Medical Billing Companies & Consultants in Bethpage, NY

Billmax MD is a revenue cycle management firm serving physician practices in the United States. It lists a New York office in Bethpage on Long Island and a production team in Lahore, Pakistan. The company says it was set up in 2019. Its main focus is medical groups that want to hand off billing and related administrative work without changing the software they already use.

Services across the revenue cycle

The firm divides its work into nine areas. Practices can hire it for the whole cycle or just one part. The core offerings are:

• Credentialing and payer enrollment, including CAQH maintenance, Medicare PECOS and Medicaid portal filings, and re-credentialing tracking
• Medical coding with ICD-10-CM, CPT and HCPCS assignment, modifier and NCCI checks, and E/M level review
• Charge entry with a second review pass and checks for duplicate or missing charges
• Claim scrubbing against payer-specific edits before claims go out
• Electronic and paper claim submission, with clearinghouse acknowledgements reconciled
• Payment posting from ERAs and EOBs, with underpayments flagged against contracted rates
• Denial management and appeals, including medical-necessity and second-level appeals
• Accounts receivable follow-up organized by aging bucket and payer
• Patient scheduling, reminder calls, eligibility checks and prior-authorization tracking

Billmax MD also offers a separate cardiac surgery billing service for cardiothoracic practices. This covers coding of bypass, valve and aortic procedures, tracking of global surgical periods, and the modifiers used for co-surgeon and assistant-at-surgery claims.

Specialties and clients

The company names six core specialties: internal medicine, cardiovascular, radiology, neurology, pulmonology and podiatry. For each, it describes the coding issues that tend to cause denials, such as splitting professional and technical components in radiology or meeting Medicare medical-necessity rules for routine foot care in podiatry. Since the 2022-2023 period it has worked as the dedicated billing team for a multi-specialty group with sites in Brooklyn, Queens and Long Island.

How engagements work

New clients start with a free review of recent claims, denials and aging data, and the findings are shared even if the practice does not sign on. Next come a business associate agreement, system access setup and loading of fee schedules. For the first billing cycle, Billmax MD runs alongside the practice's current process so results can be compared before it takes over fully. Staff log into the client's own practice management system and EHR, so no migration is needed. Clients get weekly progress updates, a monthly review call and dashboards that break results down by payer, provider and denial reason. The firm states internal targets of 95 percent first-pass claim acceptance, 98 percent coding accuracy, under 35 days in receivables and 24-hour charge entry. It notes that actual results depend on specialty and payer mix.

Background and approach

Billmax MD started in 2019 as a three-person team working from one room in Lahore. Its staff now includes certified coders, AR specialists and credentialing personnel who work on US hours. Each client is given a named, consistent team instead of a shared queue. The company highlights HIPAA safeguards such as role-based access, signed BAAs and PHI training for staff. It also says it traces each denial back to its root cause so the same errors stop coming back.