Denial Management Services in New York
Expert Denial Management Services in New York
Mediknocx recovers denied, underpaid, and recouped claims for New York practices billing commercial insurers, HMOs, and Medicaid managed care plans. New York's Insurance Law gives participating providers rights that many practices never use, and we put them to work on every claim.
HIPAA Compliant
Your data stays secure
Faster Payments & Fewer Denials
Improve cash flow
Higher Reimbursement
Get the revenue you deserve
New York Billing Compliance Experts
State-specific payer knowledge
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Find out how much revenue your practice could be recovering with expert denial management support. No obligation, just real insights.
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3. State-Specific Fact Block
Expert Denial Management Services in New York: A Second Chance on Late Claims Under Section 3224-a
Under Insurance Law 3224-a(g), claims must be submitted within 120 days of service unless the provider contract sets a different period. But 3224-a(h) lets a participating provider request reconsideration of a claim denied as untimely. If the provider shows the delay came from an unusual occurrence and has a pattern of timely filing, the insurer must pay, though it may reduce the payment by up to 25%. Claims filed more than 365 days after service don't qualify.
Recoupments are limited too. Section 3224-b bars a health plan from starting overpayment recovery more than 24 months after the provider received the original payment, except in cases such as fraud or abusive billing. The plan must give 30 days' written notice before recovering, and providers have the right to challenge the recovery.
4. What's Included
Expertise
Built for local care models
Deadline Tracking
We flag at-risk claims early
Fewer Denials
Correct coding, less revenue loss
What's Included in Our New York Denial Management Services
- Our denial management team carries each claim from the first denial to payment or final resolution.
- Review of every denial for 3224-a timing and stated reasons
- 3224-a(h) reconsideration requests for claims denied as untimely
- Corrected claims and appeals for commercial and Medicaid managed care plans
- Overpayment notice review and challenges under 3224-b
- Interest checks on clean claims paid late
- Front-end fixes for eligibility, authorization, and coding errors
From Audit toFaster Payments in 4 Steps
A simple, proven process to streamline your revenue cycle and maximize reimbursements in New York.
Free Audit
We review open denials, timely filing write-offs, and recoupment letters to find recoverable New York claims.
Custom Plan
You get a recovery list ranked by value and deadline, with reconsideration and challenge candidates flagged.
Seamless Transition
We work in your current practice management system and clearinghouse without disrupting billing.
Ongoing Reporting
Monthly reports show denial rate by payer, recovered dollars, open appeals, and recoupment outcomes.
Get Your FreeDenial Audit Report
Uncover hidden revenue opportunities.
Improve accuracy. Ensure compliance.
What Makes Our New York
Denial Management Services Different
Our process is built around New York's late-claim and recoupment rights.
Untimely Doesn't Mean Final
Claims denied for late filing can often be reconsidered under 3224-a(h). We document the unusual occurrence and your timely filing history, then request payment instead of writing the claim off.
24-Month Recoupment Shield
When a plan seeks repayment, we check whether more than 24 months have passed since you were paid and whether proper notice arrived. Recoveries outside those limits get challenged in writing.
Contract Deadline Mapping
Your contracts may set filing periods different from the 120-day default in 3224-a(g). We record each payer's actual terms so every claim and correction is filed inside the right window.
Interest on Late Payments
New York requires interest on clean claims insurers pay late. We compare receipt and payment dates on every remittance and request the interest owed instead of letting it go uncollected.
Monthly Reports With Recoupment Detail
Each month you see recovered revenue, denial rate by payer, open appeals, and recoupment activity, with clear notes on the specific intake or coding issues behind that month's denials.
Specialty-Focused Appeal Writers
Billers who know your specialty's codes and payer policies prepare every appeal. They include the clinical documentation and medical necessity support reviewers need, so cases aren't sent back for missing records.
Specialty Expertise That Works for You
9. Compliance
How Does Mediknocx Ensure Compliance
With New York Denial Management Regulations?
No Surprises Act:
For covered out-of-network services, patients are billed no more than in-network cost-sharing. We also follow New York's own surprise bill law under Financial Services Law Article 6.
New York timely filing law:
We track the 120-day default in Insurance Law 3224-a(g), each contract's filing terms, and the 3224-a(h) reconsideration path for untimely claims.
New York billing transparency:
Section 3224-a requires insurers to state the specific reasons for nonpayment, and 3224-b requires written notice before any overpayment recovery. We hold payers to both.
Payer-specific guidelines:
We follow the rules of each commercial insurer, HMO, and Medicaid managed care plan your practice bills, including plan-specific appeal forms and deadlines.
Healthcare Billing Services Across New York Cities
New York City, Buffalo, and Rochester
- New York City
- Buffalo
- Yonkers
- Rochester
- Syracuse
Nationwide Denial Management Services
Mediknocx also supports practices in New Hampshire, New Jersey, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, Rhode Island, South Carolina, and Tennessee.
Frequently Asked Questions
Find answers to the most common questions about our denial management services in New York.
