“Transcure leads the Buffalo’s medical billing companies list with AI-powered RCM services, 98% clean claim rates, and expertise in 40+ specialties. Top local companies like Buffalo Billing, iRCM, and MedEx also offer comprehensive billing, coding, and revenue cycle management solutions.”
Buffalo, located in Erie County in Western New York, is part of a metro area whose healthcare sector generates over $6.5 billion in revenue annually. Moreover, in Buffalo itself, approximately 96.3 % of the population has health coverage, with a significant portion enrolled via Medicaid (39.6 %) and employer plans (34.5 %).
These statistics highlight both the scale and complexity of the healthcare payer environment in
the region. As a result, providers often struggle with billing accuracy, claim denials, and compliance with payer-specific rules.
To overcome these challenges, many healthcare providers in Buffalo choose to partner with professional medical billing companies, including Transcure and Buffalo Billing. In this guide, we will provide an overview of these companies so you can compare them and choose the one that best fits your practice’s needs.
- Transcure
- Buffalo Billing
- iRCM
- Assertive Medical Practice Management
- Practice Integrity Associates
- Healthcare Solutions WNY
- Medwave Medical Billing
- Practicefirst
- Preferred Systems and Services
- MedEx Billing
Top 10 Medical Billing Companies in Buffalo, NY
The following are the 10 best medical billing companies in Buffalo, NY, with their comprehensive introduction and key features.
1. Transcure
Transcure is the best medical billing company in Buffalo, NY, because it combines AI-powered billing technology with the expertise of 1,100+ AAPC-certified coders and billers. We have specialized AI agents that automate every step of the billing process, from pre-authorization to coding and AR recovery. This helps in achieving 98% first-pass clean claim rates and an 80% reduction in claim denials.
Our billing team is experienced with 30+ EHR software, so you can continue using the software you already have. Plus, we are well-versed in New York medical billing laws, including prompt pay regulations, CMS requirements, and compliance with HIPAA and No Surprises Act guidelines.
| Category | Details |
|---|---|
| Clients Served | Small Practices Hospitals and Health Systems Medical Group Practices Physicians from Every Specialty Urgent Care Centers Surgical Centers |
| Experience | 23 years |
| Key Highlights/Services | Complimentary Credentialing & Old AR Recovery 24/7 Support & Full Revenue Cycle Services Laboratory Billing Services 30% Reduction in AR Denial Management and Appeals Medical Billing Audit MIPS Reporting Services |
| Specialties Served | 40+ including OB GYN, Orthopedics, Cardiology, Podiatry, Pain Management, Anesthesiology, and more. |
| Compliances/Certifications | HIPAA ISO 27001 AAPC AHIMA |
2. Buffalo Billing
Buffalo Billing is a full-service medical billing agency in Buffalo, NY. They specialize in end-to-end revenue cycle management. They handle accurate medical coding, fast benefits verification, same-day prior authorizations, and proactive A/R follow-up to prevent revenue loss.
Their verifications are completed within one business day, while Prior authorizations are returned the same day the payer responds. This helps practices start treatment quickly and maintain a steady cash flow.
| Category | Details |
|---|---|
| Clients Served | Hospitals Urgent Care Centers Private Practices |
| Experience | Team has a combined total of 130 years of experience in medical billing |
| Key Highlights/Services | Account Receivables Management Claim Scrubbing Appeal of all Denied or Low-Paid Claims Claim Status Audits |
| Specialties Served | Various medical specialties, including: Diagnostics, Mental Health, and Chiropractic & Physical Therapy |
| Compliances/Certifications | AMBA CMRS AAPC |
3. iRCM
iRCM is a leading medical billing firm operating across New York State, including the Buffalo region, with over 500 providers enrolled. Their billing team has expertise in handling complex payer requirements and New York-specific billing laws to ensure full 99% billing compliance.
Furthermore, they simplify the claims with expert documentation support and cut AR days to 22 for faster reimbursements. The best part about partnering with iRCM is that practices reduce administrative costs up to 30%.
| Category | Details |
|---|---|
| Clients Served | Small Clinic Large Medical Center |
| Experience | 10 Years |
| Key Highlights/Services | 100% Effective Denial Management Free Practice Audit Out-of-Network Billing Services Advanced Analytics & Reports |
| Specialties Served | 35 Specialties |
| Compliances/Certifications | AAPC HIPAA |
4. Assertive Medical Practice Management
AM-PM is a full-service medical billing, coding, and credentialing company serving healthcare organizations across New York. Their team of experts keeps practice updates with the ever-changing rules and regulations involved with insurance.
