The Florida RCM Authority
Master Revenue in
Florida.
Miami.
Orlando.
Tampa.
Jacksonville.
Operating a practice in the Sunshine State means navigating Florida Blue complexities, massive Medicare Advantage volumes, and strict First Coast (JN) guidelines. We engineer 98% clean claim rates to ensure your cash flow never stalls.
Takes less than 60 seconds
98%
Clean Claims
9+
Years in AL
$2B
Revenue Managed
- HBS FL-GATEWAY
First Coast (JN)
LCD Scrubber Rules
Synced
Florida Blue
Policy & Modifiers
Active
Florida Medicaid
Provider Portal Sync
Scanning
Core Capabilities
The HBS Advantage in FL.
Beyond standard billing, we offer a comprehensive revenue cycle management ecosystem tailored specifically for Florida’s unique demographics, including huge Medicare populations and seasonal residents.
AI-Driven Scrubbing
Our proprietary rules engine preemptively identifies coding errors and First Coast (JN) LCD mismatches before claims ever reach the payer, ensuring our 98% clean claim rate.
Dedicated FL Teams
You don’t get a generalized call center. You are assigned a dedicated pod of RCM specialists who strictly handle Florida accounts and understand the nuances of out-of-state BlueCard processing and seasonal volume spikes.
Transparent Analytics
Stop guessing about your financial health. We provide real-time, granular dashboards showing exact A/R aging, denial reasons, and daily cash flow projections.
Seamless Transition
How We Partner With You.
We designed our onboarding to be frictionless. We integrate with your existing systems without disrupting your daily patient care.
1
Deep-Dive Audit
We analyze your historical data to identify leaks in your revenue cycle.
2
EHR Integration
Secure, remote tunnels into your Epic, Cerner, Athena, or cloud EHR system.
3
A/R Rescue
Our specialists immediately attack your aging buckets (>90 days).
Maximized Profit
Clean claims go out daily. Revenue goes up. You focus on patients.
Operational Footprint
Statewide Integration.
We securely tunnel into your existing EHR remotely, providing world-class RCM support across the state. We understand the specific payer nuances in every major Florida region.
Miami / South FL
Primary Challenge: Massive HMO and Medicare Advantage penetration, requiring aggressive pre-authorization and capitation management.
HBS Solution: Advanced clearinghouse rules engines tailored for complex MA plan networks and swift denial appeals to maintain high cash flow.
Top EHRs:
Epic | NextGen
Tampa Bay
Primary Challenge: High concentration of retirees leading to heavy traditional Medicare volume and complex specialized surgery centers.
HBS Solution: Direct First Coast (JN) portal management and precise adherence to local coverage determinations (LCDs) to prevent costly audits.
Top EHRs:
Cerner | Athena
Orlando / Central FL
Primary Challenge: Rapidly growing population, transient/tourist volume, and massive health system overlaps.
HBS Solution: Aggressive front-end eligibility verification and highly scalable A/R rescue teams to handle surging patient volumes efficiently.
Top EHRs:
ModMed | eCW
Naples / West Palm
Primary Challenge: High-wealth demographics, concierge medicine hybrids, and extreme seasonal “Snowbird” volume spikes.
HBS Solution: Automated out-of-state BlueCard routing for seasonal residents and rigorous No Surprises Act compliance for out-of-network care.
Top EHRs:
AdvancedMD | Kareo
Jacksonville
Primary Challenge: Proximity to First Coast Service Options HQ, heavy Florida Blue presence, and military (TRICARE) networks.
HBS Solution: Direct TRICARE and BCBS portal integrations, managing complex authorizations, and aggressively appealing military-specific coding denials.
Top EHRs:
Allscripts | Epic
Tallahassee / Rural FL
Primary Challenge: Rural Health Clinic (RHC) billing complexities, FQHC rules, and heavy reliance on Florida Medicaid.
HBS Solution: Deep expertise in PPS rate reconciliation, UB-04 institutional claim formatting, and specialized Medicaid portal syncs.
Top EHRs:
Elation | DrChrono
Proven Results
Florida Success Stories.
Real data from practices across the Sunshine State that transformed their revenue cycles by partnering with HBS.
Cardiology Practice
Miami, FL
Struggled with massive A/R aging > 90 days due to complex Medicare Advantage HMO rules and delayed pre-authorizations.
A/R > 90 Days
-76%
Monthly Cash Flow
+$135K
Orthopedic Surgery Center
Tampa, FL
Plagued by high denial rates (24%) due to out-of-state BlueCard processing errors from seasonal “Snowbird” patients.
Denial Rate
3.2%
Clean Claim Rate
98.7%
Secure Your FL Revenue Audit
Stop leaving money on the table. Our Florida specialists will analyze your revenue cycle and uncover hidden billing opportunities.