Most Bronx practices lose thousands every year to denials, slow A/R, and one of the most complex payer mixes in New York — a borough where Healthfirst and Fidelis dominate, no-fault volume runs high, and generic billers get it wrong daily. ParaMed runs the full revenue cycle with a 98% clean claim rate, 92% denial recovery, and 15 day faster A/R. Money in your account weeks before you used to.
Active Claims
11
Collected MTD
$27.8K
First Pass
98.4%
98%+
Clean Claim Rate
First pass acceptance across all Bronx and NYC payers
+27%
Revenue Uplift
Average net collections lift in first 90 days
15d
Faster A/R
Days reduction in collection cycle versus baseline
92%
Denial Recovery
Denied claims successfully appealed and paid
15
On a $10K–$40K monthly billing practice in the Bronx, that's $15,000 to $72,000 bleeding out annually before it ever hits your bank account. Bronx practices face some of the highest Medicaid managed care and no-fault auto volume in New York — billing environments where a single missed authorization or wrong managed care plan code can wipe out weeks of collections. We built ParaMed to make that bleed visible and then stop it.
Every claim submitted, every dollar collected, every denial recovered across our Bronx client base updates here continuously.
Collected This Month
$27,800
$15,000–$72,000
Annual leak on $10K–$40K monthly practice
Denials never reworked
65% of denied claims never get appealed. Teams write them off instead of fighting. We recover 92% of Bronx denials across Healthfirst, MetroPlus, and Fidelis plans.
Undercoding and missed modifiers
Generalist coders downcode to play it safe. Specialty coders capture full RVU value on every claim without triggering audits.
Slow A/R and timely filing misses
Claims past 90 days are 4x less likely to collect. NYC Medicaid managed care plans have strict timely filing windows billers outside the city routinely miss.
Eligibility errors at front desk
Bronx patients frequently switch between Healthfirst, MetroPlus, Fidelis, and WellCare managed Medicaid plans. Wrong plan at check-in means a denial weeks later.
Patient balance write-offs
Statements never sent, copays never collected, balances under $50 ignored. Adds up quickly over the course of a year.
Credentialing gaps
New provider sees patients before credentialed with NYC area plans. Every claim denied with no recourse — particularly painful given the Bronx's high Medicaid managed care enrollment.
Free 30 minute audit. We pull 90 days of data and show you the real number.
Most Bronx practices have tried one of the first two. Here's how each model actually performs in real Bronx County conditions — one of the most demanding billing environments in New York State.
| Capability | In House | National Biller | ParaMed |
|---|---|---|---|
| Bronx Payer Expertise | |||
| Clean Claim Rate | 82-88% | 90-94% | 98%+ |
| Denial Recovery | 30-50% | 55-70% | 92% |
| A/R Days | 45-60 | 40-50 | 28-35 |
| Dedicated Account Lead | |||
| Specialty Certified Coders | |||
| True Cost of Collections | 9-12% | 6-9% | 4-7% |
| Real Time Dashboard | |||
| Long Term Contract |
Specialty certified coders mean modifier accuracy, fewer denials, and reimbursements aligned with how NYC Medicaid managed care and commercial payers actually adjudicate each specialty in the Bronx.
Cardiology
Primary Care
Behavioral Health
Orthopedics
Pain Management
Pediatrics
Ophthalmology
Dermatology
We're not the right fit for every practice. This honest filter saves both of us a 30 minute discovery call if it's not a match.
Four steps. Zero guesswork. We take over the revenue cycle while your team stays focused on patients.
Free revenue cycle audit pinpointing leakage. We pull 90 days of historical claims and show you the exact dollar amount on the table.
Rapid enrollment with every Bronx area payer — Healthfirst, MetroPlus, Fidelis, Montefiore Health Plan, and more. EFT, ERA, EDI, clearinghouse routing all handled.
Clean claims submitted within 24 hours. One dashboard shows everything in flight across every NYC payer portal.
Aggressive denial follow up plus weekly reports. Monthly performance reviews find the next dollar to capture.
National companies treat the Bronx as an afterthought. We don't. Every claim is handled by someone who knows Bronx County payer rules, NYC Medicaid managed care plans, and the no-fault auto volume that defines Bronx billing cold.
Deep working knowledge of Healthfirst authorization protocols, MetroPlus timely filing windows, Fidelis Care modifier rules, and Montefiore Health Plan contract nuances. Generic billers treat the Bronx as just another NYC ZIP code and the claim data proves the cost of that mistake.
A/R days cut by 15 on average through clean submissions and daily follow up.
AAPC and AHIMA certified, specialized by vertical — not generalists handling every specialty at once.
Live dashboards show claim status, denial trends, and aging buckets — any device, anytime.
One named contact who knows your practice. No ticket queues, no offshore handoffs.
We charge a percentage of what we actually collect for you. If we don't bring in the money, we don't get paid. Skin in the game on every claim.
4-7%
of monthly collections
Most Bronx practices pay between $1,000 and $2,800 monthly and net $2,500+ more in collections within 90 days of onboarding.
No mystery, no sales funnel maze. Submit your info and this is what happens, step by step.
Real human reply, not a bot. We confirm fit and book a time.
We review your A/R aging, denial patterns, and current process. No pitch yet.
You get a document showing exactly where your Bronx practice is leaking revenue.
If we're a fit, simple agreement. If not, you keep the audit. Zero pressure.
We earn the relationship every month. No 12 month contracts, no early termination fees, no holding your data hostage. If we don't improve your collections inside 30 days of full onboarding, walk away clean.
The eight questions we hear on almost every discovery call. If yours isn't here, ask us on the call.
Most Bronx practices are fully transitioned in 30 to 45 days. Week one is audit and access setup. Weeks two through four cover payer enrollment with Healthfirst, MetroPlus, Fidelis, Montefiore Health Plan, and all NYC Medicaid managed care plans, plus EDI/ERA setup and EMR integration. By week five we're submitting clean claims under your tax ID.
No. We work with every major system used across the Bronx including AdvancedMD, Athenahealth, eClinicalWorks, Kareo, NextGen, Practice Fusion, DrChrono, and most legacy systems common in NYC practices. We integrate where you are.
That's your call. Some practices reassign in house billers to front desk eligibility roles. Others let team members go gradually. We can run parallel for the first 30 days if you want a soft transition.
You get a real time dashboard. Every claim status, every denial, every payer touch is logged. You see exactly what we did, when we did it, and what the outcome was. No black box — ever.
Yes. Full credentialing for new providers with Bronx commercial payers, NYC Medicaid managed care plans, and Medicare is available as an add-on. Most credentialing completes in 60 to 120 days depending on the payer.
Available as a separate service. We send statements, run electronic balance reminders, handle patient calls about bills, and route balances past 90 days to collections agencies of your choice.
Yes. HIPAA, HITECH, SOC 2 Type II, and we sign a full BAA before any data flows. All staff trained annually, access is role based with audit logs, every transmission encrypted at rest and in transit.
Send us your contract. We'll review it and tell you exactly when and how you can switch. In most cases there's a 30 to 90 day exit clause. We can time the transition so it doesn't disrupt cash flow.
Every claim, every transmission, every staff member audited and trained. Your Bronx practice data stays protected.
Most Bronx County practices we audit are losing 8 to 15 percent of collectible revenue. Find out exactly what your practice is leaving behind in a free 30 minute audit.
Takes 60 seconds. We respond within 24 hours.
Trusted by practices across the US — feedback from providers who rely on ParaMed for smarter medical billing.
