Medical Billing Services in Florida
Medical billing for Florida practices that bill Florida Medicaid, Statewide Medicaid Managed Care plans, Medicare and Medicare Advantage.
Billing support for Florida practices
Florida has one of the largest Medicare populations in the country and heavy Medicare Advantage enrollment, alongside a Medicaid program delivered mostly through Statewide Medicaid Managed Care (SMMC) plans. For a practice, that means many plans, each with its own authorization rules, filing windows and portals.
We handle that billing remotely. Our team verifies coverage and plan type before the visit, submits clean claims, works denials by reason code and follows up on aging balances, so you are not chasing a dozen plans yourself.
We support practices across Florida, including Miami, Tampa, Orlando, Jacksonville, Fort Lauderdale and Tallahassee. Learn more about our medical billing, denial management, claims processing and revenue cycle management services.
What we handle for Florida practices
- Medicare Part B claims through First Coast Service Options, the Medicare contractor for Florida (Jurisdiction N)
- Medicare Advantage plans, which cover a large share of Florida's Medicare patients
- Florida Medicaid fee-for-service and SMMC managed care plan claims
- Plan-by-plan tracking of filing windows, which are often shorter for SMMC plans than for fee-for-service
- Commercial payers such as Florida Blue, Humana, UnitedHealthcare and Aetna
- Monthly reports on collections, denials and days in A/R
Florida billing rules at a glance
The payer rules that shape how Florida claims get paid. Plan contracts can differ, so we confirm each payer's current requirements during onboarding.
Medicaid program
Florida Medicaid, mostly through Statewide Medicaid Managed Care (SMMC) plans
Medicaid filing limit
12 months from the date of service for Medicaid fee-for-service claims (with limited exceptions); SMMC plans set their own limits by contract, often six months
Medicare contractor (Part A/B)
First Coast Service Options (Jurisdiction N)
Major commercial payers
Florida Blue, Humana, UnitedHealthcare, Aetna, Cigna and Medicare Advantage plans
Common Florida denials and how we prevent them
Plan mismatch
Patients switch between Original Medicare, Medicare Advantage and Medicaid plans. We re-verify coverage before every visit so claims go to the right plan.
Missed plan filing windows
SMMC and Medicare Advantage plans often allow far less time than Medicaid fee-for-service. We track each plan's window separately.
Authorization denials
Many Florida plans require prior authorization for imaging, procedures and specialty visits. We request and track approvals before the service.
Specialties we bill for in Florida
Frequently Asked Questions
Do you bill Florida Medicaid managed care (SMMC) plans?
Yes. We bill Florida Medicaid fee-for-service and the Statewide Medicaid Managed Care plans, and track each plan's authorization rules and filing limits separately.
What is the Florida Medicaid timely filing limit?
Florida Medicaid fee-for-service claims are subject to a 12-month claim submission limit, with exceptions allowed in certain conditions. Managed care plans set their own limits by contract, which are often shorter.
Who is the Medicare contractor for Florida?
First Coast Service Options processes Medicare Part A and Part B claims for Florida as the Jurisdiction N Medicare Administrative Contractor.
Can you help a practice with a lot of Medicare Advantage patients?
Yes. We verify each patient's plan before the visit, follow each Medicare Advantage plan's authorization and filing rules, and work denials plan by plan.
How much does medical billing cost for a Florida practice?
We charge a percentage of the payments we successfully collect, with no upfront or setup fees. The percentage depends on your specialty and claim volume, so we quote it after a free review.
Other states we serve
Ready to Get Paid Faster?
Get a free billing review. We'll look at your current collections, denials and A/R and show you where revenue is being lost.