Florida Pro Health

Expert Billing for Managed Care Physicians

Navigating the complexities of managed care contracts and maximizing your revenue as a participating physician.

Focus on Patients, We'll Handle Managed Care Billing

Participating in managed care plans presents unique challenges for physicians, from navigating complex prior authorization and referral processes to understanding varied fee schedules and quality metric requirements. Florida Pro Health provides specialized billing services designed to alleviate these burdens.

Our team is adept at ensuring your claims are accurately coded and submitted according to each plan's specific guidelines, helping you maximize reimbursement and minimize denials.

  • Accurate Billing: Precise coding and claim submission tailored to individual managed care plan requirements.
  • Authorization Management: Proactive handling of referrals and prior authorizations to prevent claim issues.
  • Quality Metric Support: Assistance in understanding and meeting documentation needs for quality incentive programs.
  • Dedicated Follow-Up: Persistent pursuit of underpayments or complex denials from managed care payers.

Key Services for Managed Care Physicians

Payer Contract Analysis

Helping you understand managed care contract nuances to ensure compliance and identify financial opportunities.

Authorization & Referral Support

Streamlining the process of obtaining and tracking prior authorizations and referrals, reducing administrative burdens.

Incentive Program Maximization

Guidance on billing and documentation to help you achieve quality incentives within managed care programs.

Partner with FPH for Managed Care Success

Let our expertise in managed care billing support your practice's financial health and operational efficiency, allowing you to focus on patient care.

Contact Us for a Consultation