Our team brings 23 years of dedicated experience in the Hospital Revenue Cycle, offering deep expertise from patient registration to claim resolution results. We offer a strong background in Medicaid Fl eligibility, billing guidelines, hospital reimbursement and claims resolution. We have successfully navigated complex reimbursement processes and understand the Exceptional Claims Form appeal process. Our hands-on knowledge about Fl Medicaid has helped streamline workflows, improve cash flow, and reduce claim rejections. Over the years, we've built trusted relationships with recipients and providers earning a reputation for accuracy, efficiency, and problem-solving. This experience drives our commitment to helping others succeed in healthcare revenue management.
Please submit a "Request Form" along with supporting documentation when applicable to receive recommendations for the best possible outcome. Areas of expertise include the following:
Hospital UB04 (Red & White)
Explanation of Benefits (EOB)
Hospital Claim denial reasons
Exceptional Claims Form (Appeal)
Medicaid Fl Plan types
Inpatient Authorizations
Complex Hospital Claims
Medicaid covered services
AHCA Complaints
Medicaid Fl Resources
Remit Description Codes
Medicaid Plan types
Coordination of Benefits
Eligibility & Requirements
Provider Billing Guidelines
DRG & EAPG reimbursement
CLIA
Entity | Claims Reviewed | Remits/EOBs reviewed | Request Forms submitted | Documents uploaded | Financial Impact |
|---|---|---|---|---|---|
Recipients | 19,005 | 655 | 21,452 | 845 | $640,005.98 |
Institutions | 61,598 | 17,685 | 70,652 | 15,899 | $17,461,922.06 |
Other | 94 | 32 | 94 | 18 | $69,558.23 |
RECIPIENT SERVICES
EOB
Your Health Insurance Explanation of Benefits (EOB) is important because it provides a detailed summary of medical services you received.
CLAIM DENIALS
Understanding which charges your health insurance carrier denied is crucial because it helps you identify potential billing errors & coverage issues.
PLAN COVERAGE
Understanding what services your Florida Medicaid plan will pay for is essential to avoid unexpected costs and ensure you receive the care you need.
PROVIDER SERVICES
RESOURCES
Hospital providers need to be familiar with Florida Medicaid resources and departments to ensure accurate billing and timely reimbursements.
GUIDELINES
Hospital providers need to be familiar with Florida Medicaid billing guidelines and processes to ensure accurate and timely claim submissions.
RESEARCH
At AMF, we are committed to actively researching hospital-related issues concerning Florida Medicaid to support providers.