Medical Billing Miami Beach

Medical Billing Miami Beach (MBMB) is a South Florida revenue cycle management and medical billing outsourcing company that handles the full billing lifecycle for healthcare practices across Miami-Dade. The firm reports a 98% clean-claim rate and says partner practices typically recover 15–30% more revenue than they were collecting before. Pricing is collection-based at 5.6%–10%, with no setup fee, so practices pay only when MBMB collects on their behalf. The services cover every major back-office billing function a practice needs. AAPC-certified coders handle ICD-10-CM, CPT, and HCPCS coding with modifier optimization, including Modifiers 25, 59, and 95, plus chart audits and provider documentation review. Claims go through daily AI scrubbing before EDI submission, with ERA payment posting and accounts receivable recovery for aging balances at 30, 60, and 90 days. Denial management runs on a 48-hour turnaround using root-cause forensics and clinical appeal letter generation. Provider credentialing covers CAQH ProView, Medicare, Florida Medicaid, and commercial payers, along with EDI, ERA, and EFT banking setup. Front-end services include real-time eligibility checks, co-pay verification, prior authorization tracking, and Florida telehealth POS 02/10 verification. MBMB serves two distinct client groups. Healthcare providers, from independent practices to multi-provider clinics, get complete outsourcing of their revenue cycle operations. Personal injury attorneys and paralegals get a separate service: organized medical bill chronologies, plain-English CPT/ICD-10/HCPCS explanations, duplicate flagging, and charge-to-balance reconciliation tables that reduce the time needed to review medical special damages. The workflow pairs human expertise with AI verification at every step. AAPC-certified specialists review clinical documentation first; then an AI layer double-checks every code, modifier, and payer rule before submission. The company operates from a Miami Beach account hub, tracks Florida-specific payer trends for proactive denial prevention, and supports clients in English, Spanish, and Haitian Creole. All workflows are HIPAA-aligned. This AI-ready BPO infrastructure is designed to catch the kinds of coding errors the company estimates cost the average South Florida practice over $127,000 per year. Healthcare practices and medical-legal teams in South Florida can request a written proposal scoped to their claim volume, specialty mix, and service requirements.