Medical Billing Company in Florida That Keeps You Paid, Compliant, and Ahead

Your patients deserve care. Your dedication deserves revenue, not endless claim rejections. At Dastify Solutions, we help Florida’s healthcare practices recover control of their revenue with error-free claim submissions, clean coding, and 100% compliance with AHCA, CMS, and Florida Blue payer requirements. From Miami to Jacksonville, Orlando to Tampa, we streamline your billing cycle so you get paid faster without adding more to your plate.

Be Aware! Are These Costly Billing Mistakes Holding Your Florida Practice More Than You Imagine?

At Dastify Solutions, our Medical Billing Services Florida help practices eliminate these revenue blockers with advanced automation, clean claims, and local payer compliance expertise. So you get paid faster and stress less.

Outdated Paper-Based Billing Methods are slowing down reimbursements.
Frequent Coding Changes & Documentation Errors leading to denials.
Delayed Reimbursements and missing payments month after month.
Underpayment issues and prior authorization delays are hurting your cash flow.
Staffing Shortages & Administrative Overload are draining your team’s time.
Rising Patient Payment Responsibilities are making collections harder than ever.
Compliance Challenges with Medicare, Medicaid, and Private Payers risk audits and penalties.

Confused Between Federal & Florida Acts?

Florida’s Strict Compliance? We Keep Every Requirement in Check.

At Dastify Solutions, compliance isn’t an afterthought — it’s the backbone of everything we do. We help Florida healthcare providers stay fully compliant with all federal and state regulations, including:

From payer audits to CMS updates and SPARCS-style reporting, our compliance experts keep your practice audit-ready, penalty-free, and ethically aligned.

False Claims Act (FCA):

Every claim we process is clean, accurate, and thoroughly documented. Our Florida Medical Billing Company protects your practice from overbilling penalties and false claim violations.

No Surprises Act:

We bring complete transparency to patient billing and payer communication, helping your practice prevent balance billing disputes and avoid compliance penalties.

State-Mandated Background Checks:

Our credentialing and onboarding processes follow Florida AHCA Level 2 screening standards, ensuring your staff and vendors meet every requirement.

KPIs that Boost Performance for Medical Practices in Florida

Collection Ratio

93 %+

Reduction in AR

40 %

First Pass Clean Claims Rate

95 %+

Revenue Increase

Up to 20 %

Lowest Denial Rate

≤ 4 %

Turnaround Time

7- 14 Days

Credentialing & Enrollment
Telehealth Billing & Reimbursement
Prior Authorization Management
EOB Processing & Reconciliation
Fraud Prevention & Detection
Custom Reporting & Dashboards
Revenue Cycle Analytics
Electronic Health Record Integration
HIPAA & Compliance Management
Medicare Advantage Billing

Most Trusted Outsource Medical Billing in Florida | All-in-one Billing Solution

Our comprehensive suite of medical billing services in Florida covers every aspect of the revenue cycle.

Whether you’re looking to outsource medical billing entirely or need specialized support in specific areas, our team handles it all:

Claims Processing & Submission
Coding & Compliance Review
Accounts Receivable Management
Denial Management & Appeals
Insurance Verification & Pre-Authorization
Patient Billing & Collections

What Makes Florida’s Medical Billing Landscape Unique?

Florida’s healthcare billing system operates under some of the most intricate regulations in the USA. However, our outsourced Medical Billing Florida covers all technical aspects of medical billing for you, including:

At Dastify Solutions, we streamline this complexity with automation, payer-specific expertise, and strict compliance management. We aim to keep your revenue cycle efficient, accurate, and fully compliant.

Diverse Payer Mix:

Florida providers work with a wide range of payers, including AHCA Medicaid, Medicare Advantage, and MCOs such as Sunshine Health, Simply Healthcare, and Molina, each operating under unique claim submission rules and authorization protocols.

High Audit Frequency:

The Agency for Health Care Administration (AHCA) and commercial insurers conduct frequent audits, requiring detailed documentation and error-free coding for every claim. This increases administrative workload and makes continuous compliance monitoring essential.

