We Guarantee Improved Medical Billing Efficiency, Effectiveness & Compliance

97% Retention - Expert Auditors

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of claim denials are overturned
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improvement in net patient revenue
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of claims are collected within 90 days or less
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clean claims rate
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average reduction in AR days

Labs Billing Services

A Comprehensive Medical Billing Solutions From a Labs Billing Company

As a lab owner or executive, managing your laboratory billing is both necessary and a curse. You need to bill your payors correctly and in a timely manner so that you can maintain a sustainable cash flow. Still, the burdens of laboratory medical billing in today’s world can also increase your costs while also increasing your risk of facing an audit or investigation.

At Fortis, we provide a laboratory medical billing process and take it off your shoulders. We offer a variety of medical billing services for labs, including end-to-end managed laboratory billing solutions. In doing so, we rely on a state-of-the-art billing platform that is automated, intelligent, customizable, and fully secure.

What are your biggest complaints and concerns about the medical billing process?

For most laboratory owners, they include some (or all) of the following:

  • How do I know if my laboratory billing compliance program is adequate?
  • How do I know if my laboratory billing administrators are putting us at risk?
  • How can I ensure all of my maximum reimbursement requests are coded correctly?
  • Why aren’t all of my laboratory payors handling our reimbursements as quickly as they should?
  • Why are so many of my laboratory reimbursement requests being denied?
  • How can I reduce the costs and headaches involved with laboratory billing so that I can just focus on business development?

We can help you address these issues—and many more. Suppose you are looking for efficient, hands-off laboratory billing companies that will help reduce your denial rate and days to payment while also reducing your risk of making costly billing and coding mistakes. In that case, we encourage you to contact us for a free consultation about how our laboratory billing services can help.

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)

James Hunt

Former Special Agent-in-Charge (DEA)

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How We Help Laboratories Manage Medical Billing More Efficiently and Effectively

We offer several laboratory medical billing services to help manage clinical and reference laboratory billing more efficiently and effectively. This billing service includes helping labs bill faster and more accurately, managing reimbursement requests from end to end, and managing payment delays and denied claims to improve financial management. In doing so, we rely on the unique combination of our consultants’ expertise and our state-of-the-art billing technology platform:

A Team of Experts in Medical Billing

Fortis was founded by a federal healthcare compliance lawyer who saw a better way for labs and other providers to manage their billing programs after representing thousands of clients in billing audits and investigations.

Today, our team includes former agents with the Department of Health and Human Services Office of Inspector General (DHHS OIG), Drug Enforcement Administration (DEA), and other federal agencies who spent decades investigating medical billing fraud before entering the private sector.

The scope of our experience is unique within clinical and reference labs. This allows us to offer deep insights and custom-tailored financial management services to lab owners and executives. It also allows us to improve and effectively manage our clients’ pathology billing programs with a specific focus on the issues that lead to problems.

An Automated and Customizable Technology-Driven Laboratory Billing Services

Our medical billing platform uses automation and artificial intelligence (AI) to enhance efficiency and eliminate errors. Whether you choose our managed billing services for your pathology group or choose from our suite of other medical billing services to maintain your billing operations in-house, we will assist you with transitioning to our platform so that your lab can reap all of the benefits that our platform has to offer. These benefits include:

  • Automation and AI eliminate the possibility of mistakes due to human error
  • Access 24/7 on all devices as a result of full mobile integration
  • Custom-tailored interfaces and use cases focused on your laboratory’s specific needs
  • Enhanced protection for your lab data through multiple layers of security
  • Smart solutions that allow for effective management of your lab medical billing

In today’s world, an effective medical billing system is critical for both billing compliance and billing management. We combine our state-of-the-art solution with our consultants’ centuries of combined expertise to offer truly end-to-end solutions to labs across the United States.

Benchmarking, Auditing, and Managed Billing Solutions

Managing your lab’s billing and measuring your lab’s improvement starts with effective benchmarking. We benchmark all aspects of our client’s medical billing practices so that they can see where their risks lie and where they have room for improvement.

