Are OIG Audits Keeping You Up at Night?

Meet your new billing & compliance team.

95% Claims Rate - 97% Retention - Expert Auditors

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Dr. Stephen Taylor
DOL Consultant

Roger Bach
Former Special Agent (OIG)

Chris Quick
Former Special Agent (FBI & IRS-CI)

Michael Koslow
Former Supervisory Special Agent (DOD-OIG)

California Medical Billing Company

Improper medical billing in California can lead to substantial audits and denials by the federal government and private insurance companies. Hire Fortis Medical Billing to help you understand different private payer requirements and ensure your healthcare practice is fully compliant with its federal obligations. That way, you can maintain profits and stay out of legal trouble. Contact us today!

Put our highly experienced team on your side

Dr. Stephen Taylor

DOL Consultant

Roger Bach

Former Special Agent (OIG)

Chris Quick

Former Special Agent

Kevin Smith

Former Assistant Regional Inspector General

Michael Koslow

Former Supervisory Special Agent (DOD-OIG)

Beverly Gibson

Director of Coding

Wade McFaul

Former Assistant Special Agent-in-Charge (HHS-OIG)

James Hunt

Former Special Agent-in-Charge (DEA)

Medical Billing for Your California Practice

In the healthcare industry, adherence to the right billing and coding practices is critical to avoid issues. However, this world of medical billing and coding is also too broad and can be overwhelming to various healthcare providers. We at Fortis Medical Billing are here to simplify everything for you – we can help you understand all the obligations relevant to your specific practice and ensure you comply with them. With a well-defined compliance plan, you can avoid legal issues, resolve any problems easily and promptly, lessen denials, minimize billing expenses, and speed up reimbursements.

We’re made up of a team of experienced professionals dedicated to providing quality medical billing services in California. We have in-house attorneys who have represented many healthcare providers as well as consultants who served previously in various federal departments such as the FBI. Our philosophy here at Fortis Medical Billing is quite simple: Comprehensive, Correct, and Compliant – comprehensive to ensure our solution encompasses all aspects of your practice, correct meaning it’s accurate, and compliant to make sure it’s in line with the established rules and regulations.

Customization and Updating Your Compliance Plan Regularly Are Vital Keys

We understand that various healthcare practices are different, and that’s why our professionals are devoted to creating a personalized compliance program that suits your specific needs perfectly. We take a hands-on strategy to thoroughly evaluate your medical practice, determine what exactly it needs, and formulate a solution that satisfies those needs. With an approach as in-depth as this, you can be assured of its utmost effectiveness.

And since insurance providers produce regulatory and policy updates from time to time, our California medical billing experts stay on top of these updates to avoid any legal consequences.

Our Medical Billing Services to Satisfy Your Needs

Accounts Receivable Management – Here at Fortis Medical Billing in California, we manage your accounts receivable to ensure you get the funds you need to run your healthcare practice.

Billing Audits – Our professionals provide comprehensive medical billing audits to make sure everything is running as necessary in the billing department.

Claim Tracking – We stay on top of all your claims and denials to ensure the approval rate is higher.

Eligibility Verification – We provide eligibility verification services to ensure patients and services are suitably covered. This step is essential to avoid denials.

Managed Billing Solutions – Fortis delivers both on-site and off-site medical billing solutions for anyone, no matter their needs. These can help you save money and time.

Medical Billing and Coding for Specialty-Specific Practices – We have professionals in each medical area of practice to cater to specialty-specific billing needs.

A Straightforward, No-Fee Onboarding Process

Here at Fortis we’re not like other companies that are always on the lookout for every possible chance to take advantage of you. We are a results-focused firm that believes if we offer high-quality services to our clients, they’ll be loyal and recommend us – loyalty and more recommendations translate to more long-term profits for us. That’s why we don’t have any setup fees, and our initial consultations are absolutely free to assure you of our devotion to helping you succeed.

California Billing Audits

As we mentioned earlier, medical billing and coding is a matter you should treat seriously. Any mistakes or non-compliance issues can lead to potential audits by the federal government as well as denied reimbursements. Don’t let the complex process of medical billing and compliance overwhelm you, hire us here at Fortis in California to streamline it by providing quality billing audits, and eliminate any room for errors.

What Are the Most Common Billing Issues for Healthcare Providers?