Strict Compliance Requirements:

Practices must meet HIPAA, No Surprises Act, and FCA regulations, with penalties reaching up to $50,000 per violation for non-compliance.

Complex Credentialing & Background Checks:

Providers in Florida must pass AHCA Level 2 background screening and meet payer-specific credentialing timelines before billing can begin. Delays in verification can halt revenue flow for weeks, especially when managing multi-provider or multi-location facilities.

Multi-Location & Seasonal Patient Volume:

Florida’s healthcare practices often operate across multiple facilities and experience seasonal surges in patient visits. Increased claim volume without scalable billing support can lead to backlogs, slower reimbursements, and overwhelmed staff.

We Handle Florida’s Complex Credentialing, So You Can Start Seeing Patients in Weeks, Not Months.

Fast-Track Payer Enrollment
Accurate Documentation & Application Management:
Multi-Location & Group Credentialing Support
Full Compliance with AHCA & CMS Regulations
Level 2 Background Check Coordination

Our Medical Billing Services Florida Work Process?

At Dastify Solutions, we combine precision, compliance, and insight to simplify your entire revenue cycle, from patient registration to final reimbursement.

Whether you run a small or large medical practice in Florida, our medical billing solution is designed for specialties of all sizes. We provide a custom solution according to your facility’s demands and help you achieve your dream RCM with zero delays.

Practice Assessment

We begin with a deep assessment of your specialty, payer contracts, and reimbursement trends so your practice can take full advantage of our services.

Coding Compliance & Claim Scrubbing

We have a team of 500+ professional coders who master ICD-10 and CPT codes to achieve 100% accuracy in claims processing.

Claim Submission & Real-Time Tracking

We use advanced clearinghouse integrations to submit and monitor claims in real-time.

Performance Reporting & Revenue Optimization

Each month, you receive detailed financial reports on denial rates, payer performance, and reimbursement patterns.

Dedicated Account Manager

Each client is paired with a Dedicated Account Manager who understands your specialty, manages payer communication, and ensures every claim moves smoothly.

Dastify Solutions Provide Specialty Billing Expertise

We serve 50+ specialities, including:

FAQs.

How long after service can a medical practice in Florida bill insurance?

In Florida, the allowable time frame for claims submission varies by payer. For private insurers, it is about 90 days, while for the Medicaid program, it may extend up to 365 days from the date of service. At Dastify Solutions, we monitor each payer’s submission deadline, ensuring your claims are filed within the allowable window to avoid late-submission rejections and revenue loss.

What are the most common reasons Florida practices experience claim denials?

Florida medical practices experience high claim denial rates primarily due to payer-specific documentation and coding discrepancies. The most frequent causes include:

Incorrect or Incomplete Coding: Errors in CPT, ICD-10, or HCPCS coding remain a leading cause of denials, particularly when codes fail to reflect the documented medical necessity or when payer-specific edits are not met.
Missing or Insufficient Documentation: Payers such as AHCA Medicaid, Sunshine Health, and Simply Healthcare require complete encounter documentation and pre-authorization proof before adjudicating claims.
Invalid or Expired Authorizations: Many managed care plans in Florida require updated prior authorizations for recurring or high-cost services; missing them results in automatic rejection.
Eligibility & Enrollment Errors: Incorrect patient eligibility verification or outdated provider credentialing data in CAQH or payer portals result in frequent claim rejections.
Late Submission: Florida Medicaid and most commercial insurers enforce strict filing limits (often 90–180 days from date of service). Submitting beyond the allowable window results in denial without appeal rights.

What protections and billing restrictions apply under Florida’s surprise billing laws?

Florida’s Balance Billing Law and the federal No Surprises Act protect patients from unexpected out-of-network charges in emergencies or when treated by out-of-network providers at in-network facilities. Providers must bill only the patient’s in-network cost share, and cannot charge the balance beyond what the insurance covers.