Medical Billing Companies & Consultants in Tampa, FL

MGSI, LLC is a revenue cycle management and medical billing company headquartered in Tampa, Florida. It provides outsourced billing, coding and collections support to physicians, medical groups and other healthcare organizations. The company reports that it serves more than 600 providers across multiple states, and it accepts new startup practices alongside long-established ones. Prospective clients in Houston should note that MGSI supports customers remotely from its Florida base, and it has no office in Texas.

How the Company Handles Billing

MGSI treats billing as a sequence of steps rather than a single claim submission. Before a claim goes out, staff verify insurance eligibility and confirm that the codes are correct. Once a claim is sent, the team looks for transmission problems and reviews rejection reports. It then pursues denials and outstanding receivables promptly until they are resolved.

Certified coders analyze procedures and diagnoses, and they keep up with coding and compliance changes through continuing education and seminars. The company also monitors payer fee schedule changes and patient billing.

MGSI states that its software and processes lead to a 95% first-pass claim acceptance rate, payment on 96% of claims within 30 days, and collection of 99% of payer claims. It also says that practices are commonly underpaid by a notable share of their gross revenue, and it positions its services as a way to close that gap.

Core Services

• Multi-specialty medical billing, claims processing and collections
• ICD-10 coding with procedure and diagnosis analysis by certified coders
• A/R follow-up and recovery
• Denial management and insurance eligibility verification
• Physician, nurse practitioner and insurance credentialing, including provider enrollment
• Fee schedule evaluation and healthcare contract management
• Practice management support, education and customized billing protocols

Specialty Experience

The firm lists billing programs for anesthesia, radiology, cardiology, dermatology, ophthalmology, pediatrics, family practice, internal medicine, primary care and neurology. For anesthesia work, it points to the need to apply modifiers correctly, report qualifying circumstances, add physical status modifiers and calculate time accurately.

Dermatology receives particularly detailed treatment on its site. Because carriers reduce payment on each additional surgery performed in one visit, same-day surgical codes must be sequenced from highest to lowest value. Cosmetic services are paid by the patient rather than the insurer, have no standard fee, and may contribute roughly a tenth to a sixth of monthly payments.

They require careful charge entry and payment posting, along with correct documentation of prepaid amounts collected at the front desk. MGSI also assists practices that hold periodic promotional events by tracking event patients, discounts, refunds and adjustments.

Technology and Reporting

Beyond billing, MGSI offers electronic medical records, a document management system and mobile charge capture software. Its leaders and staff are familiar with practice management systems such as Tebra (formerly Kareo), CareTracker, eClinicalWorks and NextGen. The company produces financial and productivity reports, from days outstanding in A/R to results by location, physician or procedure, so that clients can spot trends, problems and opportunities quickly.

Leadership and Credentials

MGSI says it has operated for over 30 years. It is led by President and co-founder Brina Cabrera, who has more than three decades in claims and receivables management and a record of reducing outstanding receivables and improving cash flow for private practices. Angela Ganesh serves as vice president of sales, and Ken Renton works as technology consultant.

Senior account managers Michelle Torres, Bridget Sparks and Patrick Romeo round out the named team, which also includes operations, coding and credentialing managers. The company reports an A+ rating from the Better Business Bureau and states that it complies with HIPAA requirements to protect patient health information.