Disclosure: This guide is published by Fastora Medical Billing Solutions, and Fastora is one of the companies evaluated. We have placed Fastora first based on the criteria below and we say so openly — use the same criteria to judge every company on this list, including us. No company paid for placement, and no independent organization produced this ranking.
Florida billing turns on managed care. Most Florida Medicaid services run through Statewide Medicaid Managed Care (SMMC), administered by the Agency for Health Care Administration (AHCA), and the Managed Medical Assistance (MMA) plans handle most medical services — so a Medicaid claim usually follows the rules of the member’s MMA plan, not a single state rulebook. One requirement catches practices out: for MMA claims to pay, both the rendering provider and the billing group must be actively enrolled in Florida Medicaid. Layer a heavy Medicare and Medicare Advantage caseload and seasonal patient volume on top, and the company you choose needs Florida-specific enrollment and plan discipline, not just generic claims processing. This guide compares seven companies that bill for Florida practices in 2026. If you want the service itself rather than a comparison, start with Fastora’s medical billing services in Florida.
How we evaluated these companies
- Florida Medicaid managed-care fluency — does the company work inside SMMC/MMA plan rules and keep provider and billing-group enrollment active, or does it treat Medicaid as an afterthought?
- Specialty coding depth — Florida’s volume concentrates in geriatrics, cardiology, therapy, orthopedics, podiatry, and behavioral health; coding has to match the specialty, not a generalist template.
- Denial and A/R work — who appeals, rebills, and chases aged receivables, versus who only reports them back to you?
- EHR and workflow fit — will they bill inside the system your practice already runs?
- Pricing clarity — is the model published, and does the quoted scope include credentialing, authorizations, and old A/R, or are those separate line items?
- Practice-size fit — a solo practice, a multi-site group, and a hospital-owned network need different things from a billing partner.
The companies at a glance
| # | Company | Best for | Type |
|---|---|---|---|
| 1 | Fastora Medical Billing Solutions | Florida practices wanting full-cycle billing with the MMA enrollment rule handled up front | Billing service / RCM |
| 2 | Transcure | Practices wanting a Florida office and a published flat rate | Billing service / RCM |
| 3 | PracticeForces | Florida practices wanting billing paired with practice consulting | Billing service / RCM |
| 4 | MGSI | Multi-specialty groups wanting billing bundled with back-office services | RCM service |
| 5 | ACP Billing Services | Hospitals and multi-specialty offices wanting certified coders on a collections-based fee | Billing service / RCM |
| 6 | Assurance Health Care Financial Services | Florida practices wanting a small, long-established local team | Billing service |
| 7 | CareCloud | Practices wanting billing bundled with EHR and practice-management software | Platform + RCM services |
1. Fastora Medical Billing Solutions
Fastora is a remote billing partner for Florida practices — it has no Florida office, and its Florida work is built around the state’s managed-care mechanics. Enrollment comes first in its workflow: because MMA claims pay only when the rendering provider and the billing group are both actively enrolled in Florida Medicaid, enrollment status is checked as part of billing operations rather than discovered after a denial. The service covers the full cycle — eligibility verification, coding, claims submission, denial management, A/R recovery, payment posting, and credentialing and enrollment support — across the specialties Florida volume concentrates in, including a dedicated page for mental health billing services in Florida. Fastora also publishes its medical billing services nationwide for practices with locations in more than one state.
Fastora reports more than 5 years in medical billing and revenue cycle management, with 50+ active clients and experience supporting 100+ physicians. Florida pricing is a percentage of collections or a flat monthly fee, set after a free billing assessment — the quote spells out whether old A/R recovery is part of the engagement before you sign.
Strengths: the MMA enrollment requirement is treated as an operational checkpoint, and the full cycle including A/R recovery sits in one service. Considerations: Fastora works with Florida practices remotely rather than from a Florida office — practices that want a local team on site should weigh that.
