Trusted Medical Billing Partner
Medical Billing Services in New York City
New York runs a no-fault auto insurance system with a $50,000 minimum benefit per person, five times Florida’s, and NYC’s traffic density makes No-Fault a routine, recurring claim category for the city’s urgent care, orthopedic, and physical therapy practices. Techera Med Systems provides medical billing for NYC practices built around that structure, New York’s NYRx Medicaid pharmacy carve-out, and the scale of NYC Health + Hospitals, the largest municipal health system in the country.
How Much Does Medical Billing Cost in New York City?
Techera Med Systems charges a percentage of monthly collections, starting as low as 2.95%, with no separate setup fee. The rate is set by claim volume, specialty, and whether the practice needs credentialing support alongside standard billing.
No-Fault (PIP) Auto Insurance Billing
Every New York auto policy must carry at least $50,000 in No-Fault coverage per person, paying medical expenses, 80% of lost wages up to $2,000 a month for up to three years, and other reasonable expenses, regardless of fault. Claims must be filed within 30 days of the accident, and No-Fault pays before health insurance, not after, which changes the billing sequence entirely. NYC’s traffic volume makes this a steady, high-value claim category, one governed by its own regulation (11 NYCRR Part 65) separate from standard health insurance billing.
✔ No-Fault claims billed against New York’s $50,000 minimum benefit structure
✔ 30-day filing deadline compliance tracking
✔ Coordination-of-benefits sequencing (No-Fault as primary payer)
✔ Standard commercial and Medicaid billing for the rest of a practice’s patient panel
Medicaid and NYRx Pharmacy Billing for NYC Practices
New York carved the Medicaid pharmacy benefit out of managed care and into NYRx, a fee-for-service program, effective April 1, 2023, meaning prescribers who aren’t separately enrolled in the fee-for-service program can’t have their Medicaid prescriptions filled, even if they’re otherwise in-network with a patient’s managed care plan. NYC Health + Hospitals, the largest municipal health system in the country, anchors a significant share of the city’s Medicaid and uninsured care.
✔ Medicaid managed care claims submission across NYC’s MCO lineup
✔ NYRx fee-for-service enrollment verification for prescribing providers
✔ Coordination with NYC Health + Hospitals-affiliated referral networks
✔ Charge entry, payment posting, and AR follow-up
Medical Coding for NYC Practices
An NYC practice’s patient panel can include No-Fault, Medicaid, and standard commercial claims, each with different documentation and sequencing rules. Certified coders assign ICD-10-CM, CPT, and HCPCS Level II codes against whichever category applies, and flag missing documentation before a claim goes out.
✔ ICD-10-CM, CPT, and HCPCS Level II coding by certified coders
✔ Documentation gap flags before submission, not after denial
✔ Coding support across 40+ specialties common in the NYC market
Denial Management for NYC Practices
We investigate the root cause of each denial, correct and resubmit within the payer’s filing window, and track New York’s prompt-pay statute (Insurance Law 3224-a), which requires clean electronic claims to be paid or denied within 30 days.
✔ Root-cause denial review and resubmission
✔ New York prompt-pay deadline tracking (Insurance Law 3224-a)
✔ AR follow-up on aged and underpaid claims
Why Choose Techera Med Systems in New York City
Coverage and Convenience
NYC practices get the complete billing cycle from Techera Med Systems: eligibility verification, charge entry, coding, claims submission, denial management, and AR follow-up, priced at a percentage of monthly collections starting at 2.95%, with no separate setup fee.
Local and Regulatory Expertise
✔ No-Fault (PIP) billing — claims filed and sequenced correctly against New York’s $50,000 benefit.
✔ NYRx enrollment verification — prescriber fee-for-service status checked before submission.
✔ NYC Health + Hospitals coordination — referral routing for the country’s largest municipal health system.
✔ New York prompt-pay tracking — claims tracked against the state’s 30-day deadline.
In-House vs. Outsourced Billing
NYC practices weighing in-house billing against outsourcing are weighing whether one person can sequence No-Fault claims correctly on top of NYRx enrollment and standard Medicaid/commercial billing.
| Factor | In-House Billing | Techera Med Systems |
|---|---|---|
|
No-Fault ($50k) claim sequencing |
Frequent source of misfiled or late claims |
Filed correctly within the 30-day window |
|
NYRx fee-for-service enrollment |
Learned after a rejected prescription claim |
Verified proactively
|
|
Staffing risk
|
Single point of failure
|
Dedicated revenue cycle team
|
|
Cost structure
|
Fixed salary regardless of collections
|
Percentage of collections, starting at 2.95%
|
Service Area & Coverage
We support practices across all five boroughs of New York City, including clinics near NYC Health + Hospitals facilities, NYU Langone, and Mount Sinai Health System. This is a remote billing service; we don’t maintain a physical office in New York City, and coverage is based on claims volume and specialty, not proximity to a branch location.
Frequently Asked Questions
How much does medical billing cost in New York City?
Techera Med Systems charges a percentage of monthly collections, starting as low as 2.95%, based on claim volume and specialty.
Do you bill No-Fault (auto insurance) claims?
Yes. We bill against New York’s $50,000 minimum No-Fault benefit, sequence claims correctly as the primary payer, and track the 30-day filing deadline.
What is NYRx, and how does it affect billing?
NYRx is New York’s Medicaid pharmacy fee-for-service program, effective April 1, 2023. Prescribers must be separately enrolled in NYRx for Medicaid managed care patients’ prescriptions to be filled.
Do you offer medical billing for specific specialties in New York City?
Yes, across more than 40 specialties. See our specialties page (https://techeramedsystems.com/specialties/) for the full list.
