Shoreline Healthcare Technologies is a proud Maine-based company that offers end to end revenue cycle management services to physicians and Medical billing companies in New York. Our goal is to help them manage their business in a way where they can focus on patient care and operations, not paperwork! By providing great services at reduced costs, we have been able to keep our customers since our inception in 2015.

As a medical billing outsourcing company, we have helped our clients grow their business by providing them with the resources they need to succeed while maintaining a competitive edge in today’s industry. We offer timesaving, cost-effective revenue cycle management services to your New York based practice. Ready to outsource your billing needs?   We’ll guide you through your receivable account to make sure that your claims are paid.

Best In the Industry

Shoreline Healthcare Technologies in New York exceeds customer expectations and we are proud of our history, but more importantly we are focused on the future. We have grown in recent years by continuing to invest in technology and people while maintaining a commitment to excellent service and innovation. We have the best customer service and one of the highest success rates for reimbursement, so you know your money will be going where it belongs - back into your pocket.

New York Billing Challenges we solve

eMedNY claims system quirks and ETIN enrollment requirements

eMedNY enrollment and ETIN setup procedures are the common source of delays in New York. Providers in New York must enroll through the eMedNY portal for obtaining and affiliating an ETIN, they must follow eMedNY-specific claim formatting procedures, and any mistakes can cause rejections. We at Shoreline Healthcare Technologies offers credentialing & enrollment support and our full suite of cloud-based RCM includes state specific functionalities. And helps providers to ensure correct enrollment/registration and understand the state’s eMedNY submission rules.

Shorter Claim Submission Deadlines

All original Medicaid claims must be submitted within 90 days of the date of service. And Providers must have a quicker workflow to submit the claims early to avoid late submissions, denials, delayed payments. They must also adhere to correct claim formats, include proper documentation, and verify patient eligibility before submission to minimize errors. We at Shoreline Healthcare Technologies assists providers in managing claim submission deadlines efficiently. Our team monitors all claims to ensure they are filed within state-mandated timelines, performs real-time eligibility verification through MEVS/ePACES, and scrubs claims for compliance with NY Medicaid billing rules. We also handle re-submissions for denied claims, reducing the risk of lost revenue and administrative delays. By partnering with Shoreline, providers can focus on patient care while maintaining timely, accurate, and compliant claim submission workflows.

Managing the ePACES prior approval (PA) rules and submission requirements

Many items require prior approval (DME, some drug/equipment, medical necessity reviews) and must be submitted via ePACES or state PA forms missing the correct form/attachment or the ePACES workflow leads to denials. At Shoreline Healthcare Technologies we provide personalized support tailored to the unique needs of NYS providers. Our team of experts understands the intricacies of the New York healthcare landscape and offers guidance to help practices navigate these challenges effectively with our cloud-based RCM solutions for an optimized Revenue Cycle Management.

Comprehensive Medical Billing Services for New York

Specialized Services tailored to meet New York’s Medicaid rules and regulations

🩺 Services	📍 New York Specialization	📈 Typical Improvement	⏱️ Turnaround Time
Medicaid Billing	Integration with eMedNY for Medicaid billing,virtual assistants for real-time eligibility verification through MEVS/ePACES, electronic claim scrubbing software.	+35% Faster reimbursements, clean claims and reduced rejections.	1-2 weeks
Billing for Managed Care Plans	Unified billing for New York Medicaid Managed Care Organizations (MCOs), MLTC, and HARP plans with automated payer-specific validation and modifier mapping.	+20% increase in revenue through cross-payer optimization.	24-48 Hours
Denial Management	AI based tools to track and flag denial codes, identify high-risk categories (e.g., long-term care, behavioral health), and automate resubmissions	Reduce rate of denial by 75% and with quicker appeals.	5-7 days
Credentialing & Enrollment	Provider enrollment and revalidation with eMedNY, assistance with CAQH and credentialing audits.	Direct payment activation and inclusion in value-based care incentive programs.	45-90 days
Patient Statements & Follow-Up	Communicate with patients and give Explanation of Benefits (EOBs)	Reduces overdue balances and better collection rates.	1-2 weeks

Medical Billing Resources for New York

Comprehensive resources specifically designed for New York Healthcare Providers to navigate the state’s complex Billing Landscape.

