Medical Billing · Florida

Medical Billing Services Florida Practices Trust

A Florida medical billing company for independent practices that knows the state’s payers and rules: Florida Medicaid managed care plans, PIP auto claims, Florida Blue, Medicare and workers’ compensation. We submit clean claims, work every denial and collect what you are owed.

Medical billing and claims paperwork on an office desk

The Problem

Florida Billing Has Its Own Rules

Billing in Florida is not the same as billing anywhere else. Statewide Medicaid Managed Care plans each have their own requirements, personal injury protection (PIP) auto claims follow strict timelines and fee schedules, and workers’ compensation claims run through a separate system.

Generic billing companies often treat these as exceptions. For Florida practices they are everyday claims, and handling them wrong is a common source of lost revenue.

01

Medicaid managed care denials.

Each SMMC plan has its own authorization, enrollment and timely filing rules.

02

PIP claims paid late or reduced.

Auto injury claims need correct documentation, deadlines and fee schedule handling.

03

Workers’ comp paperwork.

Separate forms, authorizations and fee schedules slow payment if handled like commercial claims.

04

Aging A/R with major payers.

Unworked Florida Blue, Medicare and commercial claims age past filing limits.

What We Do

Florida Medical Billing Services

01

Coding and Charge Entry

CPT, ICD-10-CM and HCPCS coding checked against documentation and Florida payer rules.

02

Claim Submission

Clean 837P claims submitted to Medicare, Florida Medicaid plans and commercial payers.

03

PIP and Auto Injury Billing

PIP claims prepared with the documentation and deadlines Florida law requires.

04

Workers’ Comp Billing

Authorizations, forms and follow-up for Florida workers’ compensation claims.

05

Denial Management

Every denial worked and appealed, with trends tracked by payer.

06

A/R Recovery

Aged claims chased before they pass timely filing limits.

07

Credentialing

Enrollment with Florida Medicaid plans, Medicare and commercial payers. See credentialing.

08

Monthly Reporting

Clean claim rate, days in A/R and collections by payer.

The Process

How We Take Over Your Florida Billing

01

Free A/R Audit

We review 90 days of claims and denials by Florida payer.

02

Transition Plan

System access, payer set-up and a parallel run.

03

Go Live

New claims submitted by our team from day one.

04

Florida Payer Follow-Up

Medicaid, PIP, workers’ comp and commercial claims chased on schedule.

05

Denials and Appeals

Root causes fixed so denials stop repeating.

06

Monthly Review

KPIs and recovered revenue reviewed with you.

FAQ

Florida Medical Billing Questions

Yes. Florida dentists may advertise, but advertising must follow Florida Statutes section 466.019 and the Board of Dentistry rules: no false or misleading claims, specific rules for specialty claims, and required disclosures on free or discounted services.

Ads must be truthful and not misleading, fees must be stated accurately, free or discounted offers must carry the required disclaimer about the patient’s right to refuse payment for other services, and dentists may only advertise as specialists in recognised specialties they qualify for.

Yes. Florida PIP covers medically necessary physical therapy after an auto accident, generally when initial treatment is received within 14 days, up to the $10,000 PIP limit, subject to the PIP fee schedule and documentation requirements.

Most charge 4% to 10% of collections depending on specialty, volume and services. We quote after reviewing your claims and payer mix.

Yes. We bill Statewide Medicaid Managed Care plans and handle their authorization and timely filing requirements.

You need one that knows Florida payers and rules. Our team works remotely inside your systems, so we serve practices across the state.

Look for medical billing companies Florida practices recommend for their specialty, with Florida payer experience, KPI reporting and fees on collections.

Yes. We provide billing services for medical practices Florida-wide, from Miami and Orlando to Tampa, Jacksonville and the Panhandle.

Latest Insights

Related Reading

Looking for a Medical Billing Company in Florida?

Send us 90 days of claims and we will show you where Florida payers are holding up your revenue.