Medical Billing Services for Physicians and Physician Groups

Bill and Get Paid Accurately On Time, Every Time, with Our End-to-End Medical Billing Solutions for Physicians and Physician Groups

When you start your practice as a physician, getting paid is exciting. It means youre doing it—youre building an independent practice focused on what you love to do. But, as time goes on, billing becomes a headache—and for many physicians and physician groups, it becomes a nightmare. Dealing with denials and overdue accounts receivable becomes the norm, and you find yourself spending more time chasing reimbursements than you do taking care of your patients.

We can help you get back to doing what you love most.

At Fortis, we offer end-to-end medical billing solutions that are designed specifically to help physicians and other practitioners avoid everything they hate most about managing their practices. From credentialing and contracting through challenging payment denials and pursuing collections when necessary, we take all of the complicated and frustrating aspects of medical billing off of our clients shoulders. In doing so, we rely on state-of-the-art technology and centuries of relevant experience, and we focus on reducing our clients billing-related expenses so that they can achieve maximum return on investment (ROI).

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Fortis Medical Billing: By the Numbers

Why should you choose Fortis for your medical billing needs as a physician? Simply put, the numbers speak for themselves. Here are just some of the reasons why physicians and physician groups across the country rely on us to help them bill and get paid accurately on time, every time:

1. Ten Medical Billing Consultants with Centuries of Combined Experience

We are a team of 10 medical billing consultants who offer centuries of combined experience in the medical billing and healthcare compliance fields. Our team includes several former agents with the U.S. Department of Health and Human Services Office of Inspector General (DHHS OIG) and other federal agencies who each spent decades investigating and prosecuting billing fraud and other healthcare-related offenses. As a result, we know medical billing inside and out, and we know what it takes to safely manage an effective billing program that maximizes physicians and physician groups profitability.

2. More than 98 Percent of Claims Paid in 90 Days or Less

On average, physicians and physician groups that use our medical billing solutions collect more than 98 percent of their claims in 90 days or less. As you may well know, it is not uncommon for claims to sit unpaid for much longer. Outstanding accounts receivable (AR) negatively impact cash flow, and this can create unnecessary financial strain that can—and should—be avoided.

3. We Reduce Our Clients Average Number of Days to Payment By 33 Percent

In addition to helping physicians and physician groups collect more than 98 percent of their claims within 90 days or less, we also help our clients reduce their average number of days to payment by 33 percent. This further improves their cash flow, which reduces financial risk and opens up greater opportunities for reinvesting in your practices growth and success.

4. Eighty-Five Percent of Our Clients Claim Denials Get Overturned

Physicians and physician groups that rely on Fortiss medical billing solutions have an average of 85 percent of their claim denials overturned. This is a staggering number that highlights the fundamental flaws in the modern medical billing system. As a physician, you deserve to get paid for the services you provide, but all types of payors are all too happy to deny your claims and make you chase payment in order to earn a living.

5. Fifteen Percent Increase in Net Patient Revenue

Physicians, physician groups, and other providers that use our medical billing software see an average increase in net patient revenue of 15 percent. This, too, is a staggering figure. If we can help increase your practices revenue simply by improving its billing operations, then engaging us to assist you is a no-brainer.
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How We Help Physicians and Physician Groups Reduce Billing Risk and Increase Revenue

We offer several solutions to help our clients manage their billings safely and more effectively. Our medical billing solutions for physicians and physician groups include:

State-of-the-Art Medical Billing Platform

We leverage a state-of-the-art software platform to provide billing management and coding services that ensure timely and accurate billing while also allowing our clients to track and monitor their reimbursement requests from end to end. Our software platform offers a variety of other capabilities as well, and it can replace your practices existing platform so that your team and ours have access to all billing data 24/7. Combined with our managed billing solutions, this platform offers everything physicians and physician groups need to bill confidently, reduce their billing-related expenses, and improve their cash flow:

• Automation and the Efficiency of A.I. – Our medical billing platform offers automation and artificial intelligence (A.I.) capabilities that streamline and take the guesswork out of medical billing.
• Fully Customizable Tools and Interface – Our experts can assist with customizing our medical billing platform to suit your practices specific needs.
• Cloud Storage for Your Practices Billing Data – With our medical billing platform, your practices data are stored in the cloud. This means that there is virtually no risk of loss and you can access your practices data around the clock, at the office or at home.
• Mobile Integration – In addition to utilizing cloud data storage, our medical billing platform is fully integrated with all mobile devices—so you and your team can keep using your existing hardware on the go.
• Enhanced Data Security – We understand the importance of protecting your practices billing data. Our medical billing platform has enhanced data security so that you can feel confident that your practices data are secure.

Pre-Bill Services

Our pre-bill services include credentialing and contracting, eligibility verification, benchmarking, and compliance program assessment and development. These services ensure that your practice is prepared to bill, track its reimbursement requests, and measure the effectiveness of our medical billing solutions from day one.

Billing and Coding

With our billing and coding solutions, you never have to worry about human error leading to payment delays or denials (or worse). Our automated and A.I.-driven solutions make coding easy, and they help physicians and other practitioners avoid common mistakes like billing for the wrong consultation duration and billing for services that are not eligible for reimbursement from a particular payor.

Posting and AR Management

Our medical billing services help physicians and physician groups more effectively manage their AR by posting claims and payments immediately. This allows us to keep track of reimbursements that are languishing and approaching 90 days from billing, and it allows us to address these issues before they negatively impact our clients cash flow.

Claim Tracking and Denial Response

With end-to-end claim tracking, we are also able to quickly respond to reimbursement denials. When a payor denies reimbursement, understanding why—and working quickly to address the payors claimed justification—is the best way to overcome the denial and close the AR.

Collections

Along with denial response, we also help physicians and physician groups manage collections through other means. We can handle appeals and insurance recovery on your practices behalf, and we can fully manage your practices AR so that you consistently have as few claims in collections as possible.

Consulting

As a physician, it is important to have a clear understanding of your practices billing compliance responsibilities and the efficacy of your practices billing policies and systems. This is true even when you outsource billing management and compliance. Our expert consultants can explain everything you need to know; and, if you choose not to use our managed billing solutions, we can assist you with managing your practices billings in-house on an ongoing basis.

Billing Audits

Conducting periodic medical billing and coding audits is essential for managing (and demonstrating) compliance as well as making sure that your practices billing program is continuing to function as it should. We have extensive experience conducting billing audits for physicians and physician groups; and, as former federal agents, many of our consultants have also participated in thousands of audits from the compliance perspective.

Managed Billing Solutions

With our managed billing solutions, we take care of 100 percent of your practices billing needs while you focus 100 percent of your time and energy on treating your patients. Our team will fully manage your practices billing program off-site, and you will maintain complete access 24/7 through our medical billing platform. Our managed billing solutions are ideal for physicians who are interested in outsourcing their billing needs and who want to feel confident that there is no need to be constantly looking over their third-party billing administrators shoulder.
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Schedule a Complimentary Consultation at Fortis to Learn More

If you would like to know more about our medical billing services for physicians and physician groups, we invite you to get in touch. To speak with a senior consultant at Fortis about what we can do to help, please call 866-808-4160 or request a complimentary consultation online today.