Most NYC practices lose thousands every year to denials, slow A/R, and Manhattan's uniquely complex payer landscape. 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 see it.
Active Claims
9
Collected MTD
$32.6K
First Pass
98.4%
98%+
Clean Claim Rate
First pass acceptance across all Manhattan payers including MLTC and managed Medicaid
+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 New York County, that's $15,000 to $72,000 bleeding out annually before it ever hits your bank account. NYC's payer complexity — MLTC plans, managed Medicaid carve-outs, high volume of dual-eligibles — makes the problem worse here than anywhere else. We built ParaMed to stop that bleed.
Every claim submitted, every dollar collected, every denial recovered across our Manhattan client base updates here continuously.
Collected This Month
$32,600
$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% — critical in NYC where volume is high.
Undercoding and missed modifiers
NYC reimbursement rates are higher — which makes undercoding even more costly here than in upstate markets.
Slow A/R and timely filing misses
Claims past 90 days are 4x less likely to collect. Miss Empire BCBS or EmblemHealth timely filing and the claim becomes uncollectible.
MLTC and dual-eligible coordination errors
Manhattan has the highest concentration of dual-eligibles in the state. Wrong primary/secondary coordination means automatic denial.
Patient balance write-offs
Statements never sent, copays never collected, balances under $50 ignored. Adds up quickly at NYC patient volumes.
Credentialing gaps
New provider sees patients before credentialed. In NYC's competitive market, onboarding speed matters — we handle it completely.
Free 30 minute audit. We pull 90 days of data and show you the real number.
Most Manhattan practices have tried one of the first two. Here's how each model actually performs in real NYC conditions.
| Capability | In House | National Biller | ParaMed |
|---|---|---|---|
| Manhattan 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 | |||
| MLTC / Dual-Eligible Expertise | |||
| 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 payers actually adjudicate — including Manhattan's EmblemHealth GHI vs HIP quirks.
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 Manhattan payer including EmblemHealth, MetroPlus, and NYC Medicaid. EFT, ERA, and EDI 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.
Generic billers don't understand NYC. We do. Every claim is handled by someone who knows Manhattan's uniquely complex payer rules cold — from EmblemHealth GHI to MLTC coordination.
Deep working knowledge of Empire BCBS contract nuances, EmblemHealth GHI vs HIP adjudication differences, MetroPlus managed Medicaid rules, and NYC dual-eligible MLTC coordination requirements. No national biller learns these from a distance.
A/R days cut by 15 on average through clean submissions and daily follow-up.
AAPC and AHIMA certified, specialized by vertical — not generalists.
Live dashboards show claim status, denial trends, and aging buckets.
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 Manhattan practices pay between $1,200 and $2,800 monthly and net $2,800+ more in collections within 90 days.
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 you're 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 NYC discovery call. If yours isn't here, ask us on the call.
Most Manhattan practices are fully transitioned in 30 to 45 days. Week one is audit and access setup. Weeks two through four cover payer enrollment including EmblemHealth and MetroPlus, 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 in NYC including AdvancedMD, Athenahealth, eClinicalWorks, Kareo, NextGen, Practice Fusion, DrChrono, and most legacy systems. We integrate where you are.
That's your call. Some Manhattan 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.
Yes. Full credentialing for new providers with Manhattan commercial payers, NYC Medicaid, and Medicare is available as an add-on. EmblemHealth credentialing in particular can run 90 to 150 days — we start the clock immediately.
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 Manhattan transition so it doesn't disrupt cash flow.
Every claim, every transmission, every staff member audited and trained. Your data stays protected under NYC and NY State requirements.
Most NYC practices we audit are losing 8 to 15 percent of collectible revenue. Find out exactly what your Manhattan practice is losing in a free 30 minute audit — no sales pitch, just numbers.
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.
