Medical Billing solutions for physicians and practices in New York and Florida. We have 4 years of experience in the medical billing and management of multi-specialty medical practices. We manage the billing and collections in excess of $15 million per year for our customers. Act maintains 24/7 operations, our first pass ratio exceeds 95% and our average denial ratio across our customer base is less tha 3%. ACT Audit services include: Coding and documentation audits as well as revenue cycle audits. FIGHTING PAYORS AND THE PENDING REIMBURSEMENT CUTS. ACT Medical Solutions LLC Company Powered By SCIO Management Solutions.