Medicaid Billing Guide

A Complete guide covering New York Medicaid billing requirements and policy updates and compliance standards.

Managed Care program rules and guidelines

Specialized billing guidelines and documentation procedures for managed care and MLTC programs.

Revenue Cycle Optimization

Best Practices and Strategies to improve cash flow and reduce denials.

Telehealth and Remote patient Monitoring in New York’s

New York’s telehealth and RPM guidelines and regulations.

Serving Healthcare Providers Across New York

From Albany to Wyoming, we provide comprehensive medical billing services statewide across all 62 counties of New York.

North Country

Clinton, Essex, Franklin, Hamilton, Jefferson, Lewis, St. Lawrence, Warren, Washington.

Capital Region

Albany, Columbia, Greene, Rensselaer, Saratoga, Schenectady, Warren, Washington.

Mohawk Valley

Fulton, Herkimer, Montgomery, Oneida, Otsego, Schoharie.

Central New York

Cayuga, Cortland, Madison, Onondaga, Oswego.

Finger Lakes

Chemung, Livingston, Monroe, Ontario, Schuyler, Seneca, Steuben, Tompkins, Wayne, Yates.

Western New York

Allegany, Cattaraugus, Chautauqua, Erie, Niagara, Orleans, Wyoming, Genesee.

Hudson Valley

Dutchess, Orange, Putnam, Rockland, Sullivan, Ulster, Westchester

New York City

Bronx, Kings (Brooklyn), New York (Manhattan), Queens, Richmond (Staten Island)

Long Island

Nassau, Suffolk.

Savings Estimation Calculator

Practice Type/Speciality

No. of Physicians

Monthly Patient Volume

% of Insurance Pay Patient

% of Self Pay Patient

Frequently Asked Questions

FAQs about Medical Billing Services in New York.

Q1. How can providers check patient’s eligibility for New York Medicaid programs?

Providers can verify the eligibility by

✔ Dialling the toll-free number 1-800-997-1111
✔ Online through MEVS/eMedNY Self-Service or the ePACES portal
✔ Through an EDI eligibility transaction (270/271)

Q2. What is the timely filing limit for New York Medicaid claims?

All original Medicaid claims must be submitted within 90 days from the date of service.

Q3. How can providers enroll themselves as NYS Medicaid Providers?

✔ Apply through NPPES to get your National Provider Identifier.
✔ Fill out the appropriate eMedNY Provider Enrollment application with all required documents.
✔ Send your application to NYSDOH via eMedNY and respond to any follow-up requests.
✔ Get your MMIS ID and begin billing through ePACES or your billing software.

Q4. What do you mean by 29-I Health Facility?

The 29-I Health Facility are specially designated healthcare facility to provide health care services to children in foster care. They deliver a broad range of Medicaid-reimbursable healthcare services like primary medical care, behavioral health services, dental care, medication management, therapy and care coordination. The foster care agencies can directly bill the Medicaid for the services which are processed through the eMedNY.

Q5. How can healthcare providers submit their claims under the New York State Medicaid Program?

✔ Verifying patient eligibility via MEVS or ePACES.
✔ Preparing accurate claims with valid CPT/HCPCS and diagnosis codes.
✔ Submitting electronically through ePACES or EDI, or by paper (CMS-1500/UB-04).
✔ Receiving payment and remittance advice from eMedNY electronically or by mail.

Q6. How can Shoreline Healthcare Technologies help New York providers?

We at Shoreline Healthcare Technologies handle the entire process of RCM Cycle from patient appointment scheduling to eligibility checks, prior auths, coding, claim submissions, denials, and appeals, till payment processing and patient communication ensuring faster payments and compliance with state specific rules. We also offer analytics and process automation to reduce first pass rejects in state systems like eMedNY and to reconcile managed-care encounter reporting.

Compliance & Certifications

Your data security and compliance are our top priorities.

HIPAA Compliant

Full HIPAA compliance with regular audits

AAPC Certified

Certified Professional Billing Staffs.

New York Licensed

Licensed to operate in New York

Medical Billing Glossary

Essential Terms for Understanding New York’s Medical Billing Landscape

Claim Correction Form (CCF)

The form generated by eMedNY when a claim requires correction. It signals a required correction instead of full denial helping to prioritise re-submission. Providers must complete the form correcting the indicated data and resubmit the claim.

