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Revenue Cycle Management Services
in Brooklyn, NY
Qualigenix runs the revenue cycle for independent Brooklyn practices, from the eligibility check before a visit to the payment posted against your contract.
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How Qualigenix Runs the Revenue Cycle for Brooklyn Practices
Qualigenix delivers revenue cycle management services to independent Brooklyn practices that want one accountable team instead of separate vendors for billing, coding and follow-up. Statewide rules are on our revenue cycle management in New York page. This page covers the parts of the cycle that Brooklyn's payer mix changes. In July 2026, New York counted 829,432 Brooklyn residents in mainstream Medicaid managed care, the highest of any New York City borough. Most revenue lost in Brooklyn practices traces back to the front end: a patient whose plan changed, an authorization that wasn't requested, or a provider whose Medicaid enrollment lapsed. Our RCM work starts there.
What revenue cycle management services does Qualigenix provide in Brooklyn?
Qualigenix verifies insurance, secures prior authorizations, codes encounters, submits claims, posts payments, works denials, follows up on A/R and keeps provider enrollment active for Brooklyn practices. One team handles every stage across Medicaid managed care, Medicare and commercial payers, so a problem found at payment gets fixed where it started.
Claims are scrubbed and tracked across all major commercial and government payers in New york.
RCM Workflows for Kings County's Medicaid Plans
Qualigenix sets up eligibility, authorization and claim routing for every Medicaid managed care plan your Brooklyn practice sees.
Eligibility and Plan Assignment
The state's managed care directory lists Healthfirst, Anthem Blue Cross and Blue Shield HP, EmblemHealth, MetroPlus Health and Molina Healthcare for Medicaid in Kings County, plus special needs plans from Amida Care and MetroPlus. Fidelis Care and UnitedHealthcare also enroll New York City members. Patients move between these plans, and between plan products such as HARP and Child Health Plus. We check plan and product before every visit and update the account before the claim is built, so it goes to the plan that covered the patient that day.
Authorizations by Plan
Each Kings County plan keeps its own list of services that need prior authorization. Our team requests authorizations before the service date and tracks each one against the decision deadline. Since 2026, Medicaid managed care plans must answer standard requests within 7 calendar days and urgent ones within 72 hours.
Statewide RCM Rules
Fee-for-service Medicaid's 90-day filing rule and New York's prompt-pay timelines are covered on our New York revenue cycle rules page.
RESULTS ACROSS 275+ PRACTICES
RCM Results Brooklyn Practices Can Expect
These are company-wide figures across Qualigenix client practices, not New York-only results.
98%
Claim accuracy
4.8%
Denial rate
97.7%
Net collections rate
Reduced from 54 to 36
Days in A/R
Reduced to 38%
A/R over 90 days
79%
Denials overturned
29-32%
Cash-flow improvement
$1.6B+
Total charges handled
$923M+
Accounts receivable recovered
1,400+
Providers set up nationally
PROVEN TRACK RECORDHIPAA-Compliant Revenue Cycle
275+ ClinicsGETTING STARTED
How RCM Onboarding Works with Qualigenix
Qualigenix takes over a Brooklyn practice's revenue cycle in four steps:
01
Billing and Denial Review
An onboarding call reviews your billing setup, payer contracts and denial trends by plan.
02
EHR and Portal Access
We set up access to your EHR and payer portals. You keep your current software.
03
Account and A/R Cleanup
Our team cleans up open accounts, fixes enrollment gaps and sorts aged A/R by payer and deadline.
04
Live by Day Six
Your practice goes live by day 6, with old claims worked in parallel.
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WHY PRACTICES CHOOSE QUALIGENIX
Why Brooklyn Practices Choose Qualigenix for RCM
Independent clinics and specialty practices in Brooklyn trust Qualigenix for dedicated claim support.
One Team, Every Stage
Eligibility, coding, billing, posting and follow-up sit with one team, so a denial pattern found in posting goes straight back to the front desk.
Any EHR Works
Qualigenix works across 133 EMR and EHR platforms. Your staff keep the system they know, and we work inside it.
Payer-Level Monthly Reports
Each month you see collections, denials and days in A/R by payer, including each Kings County Medicaid plan.
Live by Day Six
Most Brooklyn practices go live by day 6, with aged A/R worked in parallel during the switch.
HAVE QUESTIONS?
Frequently Asked Questions
Frequently asked questions about our setup and support in Brooklyn.
Qualigenix provides revenue cycle management to independent Brooklyn practices across 38+ specialties and all payers. Compare vendors on net collections rate, days in A/R and denial rate. A revenue cycle specialist can walk you through our figures.
It covers eligibility, prior authorization, coding, billing, payment posting, denial management, A/R follow-up and credentialing, plus patient billing and monthly reporting. One team runs every stage for your practice.
Yes. We request authorizations from Kings County Medicaid plans, Medicare Advantage plans and commercial carriers before the service date and track each request against the payer's decision deadline.
Medicaid plan claims go to the member's plan under that plan's rules, fee-for-service Medicaid claims go through eMedNY within 90 days, and Traditional Medicare claims go to National Government Services.
We stop errors at eligibility and coding, submit claims quickly and work unpaid claims daily by payer and age. Across client practices, that brought days in A/R from 54 down to 36.
Qualigenix charges a percentage of collections, set by your specialty, volume and payer mix. A revenue cycle specialist can price your practice after reviewing your current numbers.
No. An RCM company needs to know the plans, deadlines and enrollment rules your revenue depends on, and work in your systems. Qualigenix runs the cycle daily for practices billing Kings County's Medicaid plans, Medicare and commercial payers.