Medical Billing Companies & Consultants in Miami, FL

Gables Medical Billing (GMB) is an outsourced revenue cycle firm headquartered in Coral Gables, Florida, with a second office in Orlando's Lake Nona area. It works mainly with physician practices, specialty clinics, pediatric offices and urgent care centers. Its goal is to take claim work off in-house staff so providers can spend more time with patients.

Its main market is South Florida, but it also lists service areas in Miami, Orlando, Lake Nona Medical City, St. Cloud, Tampa and Fort Myers. It also works with practices in Louisiana and Connecticut.

Core billing services

GMB runs the full claims workflow for a practice, from coding through final payment. The company reviews each claim before it goes out to catch problems that could lead a payer to reject or deny it. Its listed services include:

• Review of CPT and ICD codes
• Preparing and filing claims electronically, including EMS claims
• Tracking how payers adjudicate claims
• Following up with insurers
• Posting payments
• Managing denials and appealing rejected or underpaid claims
• Reporting accounts to collection agencies
• Recovering medical claims

For Florida clients, the firm can also help collect patient copayments and deductibles through an affiliated service called Gables Collection Service.

Specialties served

The firm states that its work is not restricted to a fixed list of specialties. It names cardiology, dermatology, chiropractic, family practice, gastroenterology, internal medicine, mental health, OB/GYN, occupational therapy, orthopedics, ophthalmology, urology and surgery as fields it supports. It also offers dedicated programs for ABA therapy billing and coding, pediatric practices, physician groups and urgent care operations.

How it works with practices

GMB stresses education alongside claim processing. It gives physicians direct feedback on their clinical documentation, and US-based coders who hold CPC certification handle the coding. Clients also receive custom data analysis and reports on different parts of their practice's performance. The company says this mix of training and technology helps clients deal with government regulation, payer contracting and reimbursement pressure. It also presents outsourcing as a way to avoid the cost of buying, maintaining and upgrading billing software and equipment.

The firm publishes a code of ethics. It commits to acting with integrity, improving service quality over time, accepting only work it can perform competently, supervising client work carefully, and keeping patient and client information confidential.

Patient-side bill review

Through a unit called Gables Medical Review, the company also serves individuals and businesses who are disputing medical charges. This service covers:

• Auditing single bills for coding mistakes, duplicate charges and services that were never received
• Reviewing insurance claims, including checking Explanation of Benefits statements
• Preparing appeals
• Negotiating directly with hospitals and providers

The process runs in four steps: an initial consultation, a detailed analysis of charges, negotiation, and a closing summary of the results.

Client reviews posted on the site describe long-term working relationships and a responsive billing team. One reviewer refers to the business as the medical billing division of Gables Insurance. For buyers comparing vendors, GMB's main points of difference are its two Florida offices, its certified US-based coding staff, its physician documentation training, and its ability to handle both provider billing and patient bill disputes.

Overview

Medusind is a revenue cycle management company based in Miami, Florida. It handles billing and related office work for both medical and dental providers. The firm recently turned twenty, and it says those two decades of experience shape the programs it builds for physician practices, dental offices and larger provider groups. Buyers can hand Medusind their whole revenue cycle or pick individual services to fix a specific weak spot in their billing.

On the medical side, the full-service package combines billing staff, automation and the company's own software. Medusind says it has served more than 50 medical specialties and worked in over 40 practice management and EHR systems. Its billing service is not tied to any one practice management system, so clients don't have to switch software.

Each account gets a dedicated team, workflows can be customized, support is available around the clock, and clients get regular reports and analytics on their finances. The company's stated goals are catching missed charges, speeding up claims and payments, and cutting what practices spend to run their revenue cycle.

Services

• Full-service medical revenue cycle management
• Medical billing, including eligibility checks and denial work
• Medical coding and clinical documentation improvement
• Provider credentialing and payer enrollment
• Dental billing, insurance verification and fee schedule upkeep
• Dental A/R follow-up, payment posting and denial handling
• Accounts payable outsourcing, supply chain analytics and business process support

Coding is a major focus. All of the company's coders hold CPC certification, and both new and experienced coders go through an in-house training program the firm calls its Coding Center of Excellence. Coders' work is checked against internal and industry benchmarks to keep claims clean and limit compliance risk. Medusind also runs a documentation improvement program.

Its coding staff teach client physicians how to document in a compliant way and point out problems such as missed charges and incorrect code selection.

Technology

Medusind pairs its services with software it built itself. MedClarity is its practice management platform with built-in revenue cycle tools. It covers tasks from scheduling and co-pay collection through sending claims. Dental QuickVerify helps dental offices check patients' insurance. The company also offers an NCR calculator for medical practices, plus MIPS improvement guides for pathology, radiology and multispecialty groups.

Who They Serve

Medical clients include physician groups, federally qualified health centers and other community clinics, behavioral health programs, hospital-affiliated groups and home health agencies. Its specialties include anesthesia, cardiology, correctional care, dermatology, emergency medicine, family and internal medicine, general surgery, ophthalmology, orthopedics, pathology, radiation oncology, radiology and wound care, among others.

Dental clients range from single-owner practices to group practices and dental service organizations. Recent company news includes a partnership with AVA Billing & Consulting and the hiring of a Chief AI Officer to expand AI use in its billing work. The firm is also open to buying or merging with other billing companies.