50
STATES SERVED
100
%
FOCUSED ON REVENUE CYCLE
Medical Billing & RCM Services in Florida
Florida's independent practice market is enormous — more than 30,000 physician group practices statewide — and it carries a billing complexity that's different from almost anywhere else in the country: the highest Medicare Advantage enrollment share of any large state. For practices across Florida, from Miami-Dade to Tampa Bay to the Panhandle, prior authorization, risk-adjustment documentation, and MA plan-specific billing rules are a daily reality, not an occasional edge case. RCMEasy provides full-service medical billing and revenue cycle management built around that reality.
- Statewide Medicaid Managed Care (SMMC)
- Florida's Clean-Claim Payment Deadlines and PIP Billing
Serving independent practices across Florida.
Medicaid & Managed Care in Florida
Statewide Medicaid Managed Care (SMMC)
Florida delivers Medicaid through its Statewide Medicaid Managed Care (SMMC) program, with plans such as Sunshine Health, Humana, Molina, and Simply Healthcare covering different regions of the state. Because SMMC is organized by region rather than a single statewide plan, a practice's Medicaid billing rules can depend on exactly where in Florida it's located. RCMEasy's team bills within the correct regional plan structure rather than treating Florida Medicaid as one uniform program.
Payers We Bill in Florida
Medicare Advantage and the Payers We Work With in Florida
Florida has the highest Medicare Advantage penetration of any large state, which makes MA billing — including prior authorization and the documentation needed to support risk-adjustment coding — a bigger part of day-to-day revenue cycle work here than in most other states. RCMEasy bills Medicare Advantage plans, traditional Medicare, SMMC Medicaid plans, and the major commercial carriers operating in Florida as a routine part of its service.
Regulatory Landscape
Florida's Clean-Claim Payment Deadlines and PIP Billing
Florida's clean-claim statute (F.S. 641.3155 and related insurance code provisions) sets some of the strictest claims-payment timelines in the country for HMOs and insurers. Florida is also one of the few states with a no-fault auto insurance system, meaning Personal Injury Protection (PIP) billing is a routine — and easy to get wrong — part of revenue cycle work for specialties like orthopedics and physical therapy that treat accident-related injuries. RCMEasy's Florida billing workflow accounts for both.
Frequently Asked Questions
Does RCMEasy provide medical billing services in Florida?
Yes. RCMEasy provides full-service medical billing, coding, and revenue cycle management to practices across Florida, including Statewide Medicaid Managed Care (SMMC) billing and Medicare Advantage claims.
Does RCMEasy handle PIP (auto insurance) billing in Florida?
Yes, for specialties that regularly treat accident-related injuries — such as orthopedics and physical therapy — RCMEasy's Florida billing workflow includes Personal Injury Protection (PIP) claims.