Best fit: independent and group practices, including behavioral health and Medicare-heavy practices, that want enrollment, coding, and denial work handled by one team.
2. Transcure
Transcure runs a Florida team from an office in Oviedo and positions its Florida service around state payer rules, including balance-billing law and Medicaid plan deadlines. Its published Florida scope is end-to-end: eligibility, coding, claims, denial management, credentialing, and old A/R recovery, and it states that it works inside the EHR and practice-management systems a practice already uses. Transcure publishes its Florida pricing directly: a flat 5% of collections, with credentialing and old A/R recovery included in that rate.
Strengths: a physical Florida presence and a published, all-in rate make scope comparison straightforward. Considerations: confirm which office staffs your account day to day, since the company also operates from locations outside Florida.
3. PracticeForces
PracticeForces was founded in the Tampa Bay area in the early 2000s and remains Florida-rooted and women-owned. Alongside billing and collections, it offers credentialing, denial management, prior authorization and eligibility services, and practice-management consulting, plus EHR and practice-management installation and support for practices that want technology help in the same engagement. It states that it works within a practice’s existing EHR and infrastructure, and it serves providers nationally with a long Florida base.
Strengths: billing combined with consulting depth, from a team that has operated in Florida’s payer market for over two decades. Considerations: published starting rates apply to defined billing scope rather than the full cycle — get the full-service scope priced in writing before comparing.
4. MGSI
MGSI (Medical Group Services) is a Tampa-based national revenue cycle firm that reports more than 30 years of experience in medical billing and revenue cycle management. Its scope is broader than billing alone: daily electronic claims submission, eligibility verification, credentialing, coding, denial management, and A/R follow-up sit alongside practice-management systems, managed-care support, and back-office services such as accounting and payroll. It describes multi-specialty experience serving practices, groups, and larger medical organizations.
Strengths: a one-vendor option when a practice wants billing, credentialing, and back-office functions consolidated. Considerations: the breadth cuts both ways — groups that only need billing should scope the engagement tightly so they are not paying for services they will not use.
5. ACP Billing Services
ACP Billing Services is a full-service revenue cycle company based in Orlando, with a published emphasis on Medicare and commercial insurance experience. Its coding team is AAPC-certified (CPC and CIC credential holders), and it serves hospitals, multi-specialty physician offices, clinics, and outpatient facilities. ACP publishes a collections-based model — the practice pays a percentage of what is successfully collected — with no setup or training fees, and it states that it takes on aged A/R accounts and works denied claims well past the 90-day bucket.
Strengths: certified coding credentials and a published no-setup-fee, collections-based structure. Considerations: its delivery model includes offshore capacity — ask where each function for your account is performed and how reporting reaches you.
6. Assurance Health Care Financial Services
Assurance Health Care Financial Services is a Florida billing company based in the Panama City area (Lynn Haven), founded in 2002. It provides medical billing, coding, claims filing, accounts receivable work, and revenue cycle management for practices in Florida and southwest Georgia, with a stated focus on dermatology and orthopedic specialties. It is the smallest and most locally focused company on this list, and it presents longevity and direct access to the people handling your claims as its differentiators.
Strengths: a long-established Florida-only focus, with particular depth in dermatology and orthopedics. Considerations: a small team has a natural capacity ceiling — larger groups and high-volume practices should confirm staffing and coverage before committing.
7. CareCloud
CareCloud is a publicly traded healthcare technology company (Nasdaq: CCLD), headquartered in Somerset, New Jersey; the company took its current name in 2021 from the Miami-based company it acquired, so its Florida roots run through that acquisition. The offer is a platform plus services: its own EHR and practice-management software, with revenue cycle services — billing, claims processing, denial management, and patient collections — delivered on top, supported by business-intelligence reporting. It serves practices from small groups to large organizations across many specialties.
