Pharmacy Billing Services in Florida, FL

Pharmacy is an integral part of healthcare, and, just like other disciplines of healthcare, it also poses certain billing challenges that may often be difficult to manage internally. Moreover, because certain drugs are excluded from insurance coverage and only a few injections and adjuvant therapies allowed, it may require experts to judge the efficacy either including or excluding the drugs during billing.

To complicate matters further, pharmacy related reimbursements require multiple levels of data handling and follow-ups as in most cases. Although it is a separate set of medical service and provided from a separate facility, claims are prepared and submitted together by hospitals or nursing homes either because they come later in the care chain or because it forms a small part of the care services hospitals provide. This joint-claim preparation and submission leads to greater potential for inaccurate Data handling and denied claims.

Our medical billing services in Florida can help you to increase your revenue with the reduction in the number of denied and unpaid claims. Our billers present in all the major cities like Jacksonville, Miami, Tampa, St. Petersberg and Orlando can provide you with less paperwork and more accurate medical claims to improve the efficiency of your practice. Here are some of the services which our billers have shown their proficiency in:

  • Claims are processed on the same day
  • Analysis of accounts receivables
  • Weekly as well as monthly reports on productivity
  • Analysis of codes and procedures on a regular basis
  • Review of fee schedules for updates

Comprehensive Medical Billing Services in Florida

At MBC, we offer specialized medical billing services in Florida to optimize your revenue and reduce denied claims. We have a strong presence in major cities like Jacksonville, Miami, Tampa, St. Petersburg, and Orlando. Our MBC billers and coders are experts in streamlining workflows and ensuring accurate claims submission. They have over two decades of expertise in:

  • Same-day claims processing to expedite payments
  • Detailed accounts receivables analysis to minimize A/R days
  • Weekly and monthly productivity reports
  • Regular code audits to maximize reimbursements
  • Updating fee schedules for compliance and accuracy

Florida Medical Billing Experts Maximizing Your Practice Revenue

Our Florida-based professionals understand the state’s unique healthcare dynamics, including its extensive Medicaid Institutional Care Program (ICP) and high elderly population. By navigating state reimbursement statutes effectively, our MBC coding specialists ensure compliance and ensure better cash flow for your practice.

MBC’s medical billing experts in Florida offer tailored solutions:

  • HIPAA-compliant processes to safeguard patient data
  • Credentialing services to streamline payer enrollment
  • Handling complex specialties like Cardiology, OB-GYN, Pediatrics, and more
  • Expertise in EMRs and top billing software, including Medisoft, EclinicalWorks, and GE Centricity

On the backdrop of Florida’s ongoing physician shortage, we help reduce administrative burdens while ensuring steady growth and profitability. By utilizing EMRs and advanced practice management systems, our MBC specialists optimize operations and boost collections significantly.

And, even though pharmacy claims are distinct from hospital claims, they are still subject to the same HIPAA rules which may be difficult to cope with during times of resubmission for being non-compliant with privacy or security norms.

These inherent challenges require a series of admin and data related activities, starting from verification, through claim preparation to submission, to be handled with accuracy.

Outsourcing Billing to MBC

MBC pharmacy medical billing and coding services would not just help you accurately discern which type of treatment comes under injectables or adjuvant therapies but also take care of the entire range of your admin activities from claim preparation thorough submission to post-submission follow-ups and audits in case of over payment by the insurer, improving your finances and leaving you with more time to spend on your core competency pharmacy dispensing.

Our services cater to all kinds: clinical, home care, and radio pharmacy services.

  • Clinical

    These services often come under bundled payment module, which may require handling paperwork of non-clinical nature. We take care of the entire paper trail that adds up to insurance claims in a methodical manner.
  • Home Care

    Involved in preparation and delivery of injectables to home-bound patients, these services being covered by Medicare Prescription Drug Improvement and Modernization (MPDIM) require you to prepare and maintain details and do data handling that is not part of your core competency and interfere with their itinerant schedule which involves extensive travelling to patients’ homes. We have an extensive network spread across all states of the US and professionals who are experienced in handling billing activities related to home care services.
  • Managed Care

    Similar to clinical services, these services are often operated from big hospitals and nursing homes that often realize their reimbursement through the bundled payment model. This requires maintaining non-clinical paperwork and producing reports, slicing away from the time you spend on patients and exposing them to data and procedural inaccuracies which often count against their performance as being part of these establishments. Our end-to-end billing and coding services spare you the headache of having to maintain your non-clinical paperwork letting you spend more time on drug dispensing.
  • Radio

    Being among the most prominent adjuvant therapy services, these services come under the insurance coverage of the Medicare Prescription Drug Improvement and Modernization Act (MPDIM) and require billing and coding assistance. Our medical and billing and coding services have helped many Radio drug service providers improve their finances through efficient data handling, bill submission and follow-ups.

Download our Pharmacy eBook now!!

 

Read our pharmacy billing blogs

Real Physicians, Real Results

Discover how physician groups thrive with us

Help Us Understand Your Requirements

Get in touch with us for more Information.
We're ready to assist with your billing and coding needs.

Name (*Required )
Phone Number (*Required )
State
Speciality
Email
Monthly Insurance Collection
Requirement & Preferred Time to Call

Are you looking for more than one billing quotes ?