The electronic Medicaid system of New York State (eMedNY )

The online platform of New York State used for eligibility verifications and where providers submit their claims for payment processing.

Electronic Provider Assisted Claim Entry System (ePACES)

The web-based application of eMedNY that allows enrolled NY Medicaid providers to submit/receive HIPAA-compliant claims, eligibility requests, prior approval requests and claim status inquiries online.

Electronic Transmitter Identification Number (ETIN)

The number required by NY’s Medicaid program to submit electronic claims to eMedNY, it must be linked with the provider’s Medicaid ID to perform electronic transactions.

Health Home

It is a care management service model consisting of network of organizations, including hospitals, primary care providers, behavioral health professionals, and community-based organizations working together under the New York State Medicaid program for providing coordinated, comprehensive care for members with chronic conditions.

Lead Health Home

The organization designated by New York State to coordinate and manage the Medicaid members enrolled in the Health Home program. It is responsible for administrating the care management network and ensures that members receive a comprehensive and integrated services.

Medicaid Eligibility Verification System (MEVS)

The component of the eMedNY system which allows providers to verify the eligibility, coverage status, and other benefits of the Medicaid members before providing the service.

Our Top-Notch Medical Billing Features

Claim Submission :

Shoreline Healthcare Technologies is a top Medical Billing Company in New York, we use electronic claim scrubbing software that ensures all claims are submitted quickly and accurately, reducing delays in payments.

Denial Management :

As a premier Medical Billing Company in New York, our denial management services are designed to resolve claim issues promptly and handle denials efficiently to maximize the revenue.

Electronic Remittance Advice (ERA) :

Shoreline Healthcare Technologies have integrated Electronic Remittance Advice (ERA) for fast and reliable transactions.

Batch Payments :

We have simplified the process of batch payments to ease the administrative burden.

Rules Engine :

Our automated rules engine ensures to stay in compliance with billing regulations. Shoreline stands out as a top Medical Billing Company in New York , by utilizing advanced tools for precise billing.

eVerification :

Shoreline offers eVerification services to ensure eligibility and coverage. As a leading Medical Billing Company in New York, we streamline patient verification processes.

Local Support :

We provide expert support and services that are tailored to meet the needs of practices in New York.

Centralized Billing :

Our centralized billing system enhances efficiency and reduces errors providing comprehensive billing solutions.

Cloud-Based :

Our cloud-based RCM solutions ensure to keep your billing data safe and easy to manage.

Data Migration :

We offer seamless data migration services. Trust Shoreline, a premier Medical Billing Company in New York, to handle your data transfer with precision.

EHR Integration:

Our services include seamless EHR integration to streamline your workflow. As a leading Medical Billing Company in New York, we make technology work for you.

Our Services

Shoreline proudly supports physicians, medical groups, and medical billing companies. Following are the revenue cycle management steps we offer.

Testimonials

My first time in solo practice I was very concerned about my ability to manage "the business side" of medicine. The personalized care and guidance this group provided to me and my staff were really a life saver. They always had quick turnaround on any questions I sent in, and were very knowledgeable for problem solving on the fly! I never feel like just a number, as I might have with a large corporation.

★ ★ ★ ★ ★

Family Medicine Centre in Maine

“We use Shoreline Medical Billing for all our billing needs, the support is second to none! They are always up to date with coding updates which helps to ensure timely billings and prompt payments. I highly recommend Shoreline Medical Billing for your billing needs.”

★ ★ ★ ★ ★

Nephrology Group in New Hampshire

I have been using Shoreline Medical Billing for almost 2 years, and I could not be more pleased with their service. They really care about my business. With all the complexities of medical billing, we needed a professional partner to help us. Shoreline delivered.

★ ★ ★ ★ ★

Pain Management in New Jersey

We switched to Shoreline Medical Billing. Our claims are getting paid, and we are getting friendly, knowledgeable service. We highly recommend Shoreline.

★ ★ ★ ★ ★

Internal Medicine & Nephrology in Georgia

I’m a small pediatric OT practice and have been with Shoreline for several years now. They have made it so easy for me to keep my focus on patient care by being so knowledgeable and so efficient with all aspects of my billing. When I do have questions, they are always available and able to help quickly. Couldn’t be happier!