Poor organization in both patient billing and care – Our professionals can help streamline how billing and patient records are organized for smooth operations and efficient patient care.

Becoming susceptible to fraudulent claims – Healthcare practices are prone to fraud claims such as billing for services not rendered, billing for non-covered services as covered services, billing for unnecessary services, date of service misrepresentation, unbundling, and upcoding. We can help you stay on top of these issues to ensure they don’t hurt your medical business.

Having improperly trained medical billing staff – Many healthcare practices risk liabilities by letting inadequately trained staff handle their billing and coding aspects. Hiring experienced personnel is the wisest decision for the best billing and coding methods.

Not focusing on opportunities that can bring revenue – There are lots of chances for medical services providers to drive revenue. Still, some of them allow these opportunities to slip through; for instance, by miscoding their claims, improper billing for services or supplies, and not re-submitting their denied claims.

Non-compliant billing policies – There are a lot of updates that occur in the rules and regulations governing the healthcare industry. These changes are driven either by the federal government or insurance companies. Adapting your billing policies to these changes is the key to staying out of legal trouble. We are a professional audit company that can determine where your policies are falling short and work to ensure they’re up-to-date.

Whether you operate a small clinic or a large hospital, you can benefit from our billing audits. We offer Medicare patient chart audits and other audits to determine why your claims are constantly denied, expose subpar billing methods, identify any missed charges, discover any issues that may bring the risk of potential liability, and many others. The healthcare sector may be complex, but with refined processes and the experience of our auditors, federal lawyers, and former federal investigators, we can develop a solution that caters to your needs.

Revenue Cycle Management in California

As a medical practice that wants to ensure its operations are highly profitable, you may want a higher percentage of your insurance claims paid out. However, many clinics and hospitals get paid for only 70%-90% of their claims. What if we told you that you could raise this percentage closer to 95%? It’s possible, and our professionals can help you achieve that.

One main reason some healthcare practices fail is inappropriately managing their revenue cycles. Especially with the ever-increasing paperwork, this work becomes challenging. However, don’t let this also be the reason for your clinic’s or hospital’s failure; let Fortis Medical Billing handle all aspects of revenue cycle management. With our well-defined methods and cutting-edge billing and coding technology, we can ensure this process is as smooth and effective as possible.

How Do We Streamline Revenue Cycle Management for Your Practice?

Here at Fortis, we have a 5-step process to ensure that when it comes to managing your revenue cycle, we’re highly effective.

1. A Simplified Patient Registration Procedure

How a patient’s initial appointment is handled is crucial; it’s the first step and you want to get everything right from the word go. At Fortis Medical Billing, we’re with you every step of the way to ensure you have the necessary tools to capture patients’ personal as well as billing information. We can help you no matter whether you want to do it off-site (on your website) or on-site (at a designated place in your hospital).

2. Insurance Eligibility Verification

Ensuring your patients are suitably covered is the key to avoid losses from denied reimbursements. We can help implement the right systems to verify insurance eligibility. Our professionals can even make the process automatic to eliminate the need for manual verification.

3. Easy Charge Capturing for Better Efficiency

Being as comprehensive as possible when it comes to all the charges regarding a particular patient is crucial. We at Fortis can help ensure thoroughness to make sure no charges are overlooked, and they’re billed immediately for prompt payments. Our billing experts can also help you understand the latest requirements from insurance companies and things that require separate billing.

4. Immediate and Automatic Posting of Patient Payments to Their Accounts

Billing inconsistencies can put your practice at the risk of significant losses. That’s why we offer an effective solution for posting patient payments to their accounts automatically and immediately. That way, everything can stay up to date.

5. Hands-Off and Real-Time Billing for Your Practice

Your staff doesn’t need to be burdened with the work of revenue cycle management; with these steps, our professionals here at Fortis Medical Billing can ensure the process is highly productive. You can also take advantage of our latest billing and coding technologies for increased efficiency.

Fortis Medical Billing Company – Contact Us Today to Schedule a Free Consultation

We have a wide range of solutions that we can offer you here at Fortis. Whether you need medical billing services, billing audits, or revenue cycle management, we have the experience and resources to handle all these for you. Schedule your initial appointment today to learn more about how we can help your medical practice. Call us today at (866) 808-4160 or contact us online either by emailing us or filling out our contact form.