Your specialty has
its own rules.
We know them all.
Home health, nurse registry, mental health — each practice type in Florida operates under different payer rules, coding protocols, and compliance standards. A generalist billing company doesn't know the difference. We do.
Home Health Billing Services
PDGM and community care billing for home health agencies across Florida.
Home health billing in Florida runs across two distinct tracks: institutional PDGM billing for certified agencies, and professional community care billing for HHA and PCA providers. Both require deep payer knowledge, EVV compliance, and HHAeXchange integration. We handle both.
Key capabilities
Common questions
What is PDGM and why does it matter for billing?
PDGM (Patient-Driven Groupings Model) replaced PPS for home health in 2020. It divides episodes into 30-day periods classified by referral source, timing, clinical grouping, and functional level. Incorrect PDGM classification directly reduces reimbursement — often without a denial, just a lower payment.
Do you integrate with HHAeXchange?
Yes. We integrate directly with HHAeXchange for EVV data validation and billing. We also support Netsmart/Tellus for agencies in the Florida fee-for-service delivery system.
Mental Health Billing Services
Outpatient behavioral health billing for Florida providers.
Outpatient mental health billing requires mastery of prior authorization workflows, behavioral health CPT coding, and strict patient privacy protocols. We handle authorization management, complex behavioral health coding, and payer-specific compliance for outpatient practices and telehealth providers in Florida.
Key capabilities
Common questions
What types of mental health providers do you work with?
We work with outpatient individual and group practices — therapists, psychologists, psychiatrists, LCSWs, and mental health counselors billing professional claims in Florida. We do not currently support inpatient psychiatric facilities.
How do you handle prior authorization for behavioral health?
We manage the full prior auth lifecycle — initial authorization requests, concurrent reviews, and appeals for denied authorizations. Sessions are never billed without confirmed coverage.
Nurse Registry Billing Services
High-volume PDN billing built for Florida nurse registry operations.
Nurse registries in Florida operate under a unique regulatory model — high claim volumes, complex Medicaid and MCO rules, and strict DOL compliance requirements around the independent contractor model. We process large batches accurately and fast, with real-time eligibility verification and shift reconciliation built into the workflow.
Key capabilities
Common questions
What makes nurse registry billing different from regular home health billing?
Nurse registries operate under the DOL independent contractor model — caregivers are not employees. This creates distinct billing rules, compliance requirements, and payer relationships. Our billing workflows maintain the appropriate separation between registry administrative functions and caregiver-client relationships.
Can you handle very high claim volumes?
Yes. Nurse registries generate significantly higher claim volumes than other provider types. Our platform is built for batch processing with automated validation, reducing manual entry and submission delays.
Clinic Professional Billing
Professional billing for Florida outpatient clinics and provider practices.
For outpatient clinics and provider practices billing professional claims, we handle the full revenue cycle — eligibility, coding, submission, and AR follow-up. Best suited for primary care, internal medicine, and outpatient practices in Florida with established payer contracts.
Key capabilities
Common questions
What types of outpatient clinics do you work with?
We work best with primary care, internal medicine, and outpatient practices in Florida that are already contracted with commercial payers and need consistent, reliable professional billing. Contact us to discuss your specific specialty.
Do you handle credentialing?
If your providers are already credentialed, we update billing information with payers and you are ready to go. If you need new payer enrollment, that runs on a separate timeline — typically 45 to 90 days depending on the payer.
Also available
Billing companies working these specialties use the platform.
The Leymax platform is available for billing companies and independent billers managing home health agencies, nurse registries, and mental health providers in Florida.