Family Practice Medical Billing Services in New York
AMS Solutions provides specialized family practice medical billing for practices across New York, from New York City to Albany, Buffalo, Rochester and statewide. Our AAPC-certified coders support E/M coding (office and outpatient E/M visit codes, new and established patient), preventive visits (99381-99397), Annual Wellness Visits and chronic care management (99490-99491), along with New York payer requirements. See our full-service medical billing process for pricing, onboarding and revenue-cycle support.
New York-specific payer landscape
New York payer rules vary by plan and service area. The New York State managed care directory identifies certified organizations and participating programs by county. For Medicare Part A and Part B fee-for-service claims, National Government Services administers Jurisdiction K, which includes New York. AMS verifies eligibility, network status, authorization and current payer guidance before submission.
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
- Missed Medicaid and managed-care timely-filing or corrected-claim deadlines
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
New York practices must protect medical records under state and federal requirements, including HIPAA. AMS works under signed Business Associate Agreements for covered workflows. Our coders are AAPC-certified, and AMS carries $5M in E&O coverage.
Get a Family Practice Billing Assessment for Your New York Practice
Request a free New York family-practice billing audit, call 866-973-2221, or book a 30-minute review. Please do not submit patient names, medical record numbers or other protected health information through the website.
Reviewed by the AMS Solutions medical-billing team. Updated August 9, 2026.
New York Medicaid managed care participation varies by county and plan. We verify eligibility, network status, authorization rules and the correct claims pathway for each practice location and patient plan.
Yes. AWV and preventive E/M (99381-99397) can be billed appropriately on different dates; same-day requires careful unbundling.
Yes. We can use ePACES and payer portals for eligibility checks as part of the practice’s pre-visit workflow.
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.