Family Practice Medical Billing Services in New York
AMS Solutions provides specialized family practice medical billing for practices across New York. Whether you’re in NYC, Albany, Buffalo, Rochester, or anywhere statewide, our AAPC-certified billers handle the full family practice code set (E/M codes (99202-99215), preventive care (G-codes, 99381-99397), chronic care management (99490-99491)) and the New York payer landscape including New York Medicaid Managed Care that New York practices encounter.
New York-specific payer landscape
New York family practice billing crosses NY Medicaid Managed Care (Healthfirst, Fidelis Care, MetroPlus, EmblemHealth, Hudson Health Plan), Empire BlueCross BlueShield, Aetna, Cigna, UnitedHealthcare, Oxford, and Medicare. National Government Services (NGS) is the MAC for NY Part B with its own LCDs.
Where New York family practice revenue leaks
- NY Medicaid Managed Care PA requirements for high-cost services
- E/M level under-coding (most family practices bill 99213 when 99214 documentation supports it)
- Annual Wellness Visit (G0438/G0439) confusion with preventive E/M
- Same-day procedure + E/M bundling without Modifier 25
- 90-day NY Medicaid claim submission window — strict
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 Department of Health requirements and HIPAA. NY’s SHIELD Act adds data security requirements — our infrastructure complies. AAPC-certified, $5M E&O.
Get a Family Practice Billing Assessment for Your New York Practice
Call (214) 571-6317 or book a 30-minute review with our team. We’ll audit your last 90 days of claims, flag every recoverable issue, and show you exactly what’s leaking — no obligation.
Yes — Healthfirst, Fidelis, MetroPlus, Emblem, and all major NY MCOs.
Yes. AWV and preventive E/M (99381-99397) can be billed appropriately on different dates; same-day requires careful unbundling.
Yes — we run eligibility before every visit.
We bill monthly CCM time-based codes with correct time documentation.
95%+ on first pass.
Related resources
See our full Family Practice Medical Billing services, New York medical billing services, or download the 2026 Family Practice CPT Cheat Sheet.