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)

HCC Audits

Improve Your HCC Audits Practice’s Revenue Cycle and Bill with Confidence

Managing an HCC audits practice successfully comes with several challenges. However, for many HCC audit administrators and HCC auditors, one of the greatest challenges includes effectively managing billings for the control of continuous cash flow and creation of a profitable practice. Whether you are preparing to begin a new HCC audits practice or your ongoing practice has been present for decades, there are essential steps you need to take. The measures will help you control your private insurance and Medicaid billings. At Fortis Medical Billing, we have the knowledge, experience, and insights you need for success.

Put our highly experienced team on your side

Dr. Stephen Taylor

DOL Consultant

Roger Bach

Former Special Agent (OIG)

Chris Quick

Former Special Agent
(FBI & IRS-CI)

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)

About Fortis Medical Billing Company

Who do you want looking after your HCC audits practice? Do you wish the coding duties of your HCC audits practice directed to a newbie staff with no background or experience in the HCC audits field? Or do you wish to work with a team of experts who come to the table with years of vast knowledge and experience?

At Fortis Medical Billing Professionals, we provide the latter. Our firm has experienced and knowledgeable physicians, auditors, and former FBI agents who have devoted their careers to have a vast understanding of the myriad regulations and rules and the medical billing industry that apply. For example, Dr. Stephen Taylor is a registered nurse and physician who has been operating in the federal medical billing compliance field for over 25 years. Everybody at our firm has a broad knowledge, in-depth understanding, and insights into what you need for decision making. These decisions can impact the finances and uncertainties of your HCC audits practice, and our experts work as a team to give custom-made, efficient, and practical solutions to our customers’ medical billing.

Our Medical Billing Services for HCC Audits Billing Practitioners and Practices

Managing the billings of your HCC audits practice takes effort, time, and expertise. Minimizing your denial rate and A/R collection period begins at the coding phase, and ensuring that you correctly code your billings requires an extensive understanding of risk adjustment factor, facility, professional, and other coding needs and rules that apply. We give our clients the expertise they require to bill services efficiently and effectively, such as:

Auditing

We provide two varying forms of HCC audits billing services. First, if you are about to shift to another billing company, we can audit your current billing rules and procedures to determine the degree and place they are lacking. We can also review the outstanding and current billings of your company. This will help you understand why your practice is taking longer to get paid and why there is a denial of claims. Second, as the provider of your HCC audits billing services, we can audit your operations’ results for controlling accountability, identifying defects in the internal billing practices of your workers, and ensuring that the billing efforts of your practice are running efficiently.

Coding and Billing

We assist HCC audit practices nationwide for the establishment of compliant billing and coding procedures and rules. We also assist our customers in integrating these procedures and rules into their management practices and patient care so that the process of medical billing becomes streamlined. While coding and billing are required to operate a successful practice, they should seamlessly run in the background. We provide both initial and ongoing consulting services created to ensure that our customers’ billing programs are assets rather than liabilities.

Revenue Cycle Management

A practical revenue cycle management requires a broad understanding and deep insights into your practice’s unique aspects. Off-the-shelf solutions for revenue cycle management are only not going to provide similar results as a program that is custom-made for your HCC audits practice. At Fortis Medical Billing, we work together with our clients so we can understand their particular challenges and develop creative and targeted techniques to conquer them.

Why Choose Fortis Medical Billing?

If your HCC audits practice requires medical billing help, there are numerous reasons for choosing Fortis Medical Billing for service provision. You must wonder when the appropriate time is to get assistance. You will know that it is the right time to get support from an experienced medical billing firm if you have high denial rates and accounts receivables, you are not earning as much as you expect, your HCC audits practice is experiencing cash flow problems, you lack an up-to-date billing compliance program, and your billing firm or in-house billing team is lagging.

HCC audits are essential as they are critical factors that decide the reimbursement benefits that utilizes ICD codes for diagnosis as the critical health status’ indicators of the members. Fortis Medical Billing has been using the model of HCC audit to calculate reimbursements to health plans and providers. Our precise billing services ensures clean practices for HCC audits claims. A significant provider of HCC audits billing services is Outsource Strategies International that assists practitioners to receive higher returns. With our decades of experience in the medical billing industry, we submit error-free claims and offer full risk assessment as you focus on offering quality care to your patients. Our HCC audits coding solutions include; report of a suspect, embedded, and missing codes, chart audit summary reports, validation of HCC audits, and focused chart review.

At Fortis, our service providers offer amazing benefits such as highly knowledgeable physicians, auditors, and former agents from the FBI; US-based operations with headquarters in Dallas, Texas; no establishment charges; a 95% success rate in securing payment for our customer’s billings; and a 99% client retention rate.

Discuss Your HCC Audits Medical Billing Needs with Us Today

You can discuss the medical billing needs for your HCC audits practice with us. If you feel that it is the proper time to get support, we recommend that you get in touch with us. To speak to one of our experienced medical billing agents, call us at (866) 808-4160 or inquire online today.

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