End-to-End Revenue Cycle Management Built for Clean First-Pass Claims
Medical Billing Miami Beach (MBMB) coordinates responsive local account management with an experienced U.S. AAPC-certified fulfillment team—combining meticulous human coding review with an AI pre-submission double-check so your practice collects more with fewer denials.
What Your Practice Receives Every Month
From patient eligibility verification and charge capture through ERA posting and secondary appeals, our team manages the complete administrative billing lifecycle.
Pre-Submission Scrubbing (Human + AI Double-Check)
Every superbill and encounter is reviewed by U.S. AAPC-certified coders and cross-checked with AI rule verification for NCCI bundling, modifier accuracy, and payer-specific LCD/NCD compliance before submission.
Daily Claim Submission & ERA Auto-Posting
Clean claims are submitted within 24–48 business hours of receiving complete chart documentation. Electronic Remittance Advice (ERA) payments and adjustments are reconciled daily.
Proactive Denial Management & Appeals
Zero write-offs without investigation. Every CO, PR, or OA denial is categorized, corrected, or appealed with clinical documentation references within 48 hours of receipt.
Provider Credentialing & Enrollment
CAQH ProView maintenance, NPI Type 1 & Type 2 registration, Medicare PECOS, Florida Medicaid, and commercial payer contracting managed end-to-end.
Monthly Financial & Aging Transparency
Clear monthly executive packets covering gross collection rate, net collection percentage, days in AR, 30/60/90/120+ aging buckets, and payer mix performance.
Seamless EHR & PM Integration
We work inside your existing EHR and Practice Management platform—including Athenahealth, Kareo/Tebra, AdvancedMD, eClinicalWorks, DrChrono, NextGen, and Epic.
Transparent Percentage-of-Collections Pricing (5.6%–10%)
We only get paid when your practice gets paid. Rates are tailored to your monthly claim volume, specialty mix, and required administrative scope.
High-Volume & Multi-Provider Groups
Established multi-provider clinics and high-volume specialty practices seeking dedicated account coordination and daily ERA reconciliation.
- ✓Human AAPC-certified coding + AI claim scrubbing
- ✓Daily EDI claim submission & ERA payment posting
- ✓Denial management, appeals & monthly AR reporting
Growth & Specialty Practices
Growing single- and multi-provider practices needing full-cycle claim scrubbing, proactive denial appeals, and payer follow-up.
- ✓Human AAPC-certified coding + AI claim scrubbing
- ✓Daily EDI claim submission & ERA payment posting
- ✓Denial management, appeals & monthly AR reporting
Starter & Launching Clinics
New practices, solo clinicians, or telehealth startups building clean billing workflows from day one with automatic tier step-downs as volume grows.
- ✓Human AAPC-certified coding + AI claim scrubbing
- ✓Daily EDI claim submission & ERA payment posting
- ✓Denial management, appeals & monthly AR reporting
Final pricing is confirmed in a written proposal based on monthly claim volume, specialty mix, and required services. $0 setup fee for standard EHR onboarding.
Specialties We Support Across Florida & Nationwide
Whether you operate an independent single-provider clinic in Miami-Dade or a multi-location group practice, our billing workflows adapt to specialty-specific coding rules, prior authorizations, and telehealth modifiers.
Local Miami Beach Coordination + Certified U.S. Fulfillment
Medical Billing Miami Beach (MBMB) serves as your accountable client relationship and coordination hub in Miami Beach, working alongside our experienced U.S.-based certified medical billing and coding fulfillment team and our AI pre-submission verification layer.
Every claim is reviewed by experienced medical billing and AAPC-certified coding professionals who read the clinical documentation and payer guidelines, then confirmed by our AI pre-submission verification check for modifiers, NCCI edits, and LCD/NCD rules.
Frequently Asked Questions for Providers
Do we have to switch our EHR or Practice Management software?
No. Our fulfillment team integrates directly with your current EHR/PM system and clearinghouse via role-based, HIPAA-aligned access so your providers and front-desk staff keep their familiar clinical workflow.
How does your percentage-of-collections pricing work?
Our standard Revenue Cycle Management fees range from 5.6% to 10% of actual collections depending on monthly claim volume, specialty complexity, and scope of services. There are $0 setup fees and no fees on uncollected claims.
How do you combine human billers with AI verification?
Your claims are never left to unverified automation. Experienced U.S. AAPC-certified coders review clinical documentation first, and our AI verification layer performs a secondary audit to catch missing modifiers, diagnosis-to-CPT mismatches, or frequency limits prior to transmission.
Who is our day-to-day point of contact?
Medical Billing Miami Beach (MBMB) serves as your dedicated Miami Beach account coordination and client communication hub, working seamlessly alongside our experienced U.S. certified medical billing fulfillment partner.
Ready to Benchmark Your Practice’s Collection Rate?
Schedule a confidential 15-minute revenue cycle consultation. Please do not submit patient-identifying information (PHI) through public web forms.