Auditing is critical as well, and we provide comprehensive medical billing and coding audit services to our clients so that they can address any systemic issues within their operations before they lead to delays, denials, or external scrutiny.

Many lab owners and executives prefer a completely hands-off approach when it comes to medical billing. For these clients, we offer managed billing solutions that take their billing operations completely off-site.

Relying on our medical billing software and expertise, we handle all aspects of these laboratory billing programs, from pre-billing contracting and setup to post-billing claim tracking, denial management, and collections.

The Proof that Our Laboratory Billing Solutions Work

Why should you choose Fortis for your laboratory’s medical billing needs? Simply put, our flexible solutions work. We help labs and other providers nationwide improve their billing success rate, reduce their number of outstanding claims and days to payment, and minimize their risk of facing audits from private insurers, Medicare and Medicaid, and other payors.

So, what can you expect when you choose Fortis? Here are the numbers that prove our medical billing solutions work:

  • 15 Percent – We have helped our clients increase their net patient revenue cycle management by an average of 15 percent.
  • 33 Percent – We have helped reduce our clients’ average number of accounts receivable (AR) days by 33 percent.
  • 85 Percent – We have succeeded in having 85 percent of our clients’ claim denials overturned.
  • 88 Percent – Our clients have achieved an average clean claims rate of 88 percent with our medical billing platform.
  • 98 Percent – We have helped our clients collect more than 98 percent of their claims in 90 days or less.

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More About Our Laboratory Medical Billing Services

Along with our medical billing platform, benchmarking, auditing, and managed billing services, we offer a comprehensive suite of additional medical billing services to labs nationwide. Depending on your lab’s specific needs, we can help improve your lab’s billing efficiency and cash flow through one or more of the following:

Pre-Bill Services

We offer a variety of pre-bill services focused on helping our clients start billing new payors quickly and improving our clients’ billing efficiency. This includes assisting with credentialing, contracting, and eligibility verification, as well as providing billing compliance program assessments and improvement recommendations.

Billing and Coding

Accurate and compliant laboratory coding is at the heart of any successful medical billing program. Whether through working with our client’s in-house billing teams or our managed billing solutions, we help labs put the policies, procedures, and systems in place that they need to bill correctly and on time. We provide comprehensive coding compliance solutions as well, and our medical billing platform includes automation capabilities designed specifically to facilitate timely billing and coding compliance.

Posting and AR Management

Our medical billing platform allows for end-to-end tracking of our clients’ reimbursements. This means that our clients know when (and if) payments post and it means that they know how long their accounts receivable have been outstanding in real time. This allows for more effective AR management, which translates to more timely payments, less administrative hassles, and improved cash flow.

Collections

Even with effective claim tracking, some payors simply won’t pay when they are supposed to. This presents obvious problems for lab owners and executives, but, fortunately, these are problems that labs can manage effectively. Through our posting and AR management solutions, we are able to identify when our clients are facing collection risks due to delays and denials. Through our medical billing expertise, we are able to help our clients resolve these risks and avoid denials in a substantial majority of cases.

Medical Billing Consulting

As a lab owner or executive, you need to have a firm grasp of your facility’s billing compliance obligations and billing operations. You need to know that your lab billing program is working as it should, and you need to know that your lab is not at risk due to coding errors or other mistakes.

Along with all of the other solutions we offer, we also offer medical billing consulting services. Our medical billing experts can walk you through everything you need to know, and we can help you make informed decisions on an ongoing basis. All of our consulting clients work directly with our senior former federal agents, and we can create tailored solutions to your specific risks, concerns, and needs.

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Get Started with a Complimentary Consultation

Would you like to know more about what your lab could (and should) be doing to manage its medical billing more effectively? If so, we invite you to get in touch. To schedule a complimentary consultation with a senior medical billing consultant at Fortis, please call 866-808-4160 or let us know how we can help online today.

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