Medical Billing Companies & Consultants in East Syracuse, NY

Medical Management Resources, Inc., known as MMRI, is a privately owned healthcare business services firm based in East Syracuse, New York. It was founded in 1986 with a handful of staff and just three client accounts. Since then it has grown to roughly 160 employees who support more than 1,500 providers across over 100 client organizations. Most of its clients are mid-sized and larger medical groups, both facility-based and office-based, in a wide range of specialties.

Billing and Revenue Services

MMRI's main offering is end-to-end revenue cycle work, from the moment a charge is created until the payment is applied. Typical components include:

• Custom interfaces that pull charges from client systems
• Procedure and diagnosis coding with CPT and ICD-10
• Electronic filing of insurance claims
• Lockbox handling and daily deposit processing
• Daily reconciliation of receivables
• Patient statements produced every day
• Monthly A/R reporting plus tailored management reports

Coding is done by staff with AAPC, AHIMA and RBMA credentials, some holding more than one. They come from backgrounds such as nursing, medical records, billing and practice administration. The firm has particular depth in radiology and anesthesia, including anesthesia concurrency tracking and radiology quality reporting, and it also codes surgery and many other specialties. Patients of client practices can call a dedicated team of experienced billers or use an online portal to ask about their statements.

Software, Credentialing and Consulting

Groups that want to keep billing staff in-house can use MMRI as an application service provider. Under this shared service model, the client's own employees work in the GE Centricity Group Management system, which MMRI administers and also uses as its largest single user. The web-based platform is pay-as-you-go with no large initial investment. It handles scheduling, referrals, collections, custom claim formats, third-party integration and detailed reporting, and a support team provides training and workflow advice. MMRI also handles payer enrollment and re-credentialing. It assembles and submits applications, tracks their status and watches state license, DEA and CLIA expiration dates. Clients can buy this service on its own. Consulting work covers operational and E&M documentation reviews, compliance plans, HIPAA training, risk assessments, reimbursement negotiations with payers, payroll setup and strategic planning. A bookkeeping group handles payroll, refunds, invoice payments, account reconciliation and year-end tax planning.

How MMRI Works With Clients

Staff are organized into teams by specialty. Each client has named contacts who know its field, with backup from colleagues in the same specialty. Quotes are prepared individually based on specialty and practice size, and onboarding generally takes 60 to 90 days. MMRI measures its performance against MGMA and other specialty and regional benchmarks, as well as its own internal standards. Its formal compliance program covers seven federal and eight New York State elements, with required employee training and a standing compliance committee. Client testimonials mention regular account review meetings and weekly operational check-ins.

The leadership team has been with the company a long time. John Pennisi is CEO and President, and Senior Vice President Denise Jury has run billing operations since the firm opened. Other executives lead information systems and security, radiology, coding and credentialing operations, human resources, and business development. The company's affiliations include MGMA and the Radiology Business Management Association. Clients quoted on its site include radiology, anesthesia, oncology, family medicine, audiology and women's health groups, including practices in Syracuse and Rochester.