AM-PM complete billing service covers every stage of the revenue cycle, starting with customer service calls related to patient accounts and accurate data entry. In addition, they manage overpayment notifications, pre-collections, and provide yearly updates on CPT, ICD-10, HCPCS, and fee schedules to ensure compliance.
| Category | Details |
|---|---|
| Clients Served | Private physician practices Group practices Multi-specialty clinics |
| Experience | 2 years |
| Key Highlights/Services |
Medical Coding & Quality Assurance Audits Credentialing & Enrollment Cash Recovery Projects Monitoring of Charges and Fee Schedules |
| Specialties Served | Variety of medical specialties |
| Compliances/Certifications | N/A |
5. Practice Integrity Associates
Practice Integrity Associates is a medical auditing, billing, and coding company with over a decade of experience. They specialize in reviewing documentation, ensuring coding accuracy, and maintaining compliance with policies and regulations.
Practice Integrity Associates also manages monthly patient statements to support timely payments and consistent cash flow. Additionally, the company conducts detailed Coding Review and Education to ensure coding accuracy, including verification of ICD-10-CM codes, CPT/HCPCS codes, and modifiers.
| Clients Served | Details |
|---|---|
| Clients Served |
Small/private medical practices Specialty clinics Outpatient facilities Multi-disciplinary practices |
| Experience | 20 years |
| Key Highlights/Services |
Physician Documentation Audits Electronic Claims Submissions Full Practice Management Customized Billing Solutions |
| Specialties Served |
Ambulatory Surgery, Physician Services, Physical Therapy, Other Health Care Settings |
| Compliances/Certifications | N/A |
6. Healthcare Solutions WNY
Healthcare Solutions WNY is an established practice management firm that also provides comprehensive billing services to practices throughout the USA. Their services cover the entire RCM cycle, starting from charge entry to denial management.
Their key differentiator is that they maintain a collection rate of 2-5% above industry standards for end-to-end billing clients. The company also provides detailed denial analytics to help identify trends and implement corrective actions to resolve denials on time.
| Clients Served | Details |
|---|---|
| Clients Served |
Solo practices Small practices |
| Experience | 22 years |
| Key Highlights/Services |
KPI benchmarks for financial tracking Provide a dedicated point of contact Reimbursement & Dispute Resolution CAQH management, NPI & Payer Enrollment |
| Specialties Served | Surgical, office visit, medical specialty settings, and outpatient services |
| Compliances/Certifications |
AHIMA AAPC NCCI |
7. Medwave Medical Billing
Medwave is an experienced Buffalo billing company, known for its ability to improve revenue cycle operations and improve reimbursement outcomes for practices. They proactively reveiw each claim, verify its coding accuracy, and follow up promptly until full recovery is achieved.
Beyond billing, Medwave also excels in rate negotiations with insurance payers to secure higher reimbursement rates. Their team analyzes fee schedules, contract terms, and market benchmarks to negotiate fair and competitive rates that reflect the true value of the services provided.
| Clients Served | Details |
|---|---|
| Clients Served |
Private practices Group practices Hospitals and clinics |
| Experience | 25+ years |
| Key Highlights/Services |
RPA-powered billing processes Submission of electronic and paper claims Affordable, Volume-Based Pricing Telehealth billing services |
| Specialties Served | 33 specialties, including Oncology, Toxicology, and Internal Medicine. |
| Compliances/Certifications | HIPAA |
8. Practicefirst
Practicefirst is a medical billing and practice management company that supports healthcare providers with end-to-end revenue cycle services. They handle everything from coding, billing, and A/R follow-up to credentialing and compliance management.
Their billing process begins with strong financial policy development to prevent revenue leakage and ensure clear payment expectations from patients. Practicefirst also scrubs every claim for coding accuracy, verifies POS codes, applies the correct codes and modifiers, and bundles services according to payer rules.
| Clients Served | Details |
|---|---|
| Clients Served |
Small, independent medical practices Multi-provider groups |
| Experience | 60 years |
| Key Highlights/Services |
Post payments within two days of receipt Customized monthly, quarterly, and annual reports Payer Contract Analysis Quick Onboarding |
| Specialties Served | 13+ specialities |
| Compliances/Certifications | AAPC |
9. Preferred Systems and Services
Preferred Systems & Services is a long-standing Buffalo-area billing company offering medical and professional office billing services across the USA. They support providers transitioning from in-house billing or switching from another billing service and customize plans based on each practice’s needs.
