New York is a heavily regulated billing environment, and that cuts both ways for a practice. There are more defined rules a payer can be held to than in most states, and correspondingly more procedural requirements a practice can fall foul of.
Medical billing in New York is procedurally demanding. Statutory prompt-pay deadlines apply to insurers, while the state's no-fault auto scheme and workers' compensation system each run on their own forms, timeframes and documentation expectations.
The state's no-fault auto scheme and its workers' compensation system both operate with their own forms, timeframes and documentation expectations, which are unforgiving of late or incomplete submission. For practices with meaningful volume in either, those are not edge cases — they are a second and third billing operation.
Rev Cura supports New York practices remotely, working inside your systems, with follow-up built around the procedural detail these programs require.
New York imposes statutory payment deadlines on insurers for clean claims. As always, the leverage comes from evidence: a documented submission and follow-up history turns a prompt-pay argument into something a payer has to answer.
The state's no-fault scheme operates on its own forms and its own submission timeframes, and late submission is a common and largely irrecoverable way to lose an otherwise valid claim. Practices with auto caseloads need this tracked separately from ordinary payer follow-up, not inside the same queue.
New York workers' compensation billing runs on its own forms, its own fee schedule and its own authorization expectations. Treating it as ordinary commercial billing produces denials that are procedural rather than clinical.
Most New York Medicaid enrollment sits with managed care plans, so the responsible payer is the plan rather than the state program. Plan identification belongs at verification.
New York was early to independent dispute resolution for certain out-of-network situations, and there are defined routes for particular categories of claim. Knowing whether a claim qualifies for one of those routes changes what happens when a payer refuses it.
State insurance rules, Medicaid programs and no-fault schemes change. This page describes the considerations that come up in practice rather than quoting statutory deadlines or limits — we confirm the current position for your specific payers rather than relying on a page like this one.
Every service line is available to New York practices. Take the full cycle, or the one stage that is holding your revenue up.
Nothing moves to a platform of ours. We operate in your practice management system and your clearinghouse, under access your practice grants and can withdraw at any time.
Your account has a named lead and defined working hours that overlap your clinic day, so a question at 9am does not wait until tomorrow.
System access, payer enrollments and workflow handover follow a written plan with dates. No site visit is required, and nothing moves before you have approved the plan.
An agreed pack on an agreed schedule, with commentary. Distance is only a problem when reporting is an afterthought.
No-fault billing runs on its own forms and submission timeframes, and missing them generally loses the claim outright. Whether it is in scope is agreed at the assessment, and if it is, it is tracked separately from standard payer AR.
Workers' compensation here has its own forms, fee schedule and authorization expectations. As with no-fault, scope is agreed explicitly rather than assumed.
No. We support New York practices remotely, working inside your systems, with a named team whose hours overlap the Eastern clinic day.
Only if you can evidence what you submitted and when, and what follow-up took place. That documented history is the difference between a position you can argue and a complaint you cannot substantiate.
It is normal, and it is a reason to report on them separately. Averaging two different payer mixes into one set of numbers hides whatever is happening in each.
Speak with our team about your current billing workflow, AR challenges and revenue cycle goals.