-of-network limits for specialized procedures.
HBS Solution: Advanced patient responsibility estimation tools and rigorous No Surprises Act compliance tracking to protect revenue.
Top EHRs:
ModMed | eCW
Hudson Valley / Albany
Primary Challenge: High volume of state employee health plans and NY Medicaid billing rules.
HBS Solution: Mastery of NY Medicaid portal synchronization, specific state plan coding guidelines, and optimizing public health claims.
Top EHRs:
Cerner | Athena
Syracuse
Primary Challenge: Serving as a regional medical hub for surrounding rural counties, resulting in complex cross-network and Medicaid referral billing.
HBS Solution: Streamlined NY Medicaid portal synchronization and rapid front-end eligibility verification for referred out-of-network patients.
Top EHRs:
AdvancedMD | Kareo
Rochester
Primary Challenge: Aging demographics driving high Medicare (NGS J6) volume, chronic care management billing, and academic center overlaps..
HBS Solution: Strict adherence to NGS LCDs, precise time-based CCM coding, and direct portal management for teaching physician guidelines.
Top EHRs:
Allscripts | Epic
Buffalo & Western NY
Primary Challenge: Proximity to the Canadian border and PA lines requires meticulous out-of-network processing and BlueCard routing.
HBS Solution: Advanced clearinghouse rules engines tailored for complex multi-state commercial networks and swift denial appeals.
Top EHRs:
Elation | DrChrono
Proven Results
New York Success Stories.
Real data from practices across the Empire State that transformed their revenue cycles by partnering with HBS.
Multi-Specialty Clinic
New York City, NY
Struggled with massive A/R aging > 90 days due to complex commercial plan pre-authorizations and NGS (J6) audits.
A/R > 90 Days
-76%
Monthly Cash Flow
+$148K
Orthopedic Center
Syracuse, NY
Plagued by high denial rates (24%) due to complex pre-authorizations and surgical coding errors.
Denial Rate
3.4%
Clean Claim Rate
98.5%
Secure Your NY Revenue Audit
Stop leaving money on the table. Our New York specialists will analyze your revenue cycle and uncover hidden billing opportunities.