98%+
First-pass target
Clean claims at submission, measured monthly.
Medical billing company · Florence, South Carolina
Florence Medical Billing runs eligibility, coding, claims, denials, and credentialing so your staff stops chasing payers. You keep the practice. We keep the file moving.
BAA before PHI. No patient data on this form.
98%+
Clean claims at submission, measured monthly.
75+
From solo primary care to multi-specialty groups.
SC-based
A real office at 3097 Combray Cir — not a theme demo.
BAA
We do not touch PHI on a handshake.
Florence, South Carolina
Florence Medical Billing LLC is headquartered at 3097 Combray Cir. We run revenue cycle work for practices in the Pee Dee and for groups nationwide that want a South Carolina billing partner — not a P.O. box.
Florence SC billing companyThe problem
Eligibility skipped at check-in. Charges that drop two days late. Denials that wait for “when we have time.” A new provider who sees patients for six weeks before the panel is effective. That is where collections go.
Soft denials expire. Hard denials never had a chance. Both look the same in a neglected worklist.
A credentialing miss is not a coding problem. It is several months of visits you cannot bill.
Front desk has patients. Providers have notes. The 90-day bucket has no name on it.
Services
End-to-end collections
Eligibility through patient statements. We run the full claim lifecycle so your front desk is not a billing department.
Read the workCertified, audited, current
CPT, HCPCS, and ICD-10 assignment by certified coders — with provider queries when the note cannot support the code.
Read the workFind, fix, stop the repeat
Every denial is a root-cause problem, not a resubmit button. We work the claim and the pattern that produced it.
Read the workWork the money that is already yours
Insurance follow-up, underpayment recovery, and aged A/R projects — with a written plan for what we will collect versus recommend as write-off.
Read the workError-free applications, followed through
CAQH, payer enrollment, revalidation, and new-provider setup — so you are not seeing patients for a panel that is not yet effective.
Read the workHow we work
Demographics, insurance, and eligibility before the visit. Benefits and auth flags go back to the front desk the same day.
Charges tied to the signed note. Missing documentation is a query, not a guess.
Certified coding against current CPT, HCPCS, ICD-10, and NCCI. Specialty assignment, not a general bucket.
Payer edits, medical necessity, and enrollment checks before the claim leaves. The goal is first-pass, not first-submit.
Same-day filing once the claim is clean. Rejections are worked as production, not as a weekly batch.
Specialties
High-volume E/M, AWVs, and chronic care — coded from the note, not the template.
Diagnostics, interventions, and global periods that payers love to unbundle.
In-office procedures, therapy, and surgical globals with implant and laterality discipline.
Biopsies, destructions, and path — clean modifiers, no leftover cosmetic leakage.
Time-based psychotherapy, collaborative care, and payer-specific auth rules.
Global maternity, in-office procedures, and ultrasound that actually matches the trimester.
Vaccines, well visits, and after-hours that commercial plans still mishandle.
Timed codes, caps, and plan-of-care recertification before the denial lands.
Injections, imaging, and medical-necessity packets that survive first review.
Screening vs. diagnostic, anesthesia, and pathology — modifiers that keep colonoscopies paid.
POS, after-hours, and high daily volume without a three-day charge lag.
One billing team, split reporting, and credentialing that does not stall a new provider.
Engagement snapshots
Representative outcomes from full-RCM engagements. Individual results depend on payer mix, documentation, and how fast the front desk will change a habit.
Independent family medicine, Pee Dee region
Days in A/R
Eligibility moved to the schedule, not the checkout window. Charge lag dropped from three days to one.
Cardiology group, three providers
Initial denial rate
NCCI and laterality edits caught in scrub. Auth failures fed back to the referral desk the same week.
PT clinic, multi-site
Unbilled encounters
Timed-code review against the plan of care before submission. Patient statements no longer explained at the front desk.
Rough cut
Industry denial rates commonly sit in the mid-single digits to low teens. This is not a quote — it is a way to talk about the file.
Pricing
First year 2.99% of collections. Second year 3.99%, remaining capped. Eligibility is included. Credentialing and aged-A/R takeovers are scoped separately so you are not paying a percent on dust.
What’s includedQuestions
Yes. We bill inside or beside the system you already run. If an integration is required, we say so before a contract — we do not discover it in week four.
Florence Medical Billing LLC is based in Florence, South Carolina. Production work is performed by a dedicated team assigned to your account. If any function is ever performed outside the U.S., it will be in the agreement, not a surprise.
A typical live practice is fully in production in 30–45 days: access, payer mix, credentialing audit, charge rules, and a dual-read period. Credentialing-only or aged-A/R projects run on their own clock.
You do. We process PHI as a business associate. At the end of the engagement we return or destroy what the BAA requires, and we do not hold your clearinghouse login hostage.
Yes, before go-live. We will not accept PHI — including sample notes or payer reports with patient data — until the BAA is in place.
De-identified denial reports, a recent A/R aging, and your specialty plus EHR. Do not email patient names, account numbers, or records to the website form.
Insights
Denials
Resubmitting the same missing-modifier claim is not a program. Here is the four-part loop we use so recovery work also cuts the denial rate.
Credentialing
Unenrolled providers are the most expensive 'billing' problem a new hire can create. A short audit before go-live is cheaper than three months of uncollectable visits.
Billing
A 98% first-pass rate is a measurement, not a slogan. This is how we count it — and what we refuse to hide in the denominator.