★ ★ ★ ★ ★

Peds OT Clinic in Maine

Thanks so much for working so hard to help my company:) It sound cheesy, but having a biller I could trust changed my life by giving me the headspace/time to focus on clinical work, scale my business and sleep better at night. I've had quite a few people ask about you on Facebook Messenger from my posts. Overall, the feedback I've heard back from everyone is that you guys are very responsive and helpful.

★ ★ ★ ★ ★

Nurse Practitioner Group in Washington

Hi, following up on our conversation about Shoreline. I did let them know that I had some concerns and they were very understanding. They have been very responsive and proactive in their billing process, reports and communication. It has been very good. Thank for recommending them.

★ ★ ★ ★ ★

Nurse practitioner in Delaware

Before Shoreline, billing was a constant headache. Now, our reimbursements are faster, and I’m no longer chasing unpaid claims. Their team handles everything so efficiently, it’s one less thing I need to worry about.

★ ★ ★ ★ ★

Internal Medicine in Arizona

We Care

From electronic health records, billing services and practice management tools – Shoreline has you covered! In addition to being an industry leader when it comes to pricing, we also provide personalized support for every client, with a team of experts who have worked with physicians and medical groups for years, Shoreline Healthcare Technologies in New York understands how to navigate today’s complex healthcare revenue environment.

Ready to Optimize Your Medical Billing?

Get your free consultation and discover how much you could save with our New York's-specialized billing services.

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Contact Information

445 Main Street, 2nd Floor, #1, Saco, ME 04072
1-855-838-1370
info@shorelinemb.com
M-F, 9am - 5pm EST

Why work with us?

✔ 40% average denial rate reduction
✔ New York billing specialists
✔ 24-48 hour claim turnaround
✔ Dedicated New York support team

The Best Medical Billing Company in New York - Shoreline

Best In the Industry

New York Billing Challenges we solve

eMedNY claims system quirks and ETIN enrollment requirements

Shorter Claim Submission Deadlines

Managing the ePACES prior approval (PA) rules and submission requirements

Comprehensive Medical Billing Services for New York

Medical Billing Resources for New York

Medicaid Billing Guide

Managed Care program rules and guidelines

Revenue Cycle Optimization

Telehealth and Remote patient Monitoring in New York’s

Serving Healthcare Providers Across New York

North Country

Capital Region

Mohawk Valley

Central New York

Finger Lakes

Western New York

Hudson Valley

New York City

Long Island

Savings Estimation Calculator

Frequently Asked Questions

Q1. How can providers check patient’s eligibility for New York Medicaid programs?

Q2. What is the timely filing limit for New York Medicaid claims?

Q3. How can providers enroll themselves as NYS Medicaid Providers?

Q4. What do you mean by 29-I Health Facility?

Q5. How can healthcare providers submit their claims under the New York State Medicaid Program?

Q6. How can Shoreline Healthcare Technologies help New York providers?

Compliance & Certifications

HIPAA Compliant

AAPC Certified

New York Licensed

Medical Billing Glossary

Claim Correction Form (CCF)

The electronic Medicaid system of New York State (eMedNY )

Electronic Provider Assisted Claim Entry System (ePACES)

Electronic Transmitter Identification Number (ETIN)

Health Home

Lead Health Home

Medicaid Eligibility Verification System (MEVS)

Our Top-Notch Medical Billing Features

Claim Submission :

Denial Management :

Electronic Remittance Advice (ERA) :

Batch Payments :

Rules Engine :

eVerification :

Local Support :

Centralized Billing :

Cloud-Based :

Data Migration :

EHR Integration:

Our Services

Testimonials

Family Medicine Centre in Maine

Nephrology Group in New Hampshire

Pain Management in New Jersey

Internal Medicine & Nephrology in Georgia

Peds OT Clinic in Maine

Nurse Practitioner Group in Washington

Nurse practitioner in Delaware

Internal Medicine in Arizona

We Care

Ready to Optimize Your Medical Billing?

Get Your Free Consultation

Contact Information

Why work with us?

The Best Medical Billing Company in
New York - Shoreline