✅ Florida Medicaid MCO Denials (Sunshine, Simply, Staywell)
✅ Credentialing Delays and Rejections
✅ Audit Risks under AHCA Oversight
✅ Incorrect Telehealth Modifiers
✅ Delayed or Underpaid Claims
✅ Missing Documentation or Attachments
✅ Medicare Crossover Payment Errors
✅ Payer-Specific Code Rejections
✅ Duplicate Billing Penalties
✅ Lack of Real-Time Financial Tracking
We file all claims within 48 hours.
Identify payer issues in real time with live dashboards.
Trained on Medicaid, MCOs, and private payers.
From family medicine to orthopedics and behavioral health.
No waiting, no call transfers — just direct, local help.
We verify every patient’s insurance coverage before appointments through Florida Medicaid, Sunshine Health, and major commercial payers — eliminating costly eligibility denials.
Our AAPC-certified coders apply correct CPT, ICD-10, and HCPCS codes while following Florida-specific billing edits to ensure full reimbursement and audit protection.
Each claim passes through multiple verification checks before being submitted electronically within 48 hours — reducing rejections and speeding up payments.
We post payments daily, reconcile payer adjustments, and track every EOB to make sure no claim or payment goes unaccounted for.
We investigate root causes, correct errors, and aggressively appeal denials — recovering up to 95% of initially rejected claims.
Our billing specialists follow up on aged claims, resolve pending payments, and cut A/R days by 40% on average.
We handle credentialing for Florida Medicaid, Medicare, and commercial payers — seamlessly managing applications, renewals, and CAQH updates.
Our internal audits and compliance checks align with AHCA, HIPAA, and Florida Medicaid rules, helping you stay audit-proof and penalty-free.
We create detailed financial and performance reports that highlight trends, claim status, and payer behavior — giving you total visibility over your revenue cycle.
PracticeMate supports a wide range of healthcare specialties across Florida—from small independent practices to large multi-specialty clinics. Our billing experts understand the unique coding, modifier use, and payer rules for each field.
Healthcare billing in Florida requires strict attention to both federal and state laws. PracticeMat ensures every claim you submit is fully compliant with:
Including managed care (MMA, LTC, and FHKC) and behavioral health billing requirements.
Florida insurers must pay “clean claims” within 20–40 days, depending on submission method.
End-to-end encryption, secure EDI transactions, and data retention compliance.
Compliance for provider licensing, billing formats, and audit readiness.
Adherence to the latest Florida Medicaid and payer-specific telehealth billing policies.
PracticeMat proudly partners with clinics, hospitals, and solo practitioners in:
You didn’t build your practice to chase denials, argue with payers, or get lost in billing red tape — but that’s what most North Carolina providers end up doing. At Practice Mate, we make sure your billing system runs as efficiently as your patient care.
You focus on your patients. We’ll make sure every claim gets paid — fast and fair.
FaqsYes. We work with solo providers, specialty clinics, and multi-location hospital groups. Every client gets a dedicated billing team that adapts to your scale, workflow, and specialty needs.
Absolutely. We handle NCTracks and all NC Medicaid Managed Care plans, including Healthy Blue, AmeriHealth Caritas, WellCare, and UnitedHealthcare Community Plan. We manage enrollments, claims, and compliance with the latest SCDHHS and NC DHHS updates.
Yes. We process Medicare Part B, Tricare, and all major commercial payers — Blue Cross NC, Cigna, Aetna, and UnitedHealthcare — ensuring clean submissions and faster reimbursements across the board.
Yes. Our credentialing experts handle payer enrollment, revalidations, CAQH updates, and NPI management, cutting approval times by up to 45%. You’ll always stay compliant and in-network.
We submit all clean claims within 48 hours of encounter receipt and maintain a 97% first-pass acceptance rate. Most clients see payment timelines shrink by 30–40% within the first 90 days.