Strengths: the deepest technology bench on this list, for practices that want software and billing from one vendor. Considerations: the model centers on CareCloud’s own platform — practices committed to a different EHR should verify exactly how the service tier works on their system.
How to choose for your Florida practice
Start with your payer mix. If Medicaid managed care is a meaningful share of your revenue, the deciding questions are operational: how does the company keep rendering-provider and billing-group enrollment active under SMMC, and how does it track each MMA plan’s filing and authorization rules? If Medicare Advantage dominates, weight eligibility verification and authorization discipline instead. Then compare scope at the same definition — a lower percentage that excludes credentialing, authorizations, and old A/R is not cheaper than a higher one that includes them. Finally, match the company to your size: a local boutique, a Florida-rooted mid-size firm, and a national platform vendor are three different relationships, and the right one is the one whose staffing model fits your claim volume.
Frequently asked questions
What makes Florida Medicaid billing different from other states?
Most Florida Medicaid services are delivered through Statewide Medicaid Managed Care under AHCA, and the MMA plans handle most medical services. That means claims follow the member’s plan rules, and both the rendering provider and the billing group must be actively enrolled in Florida Medicaid for MMA claims to pay — an enrollment gap on either side stops payment before the claim is even judged on its merits.
How much does it cost to outsource medical billing in Florida?
Most companies price either as a percentage of collections or as a flat monthly fee, and at least one company on this list publishes a flat 5% of collections for end-to-end service. Percentages are only comparable at equal scope: confirm whether credentialing, prior authorizations, patient statements, and old A/R recovery are inside the rate or billed separately. Fastora quotes a percentage of collections or a flat monthly fee after a free billing assessment.
Does my billing company need to be located in Florida?
No. Claims are filed electronically, and what matters is whether the company works Florida’s payer rules correctly — SMMC/MMA enrollment, plan-specific deadlines, and Medicare Advantage authorization patterns. A Florida office can help with local payer familiarity, but a remote company with disciplined enrollment and plan-rule tracking will outperform a local one without it. Ask any candidate, local or remote, how it handles the MMA enrollment requirement.
What should I ask a billing company about credentialing and enrollment?
Ask who owns enrollment maintenance after the initial setup, how revalidation dates are tracked, and what happens when a new provider joins your practice mid-contract. In Florida, enrollment is not a one-time event: an inactive enrollment under Medicaid managed care turns otherwise clean claims into denials, so the answer should describe an ongoing process, not a setup task.
Can a new billing company take over our old accounts receivable?
Most full-service companies will work aged A/R as part of onboarding or as a defined add-on — several companies on this list publish old A/R recovery explicitly. Get the scope in writing: which aging buckets are included, how far back they will pursue, and whether recovery work is inside the standard rate or priced separately. Claims approaching a plan’s filing or appeal deadline should be triaged first.
Will we have to change our EHR to outsource billing?
Usually not. Most billing services, including most companies on this list, work inside the EHR and practice-management system your practice already runs. The exception is platform vendors, where the billing service is designed around the vendor’s own software. Confirm your exact system by name before signing, and ask how charge data and remittances move between your system and theirs.
Conclusion
Florida rewards billing companies that treat managed-care enrollment and plan rules as daily operations, not paperwork. Compare the seven companies above on the criteria that match your payer mix — MMA enrollment discipline, specialty coding depth, real denial and A/R work, and a pricing scope you can verify line by line.
Looking for a more reliable medical billing partner? Fastora Medical Billing Solutions provides medical billing and revenue cycle management support for Florida practices. Request your free initial billing audit to discuss your practice’s billing workflow and identify potential areas for improvement.
Sources: service descriptions are drawn from each company’s own published materials (Transcure, PracticeForces, MGSI, ACP Billing Services, Assurance Health Care Financial Services, CareCloud), reviewed October 2026. Florida Medicaid managed-care facts are drawn from AHCA Statewide Medicaid Managed Care program materials. Fastora company figures are company-reported.
