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)

New Mexico Medical Billing Service

To be successful in the medical industry, you must stay on top of the latest laws and regulations as well as the workings of the insurance companies that you bill. Failure to do so could have a negative impact and cause you to be scrutinized with a federal audit or lead to denials.

Here at Fortis Medical Billing Company, our team prides itself upon providing the best New Mexico medical billing services ever seen. From helping solo practitioners to helping some of the biggest hospitals in the area, there is no task too small or big.

The core of problems within medical practices is usually related to poor billing practices.

Over the years, we have noticed that many practices fail to grow because of poor billing practices. It may seem like this is what we would say since we’re a medical billing and coding company, but it’s what a deep analysis of healthcare practices has revealed.

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)

Allowing revenue to slip through the cracks.

Failure to resubmit any claims that were denied, not charging properly for medical supplies or services, and miscoding are just a few of the ways that practices tend to let the revenue slip through the cracks. By having an experienced medical billing company at your disposal, you can eliminate this risk and start seeing your revenue grow.

Having billing processes that don’t embrace the latest regulations.

Laws constantly change, and so do the ways that insurance companies want their claims to be filed. The bottom line is that it’s critical that you have billing processes in place that embrace the latest regulations while ensuring that compliance continues to be top of mind.

Increasing the risk that their practice will file fraudulent claims.

Often, this isn’t even on purpose but not having the right processes in place does put a medical provider at a higher risk of filing fraudulent claims. Since this is an area where fraud is high (billing for services not provided, not having the adequate date of service, or billing for services that weren’t truly necessary), it’s critical that a level of protection is put into place to protect the future of not only the provider but the practice as well.

No sense of organization with patient care/records.

Being organized is one of the key parts of having a billing department that truly takes care of business. This is why from the time that a patient checks in until the time the patient receives the treatment that they need that adequate records are kept. At Fortis, we’ve implemented many billing systems that embrace the highest level of organization possible.

Not providing billing staff with the training they need to grow.

When it comes to medical billing and coding, this is a rather demanding part of the healthcare industry. To get the most from it, you need to have a team in place that knows what it takes to ensure that the best practices are used at all times.

Regardless of the size of your clinic or hospital, we know what it takes to increase your cash flow while implementing processes that give you that extra layer of security that you need. Our medical billing auditors and former FBI investigators have the experience needed to deliver a solution to the table that not many (if any) medical billing companies in New Mexico could bring to the table. We’re a nationwide company that continues to grow locally and that has extensive resources we can use to propel our clients further on the path to success.

Instead of embracing lost revenue and frustrating experiences, embrace a solution.

Unlike companies who may seem like they provide you with a medical billing solution out of a can, we take the time to get to know you as well as your practice itself. Our approach is one that is going to minimize the risk of liabilities, reduce the amount of time it takes to get you paid and streamline the entire billing side of things.

Our team is composed of professionals who have dedicated themselves to understanding compliance issues and staying on top of the latest trends when it comes to medical billing. Not to mention, we have extensive experience working with healthcare organizations of all sizes.

A Rundown of Our Medical Billing and Coding Services in New Mexico

We’re a full-service medical billing and coding company that can provide clinics, hospitals, and providers with the opportunity to outsource all or just some of their billing tasks. Depending on their vision and what they want to achieve, a custom-tailored plan can be developed. Here is a look at some of our services and what you can expect from them.

Completely Outsourced Medical Billing

Whether you want us to improve billing operations on-site, or you want us to handle all your billing needs within the Fortis office, we’ve got you covered. Using us not only allows you to stay ahead of the curve, but it can free up time and provide you with savings at the same time.

Coverage Eligibility

In order to minimize the number of denials that you see come back at your practice, we’ll make sure each patient is truly covered by their insurance company. Not to mention, we’ll verify the eligibility of the provided services as well.

Insurance Claim Accountability

Knowing when claims have been filed, denied, or paid is essential to know what’s going on with the cash flow of your clinic or hospital. This is why we stay on top of all insurance claims and provide you with an easy way to check their status.

Medical Auditing Services

Whether you have worked with another medical billing and coding company in New Mexico, or you just want to see what the current state of your billing department is, we can conduct comprehensive audits to see exactly where there are opportunities to improve.

Specialty-Specific Services

If your practice is one that embraces only a certain specialty, rest assured that we can still deliver a custom-tailored solution. We know what it takes to get the most out of billings even for the providers who are a little bit more specialized.

We don’t expect you to pay unless we deliver a valuable relationship.

Sure, it would be easier to charge our clients from day one, but that wouldn’t be right as we’re expected to deliver results. This is why we have focused on providing results rather than coming up with a fee structure that continues to rake in dollars.

The entire onboarding process is done at no expense to you, which means that you won’t be charged for anything until you see results produced. We feel that this keeps us at the top of our game while giving our clients a value that many companies within the medical billing industry fail to provide.

From the first introduction throughout our relationship with you, we will be just as vested in your success as you are. It’s the only way that we would ever have it here at Fortis, and it continues to change the way that medical billing and coding in New Mexico is done.

Our Team Makes Us Different from the Rest

From in-house legal counsel that has represented many healthcare providers to former investigators for the Federal Bureau of Investigation who were tasked with medical billing compliance, we have one of the most experienced teams to exist in the industry to date.

Combine this with the abilities of our expert medical billing specialists and you have a major advantage when you enlist the help of Fortis. Not to mention, every employee is vetted to ensure that they stand out from all the other candidates as we tend to hold ourselves to some rather high standards.

If you want to do business with a company that is not only invested in you but very selective when it comes to the hiring process, then look no further than Fortis Medical Billing of New Mexico. While one might think we’re biased, we have seen the impact that it has had on the industry as a whole.

Schedule Your Chat with Fortis Medical Billing Service of New Mexico Today

If you’re ready to get started, we want you to reach out or call (866) 808-4160 to speak to one of our team members today so that we can get your initial consultation underway. We will take the time to understand the way that you do things, the current state of your billings, and where there is room for improvement.

Remember, this consultation will be at no cost to you. All we ask is that you’re open with us about how things are and that you help us gather what we need to understand the operations of your practice. From there, one of our medical billing experts will be able to present you with a solution that is sure to drive more revenue while making sure that you can embrace the highest level of medical billing compliance possible.