Medical Billing Companies & Consultants in Floral Park, NY

HMS USA LLC, which does business as Healthcare Management Services, is a revenue cycle management firm based in Floral Park, New York, on the line between Nassau County and Queens. It works with healthcare providers across the United States and says it has billed for New York practices for over ten years. Clients range from solo physicians and group practices to hospitals, ambulatory surgical centers, home health agencies, hospices, skilled nursing facilities, laboratories, diagnostic imaging centers and behavioral health organizations.

Billing and revenue cycle work

The firm's main service is outsourced billing for both professional and institutional claims. Its staff check each patient's insurance coverage before visits, get insurer approval for procedures in advance, and prepare and send claims. They also enter insurer and patient payments into the practice's billing software, follow up on unpaid balances and work through rejected claims. HMS also sends out patient statements and builds custom reports, including an account overview, so owners can see how their receivables stand. Billing audits are available to check how claims are processed and how payments get posted. The company advertises high claim acceptance and accuracy rates, so buyers should ask for supporting data when comparing vendors.

Coding, credentialing and front office

The coding team, which the company describes as AAPC certified, assigns CPT and ICD-10 codes and handles evaluation and management leveling. It also covers telehealth coding, external coding audits, independent reviews when insurers dispute claims, and custom templates for progress notes. HMS combines human coders with an AI-assisted tool that checks claims against likely payer edits before filing and flags undercoded charts. A coder then reviews each result, and the firm cites a turnaround of no more than 48 hours. Webinars for providers cover coding changes and compliance topics.

Credentialing covers Medicare and Medicaid enrollment, as well as enrollment with commercial insurers, workers' compensation and Tricare. It also includes CAQH profile setup, recredentialing, licensing help, IPA enrollment, EDI, ERA and EFT setup, contract renegotiation and accreditation. A separate program for nurse practitioners checks NPI and taxonomy records and verifies state licenses. It also orders payer applications so the fastest-paying insurers come first and follows up with payers daily until approval. The virtual front desk service handles scheduling, patient registration and intake, insurance checks, referrals, records management and patient questions.

Specialties served

• Mental health and psychiatry
• Cardiology and dermatology
• OB/GYN, urology and general surgery
• Orthopedics, physical therapy and rehabilitation
• Radiology and pathology
• Hematology, pulmonology and wound care
• Chiropractic and dental

HMS also helps practices with quality reporting, such as meeting CMS and NCQA standards for MIPS and PCMH, and offers chronic care management. It says it tailors its approach to smaller practices, keeps clients informed and supports office staff who have no billing or coding training. Testimonials on its site include one from a physician at North Ocean Medical Group, P.C. Prospective clients can book a consultation or ask for a free practice audit before signing on.

Medical Integrated Billing Services, Inc., known as MIBS, is a small medical billing and coding firm based in Floral Park on Long Island, New York. It started in 2000 and has spent over two decades handling the administrative and financial side of medical practices. Its clients are providers across many specialties, not one clinical field, so it is worth a look for practices that want a single outside partner for claims and coding work.

Who MIBS Works With

MIBS says it has worked with healthcare organizations of very different sizes and structures. Its client list has included:

• Solo physicians running independent practices
• Large multi-provider group practices
• Outpatient clinics
• Article 28 facilities, which are licensed under New York State public health rules

The Article 28 experience matters for New York buyers. These facilities have billing and documentation needs that differ from a typical private office, and a vendor that already knows this setting may need less time to get up to speed.

Services Offered

The firm's core programs are claims billing, chart coding, and auditing of outpatient coding done in electronic medical record systems. Under the audit service, MIBS checks whether the codes on clinical charts match the documentation, which helps practices find errors before payers do. Business listings also describe the company as offering revenue cycle support, electronic filing of insurance claims, and training on medical software for private physicians. Buyers should confirm the exact scope of any engagement directly with the firm.

Approach and Track Record

MIBS puts its results down to structured in-house workflows that it says have helped clients run more efficiently and collect more revenue. The website links to a selection of client testimonials and says a full portfolio is available on request. That gives prospective clients a way to check its work with other practices before signing.

Leadership and Credentials

The company is led by founder and president Valerie Allbright. She holds the RDMS credential, which is a sonography registration, and the CPC certification for professional coders. Her professional profile lists membership in AAPC and AHIMA, two major organizations for coding and health information management. It also lists earlier roles at South Nassau Communities Hospital and at a gynecology practice. That mix of clinical and hospital background is useful in coding work, where knowing the procedures behind the codes affects accuracy. Business directories put the firm's staff in the one-to-ten range. Practices that prefer working directly with a small, owner-led team, rather than a large national outsourcing company, may find that model appealing.

RevenueES is a revenue cycle management and medical billing firm based in South Floral Park, on Long Island close to the Queens border. It handles the financial side of care delivery for healthcare providers. Its office is in Nassau County, but it sells its services across the country. The company says it works with practices in all 50 states, from independent offices up to health systems that operate in several states.

Who They Serve

RevenueES works with organizations of very different sizes and care settings. Buyers in these segments may find it a relevant option:

• Solo practitioners and small independent offices
• Multi-provider group practices
• Urgent care centers
• Nursing practices and skilled nursing facilities
• Hospitals and surgical centers
• Hospice care providers

The firm says it covers more than 40 specialties. Its site has dedicated pages for anesthesia, cardiology, pathology, endocrinology, orthopedics, podiatry, neurosurgery, mental and behavioral health, nephrology, radiology, neurology, urology, and allergy and immunology. It also lists primary care and dermatology among the private practice types it supports.

Services and Tools

The core offering covers the whole billing cycle. That starts with claim preparation and submission, plus coding of each encounter by certified coders who check ICD-10, CPT and HCPCS accuracy. Next to this, the company handles provider credentialing and enrollment, statements and billing questions on the patient side, billing for physicians, and A/R follow-up to chase unpaid or stalled claims. It also offers denial management aimed at cutting lost revenue. For practices taking part in value-based programs, it supports reporting under the Quality Payment Program. Its front office management service covers patient check-in and authorizations before procedures, so that payments are not held up. For smaller practices, RevenueES also offers an electronic health records system and an online appointment scheduling tool alongside its billing work.

Approach and Credentials

RevenueES presents itself as a long-term revenue partner rather than a vendor that only processes transactions. It puts weight on following HIPAA as well as billing rules that vary by state. The company says its staff hold a range of industry certifications. For its hospital work, it names credentials such as CPC-H, COC and CDEO, and says its acute care billers average more than a decade of experience. Its hospital billing pages say the team understands regional payer rules and differences between state Medicaid programs. It publishes outcome figures for hospital clients, such as fewer days in A/R and lower denial rates. Buyers should check those figures directly with the firm during evaluation.

Considerations for Buyers

For a practice in or near Valley Stream, RevenueES has a local office on Long Island and can also take on work for practices in many other states. It offers a billing demo for prospective clients. The firm also publishes blog content on revenue cycle topics, which can help when judging how well it knows the field.