They assign dedicated specialists to insurance follow-up, often at a lower cost than hiring a full-time employee. The company also offers flexible short-term and long-term contracts that make it easy for practices to scale as needed.
| Clients Served | Details |
|---|---|
| Clients Served |
Private practices Healthcare offices Professional service providers |
| Experience | 40 years |
| Key Highlights/Services |
Free billing assessments Medical Billing and A/R Insurance Follow-Up Flexible Contracts |
| Specialties Served | Medical offices (general practice), Dental offices, Labs |
| Compliances/Certifications | N/A |
10. MedEx Billing
MedEx Billing is a well-known Buffalo-based medical billing company recognized for delivering consistent revenue growth for its clients. In fact, 100% of their clients have reported increased collections and improved cash flow after partnering with MedEx.
Their services include daily claims entry, electronic and paper claim submissions, dedicated follow-up, claim correction and resubmission, denial management, and revenue recovery. The company also manages patient statements, payment posting, A/R recovery, and provides customized weekly or monthly reports to keep practices informed.
| Section | Details |
|---|---|
| Clients Served |
EMS agencies Ambulance services (ground and aeromedical) ALS First Response groups Fire departments |
| Experience | 27+ years |
| Key Highlights/Services |
Tracking/claims management Claim correction and/or resubmission High client retention rate Custom report creation on request |
| Specialties Served | EMS / Ambulance Billing (Primary), Aeromedical Transport, ALS First Response, Emergency Medical Services |
| Compliances/Certifications |
HIPAA NAAC CAC CACO |
How Our Editors Selected the Top Medical Billing Companies in Buffalo, NY?
Our editors began by sourcing companies from Google My Business (GMB) listings with ratings near to 5 stars. They also included additional reputable companies found on Yelp to ensure a comprehensive selection.. Each company was then carefully reviewed to understand its services, specialties, and client feedback.
Using key metrics such as billing accuracy, revenue recovery rates, compliance certifications, years of experience, and client support quality, we evaluated their performance and reliability. Based on these insights, we curated a list of the top medical billing companies in Buffalo, NY.
What are the best medical billing companies in New York?
Transcure, Cures MB, and iRCM are among the best medical billing companies in New York. This is because they combine expertise in medical billing with advanced technology. Plus, their teams stay up to date with the latest NY billing laws and CMS guidelines.
What are the benefits of outsourcing medical billing in Buffalo, NY
Outsourcing medical billing in Buffalo, NY, ensures faster and more accurate reimbursements by reducing claim errors and denials. Practices gain access to expert knowledge of New York-specific billing rules, CPT, ICD-10, and HCPCS coding, keeping them fully compliant with regulations. Outsourcing also reduces the administrative burden, allowing staff to focus on patient care.
How to choose a medical billing company in Buffalo, NY?
Choose a medical billing company in Buffalo, NY, with experience in your specialty and expertise in NY-specific billing regulations. Also, check if the company offers end-to-end billing services and provides transparent reporting.
What percentage do medical billers take in Buffalo, NY?
Medical billing companies in Buffalo, NY, typically charge healthcare providers based on a percentage of the total revenue collected. The standard fee ranges from 4% to 10%, depending on factors such as the practice’s size, specialty, and claim volume.
Which is the best medical billing company in Buffalo, NY?
Transure is the best medical billing company in New York due to its expertise in NY billing regulations and billing support for 40+ specialties. Moreover, its AI Agentic billing process helps practices achieve clean claim rates of 98% and increase revenue collections by 20%.
What are the 5 best medical billing companies in Buffalo, NY??
Transcure, Buffalo Billing, iRCM, Assertive Medical Practice Management, and Practice Integrity Associates are the five best medical billing companies in Buffalo, NY. All of these companies have decades of experience in medical billing across multiple medical specialties.
What factors should I consider before hiring a medical billing company in Buffalo, NY?
You must consider hiring a medical billing company in Buffalo, NY that provides billing and coding services for your specialty. Moreover, it’s important to check whether the company uses AI-powered billing systems. Plus, the company must adhere to HIPAA and New York State regulations, including the SHIELD Act.
