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.

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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: 

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•       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 ​

•       Clinical Laboratory Improvement Amendments