Expert Billing & More, Inc.

01/04/2026

Happy birthday Expert Billing - 26 years and counting!!! 🎂🎂🎂

Thank you to all our clients and those that have supported us over the years!!! We wouldn’t be here without you!!!! 💜

11/21/2025

***AHCA ALERT DATED 11/20/25***

Payments expected Thursday, November 27 will not be available until Friday, November 28, 2025.

Please plan accordingly.

Send a message to learn more

10/06/2025

Update on Webportal/Claim Issues from Oct 2

What Happened:
On Thursday, October 2, Gainwell published a notice on the web portal stating that there were system issues causing some claims to go into suspended status.

This impacted all submissions, whether entered manually or via direct upload.

Late Friday, Gainwell issued an update confirming that the issue was resolved. However, they noted that:
• Remittance vouchers would not be posted until Monday, October 6, and
• Claims in suspended status would not process for payment this week but would instead process next week (October 16).

Normally, claims are suspended due to recipient eligibility or provider issues; however the issues last week were unrelated. AHCA has yet to send out an Alert for official clarification on the root cause. Frustratingly, some claims were affected while others processed normally.

What This Means for You
Because of the suspended claims, payment amounts will vary this week:
• Some providers may receive partial payment, while
• Others may receive no payment at all if all claims were suspended.

It is recommended that providers print this week’s remittance voucher to verify payments. Suspended claims should process for payment next week.

Billing Reminders
To help minimize future delays:
• Submit billing as early in the week as possible.

Per AHCA’s contract with Gainwell, claims received by Wednesday at midnight are processed for the following week’s payment.

While about 95% of claims received as late as Friday at 7 PM still process and pay the following week, this is not guaranteed.

Events like this demonstrate the importance of submitting billing timely.

Bottom line:
If you absolutely need to ensure payment for the following week, submit your billing by Wednesday at Midnight.

Send a message to learn more

08/19/2025

Thank you Chat GPT!!!!

A new provider looking for a billing agent asked Chat GPT "what billing agents handle APD providers"

Expert Billing was the first response!!!!

Send a message to learn more

07/11/2025

See attached APD Advisory dated July 9, 2025. Although the advisory is rather vague and misleading, this is what it means:

IConnect is no longer MANDATORY for providers. Providers may use their own “data management system” which could include other software and even paper records.

Qlarant will not be relying solely on IConnect records during audits. If something is missing from IConnect, providers may present paper documentation to meet the requirement.

Providers are still required to maintain all required documentation specified in the IBudget Handbook. Per Medicaid guidelines, the service and all documentation must be completed prior to billing for services. This is nothing new.

Providers may continue to use IConnect; however, with all the glitches and disappearing entries, it is recommended that paper copies still be maintained. I know, it seems crazy considering IConnect was supposed to allow paperless records for all, but well…

What this advisory does not address is the requirement to use EVV for personal supports and respite. EVV is mandated by AHCA for managed care companies for in-home services such as companion, homemaker, respite; however, APD is not a managed care company. It is unclear if EVV will still be required for personal supports and respite. It is recommended providers continue to use EVV until APD clarifies this requirement.

If further clarification comes out, we will forward.

07/01/2025

**REMINDER**
Per AHCA Alert dated June 26, 2025:

Payments expected on Thursday, July 3 will be delayed until Tuesday, July 8.

This is a regular occurrence at the start of the new fiscal year.

Please plan accordingly.

Send a message to learn more

06/04/2025

***EXPERT BILLING & MORE, INC. – THE #1 BILLING AGENT FOR APD PROVIDERS***NOW ACCEPTING NEW CLIENTS***
Expert Billing specializes in Medicaid billing services for APD providers across the State of Florida. We handle claims for all services reimbursed through the Medwaiver program, ensuring accurate and timely submissions.
Our services include:
• Complete claims processing
• Claim resolution and follow-up
• Service authorization review for accuracy
• Monthly Medicaid eligibility verification
• Detailed reporting to help providers stay organized and compliant

With over 26 years of experience and a client base of more than 100 providers, Expert Billing is a trusted partner in the APD community.

As the new fiscal year approaches, now is the ideal time to streamline your operations by transitioning your billing to Expert Billing. Let us take care of the billing so you can focus on what matters most — serving your clients.

Contact us today and find out why our providers love and trust us!
Online: https://xpertbil.com/
Phone: 386-257-4349
Facebook: https://www.facebook.com/expertbilling

Billing agent for Florida’s Home And Community Based Developmental Disabilities Medwaiver Program and Florida’s ABA providers.

04/15/2025

Jennie Lawson Benedix

04/15/2025

Congratulations to Kory Michi on celebrating 2 years with Expert Billing! He has been a welcome addition and has done an amazing job! My countdown to retirement has officially started!!!

02/02/2025

So thankful for my clients after 25 years! It feels awesome to be recognized during their employee recognition dinner 💜 Strategies Inc

01/18/2025

Happy birthday to Expert Billing!!! 25 years and still going strong! Thanks to all our amazing clients - we wouldn’t be here without you!!! 🎉🎉🎉

01/06/2025

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