Cardiology Medical Billing Services in New York
AMS Solutions provides specialized cardiology medical billing for New York practices — NYC, Albany, Buffalo, Rochester, and statewide. Our AAPC-certified billers handle the full cardiology code set (93451-93461 cath, 92920-92944 PCI, 93306-93308 echo, 93619-93655 EP) and the New York payer mix that other billing companies miss.
New York-specific payer landscape
New York cardiology billing crosses NY Medicaid Managed Care (Healthfirst, Fidelis, MetroPlus, EmblemHealth), Empire BlueCross BlueShield, Aetna, Cigna, UnitedHealthcare, Oxford, and Medicare. National Government Services (NGS) is the MAC for NY Part B.
Where New York cardiology revenue leaks
- NY Medicaid Managed Care PA requirements for cardiac imaging
- Missed 26/TC splits on echo, stress, and cath imaging
- 90-day NY Medicaid claim submission window
- Same-day cath + E/M bundling without Modifier 25
- NY no-fault auto cardiac billing complexity
What AMS handles for New York practices
- Pre-encounter eligibility verification and benefit checks
- Coding, charge entry, and claim submission
- Denial management and appeals (we don’t write off — we fight)
- A/R follow-up and patient statements
- Monthly reporting tied to your practice management system
New York compliance
NY State Public Health Law §18 governs medical record access. We meet NY State DOH requirements, HIPAA, and NY SHIELD Act data security. AAPC-certified, $5M E&O.
Cardiology Revenue Cycle Support from Eligibility to Final Payment
New York cardiology practices manage a high-complexity mix of office E/M, diagnostic testing, imaging, interventional procedures, electrophysiology, devices, and payer-specific authorization requirements. AMS Solutions works inside the practice management and EHR systems a practice already uses, then follows claims from eligibility and charge review through payment posting, denial resolution, and aging A/R follow-up.
- Pre-service eligibility, benefits, referral, and authorization checks
- Charge review across cath, PCI, echo, stress testing, EP, and device workflows
- Payment posting, underpayment review, denial appeals, and aging A/R follow-up
- Monthly reporting for collections, denials, payer trends, and unresolved balances
Review AMS Solutions’ complete cardiology medical billing services and end-to-end revenue cycle management.
Start with a Free Cardiology Billing Audit
A no-obligation audit can identify denial patterns, underpayments, aging A/R, and workflow gaps before you decide whether to change billing support. Request a free medical billing audit or call 866-973-2221. Please do not submit patient information or protected health information through the website form.
Reviewed and updated August 2026 by the AMS Solutions medical billing team.
Get a Cardiology Billing Assessment for Your New York Practice
Call (214) 571-6317 or book a 30-minute review with our team.
Yes — Healthfirst, Fidelis, MetroPlus, Emblem, and all major NY MCOs.
We track NGS LCD revisions monthly and apply ICD-10 medical necessity before submission.
Yes — we run eligibility before every encounter.
95%+ on first pass.
Yes, including PIP submissions within NY’s strict timelines.
Related resources
See our full Cardiology Medical Billing services, New York medical billing services, or download the 2026 Cardiology CPT Cheat Sheet.