Proper medical billing is the key to avoiding government audits and receiving full compensation for services rendered. At Fortis Medical Billing, we’re familiar with private insurance companies’ billing requirements and federal regulations that govern medical billing, allowing your medical practice to fully collect what it’s owed while remaining compliant with relevant legal obligations. With Fortis Medical Billing, your practice can satisfy its legal obligations with respect to medical billing while maximizing your practice’s profits.
Medical Billing for Pittsburg Practices
Running a successful healthcare practice is difficult enough without having to worry about adhering to complex medical billing and coding requirements. Even so, proper billing and coding is necessary not only to ensure your practice is properly compensated, but also to keep your practice out of legal trouble. Our goal at Fortis Medical Billing is to streamline the billing process by helping your practice make sense of complex regulatory requirements and develop a comprehensive compliance plan that enables your practice to minimize claim denials by private payers and accelerate the payment process.
Fortis Medical Billing is comprised of a highly-experienced team of billing professionals, deeply versed in the nuances of modern medical billing and insurance. Our in-house attorneys come from a diverse array of backgrounds, including substantial service in the federal government. They leverage this experience every day to provide comprehensive and effective solutions to our clients.
We design each solution to be three things: Comprehensive, Correct, and Compliant. It’s our ultimate goal to provide a complete solution that accurately satisfies all needs of your specific practice. Our in-house attorneys’ expertise allows us to help your practice ensure it remains fully compliant with all relevant laws and regulations when it comes to the medical billing process.
Customized Compliance Plans and Routine Updates
No two medical practices are the same. The professionals at Fortis Medical Billing seek to create a compliance plan that is customized to the needs of each individual practice, ensuring your practice receives all the services it needs and nothing it doesn’t. With a hands-on approach to each new practice, we thoroughly evaluate the needs of each practice that seeks our consultation in order to create a solution that meets the needs of each individual practice.
Furthermore, insurance companies consistently update their policies with respect to billing and reimbursement. Our medical billing experts in Pittsburg make it their job to stay apprised of all relevant developments and update our clients’ solutions where appropriate.
Medical Billing Services
Accounts Receivable Management – Fortis Medical Billing in Pittsburg can effectively manage your practice’s accounts receivable, ensuring timely and complete reimbursement and minimizing disruptions in cashflow.
Audits – Fortis Medical Billing in Pittsburg offers a comprehensive auditing service to ensure your practice’s billing not only is compliant with all relevant laws and regulations, but also that it is operating efficiently.
Claim Verification and Tracking – Our claim verification and tracking service helps verify patient eligibility to ensure all services rendered by your practice will be reimbursed. Our professional team then monitors the status of all claims your practice has pending to ensure timely payment on each.
Managed Billing Solutions – At Fortis Medical Billing Company, we are dedicated to providing billing solutions that are customized to the needs of each individual practice. For this reason, we offer both on-site and off-site billing services, allowing your practice to choose the one that works best.
Specialty Billing and Coding – Our team consists of professionals in all areas of medical practice and each medical specialty. So no matter how specialized your practice is, Fortis Medical Billing in Pittsburg can create a solution for you.
At Fortis Medical Billing, we offer free initial consultations so that each potential client can make an informed decision before picking a medical billing service. If your practice does pick our firm for its medical billing needs, we charge no setup fee and instead charge only for the services we actually render to your practice. Our firm is entirely-results oriented, and we strongly believe offering loyalty and high-quality service to our clients will foster loyalty and referrals in return.
Pittsburg Billing Audits
Despite the tedious nature of medical billing and coding, non-compliance is a serious matter that all medical practices must take seriously. Failure to comply with proper billing and coding procedures, rules, and regulations can lead not only to denial of claims for which your practice has a right to reimbursement, but it can also trigger government scrutiny of your billing practices. At Fortis in Pittsburg, let us guide you through the billing and coding process to ensure complete compliance and full reimbursement for all services rendered by your practice.
Common Billing Issues
Poor organization – Staying organized is key to proper coding and billing. Our professional team can help streamline the billing process and organize patient records to ensure seamless operation of your practice, allow you to focus on caring for your patients.
Fraudulent claims – Because of the complexity of medical billing, medical practices run the risk of misrepresenting services rendered, incorrectly dating patient records, or otherwise improperly billing private payers. This increases both the risk of claim denial and also the chance that a payer will bring a claim of fraudulent billing against your practice. Let the billing professionals at Fortis in Pittsburg stay organized and ensure every bill your practice sends for payment is 100% accurate.
Undertrained billing staff – Even the most diligent billing staff can make mistakes if they lack adequate training in proper billing and coding procedures. Still, your billing staff’s accident does not excuse improper billing. Let the professional staff at Fortis Medical Billing handle billing duties for your practice to ensure your practice’s billing is accurate and compliant.
Missed revenue – Improper billing can leave money that your practice rightfully earned on the table. Miscoding of claims can lead to underbilling and claim denial. And failure to re-submit denied claims closes the door on reimbursement for services properly rendered by your practice.
Incomplete billing policies – The government consistently updates regulations governing medical billing, and private payers regularly update their terms and conditions of reimbursement. Medical practices must stay apprised of these changes and update their billing practices accordingly in order to conform with the latest requirements. Here at Fortis, we monitor relevant rules and regulations and update our clients’ compliance plans as needed.
Regardless of the size of your practice, our billing audits can ensure your billing methods are accurate and compliant. Our audits expose and fix improper billing methods, identify missed claims, and minimize your practice’s exposure to liability.
As with any business, medical practices strive to make as much profit as they can. But unlike service providers in less-regulated industries, medical practices rely on third-party payers for most of their compensation. Thus, maximizing the number of claims that ultimately get paid is key to maximizing revenue. On average medical practices receive reimbursement for 70% – 90% of services rendered. But practices that use Fortis Medical Billing generally receive reimbursement for 95% of their claims.
Revenue Cycle Management in Pittsburg
Improperly managing cashflow and revenue can lead even highly successful practices down a path toward financial ruin. However, our consistent billing and coding methods employed through the use of cutting-edge technology ensure proper management of your practice’s revenue cycle, letting you focus solely on caring for your patients.
Streamlining Revenue Cycling Management
Fortis uses a highly-effective 5-step process to manage revenue cycle:
- Simplified Patient Registration
Gathering all necessary patient information during the intake process is fundamental to proper billing for services rendered to that patient later on in the treatment process. Our solutions ensure your intake staff is able to quickly and easily compile patients’ personal and financial information, and our solutions can do so whether your practice has patients complete the intake process remotely or on-site.
- Insurance Eligibility Verification
Ensuring proper coverage before starting treatment is key to maximizing reimbursement. Our solutions quickly verify patient eligibility and can even do so automatically, eliminating the need for manual verification.
- Easy Charge-Capturing
Your practice deserves to get paid for all services it renders during treatment. Our comprehensive solutions ensure no service, however small, goes unnoticed in the billing process.
- Immediate and Automatic Posting of Payments to Patient Accounts
Our solutions post payments to patient accounts as soon as they are made, ensuring prompt notification of all reimbursements and reducing the risk of loss from overlooked payments.
- Real-Time Billing
Outsourcing your billing, coding, and revenue cycle management needs allows you and your practice to focus on the patients that it exists to serve. Unburden your staff with the administrative duties of revenue cycle management, and instead let the billing professionals at Fortis handle those duties. This not only frees up your staff to focus on patient care, but it also ensures complete compliance and accurate billing every time.
Fortis Medical Billing Service in Pittsburg – Contact Us Today to Schedule a Free Consultation
Here at Fortis, we offer a coding and billing solution for practices of all types, sizes, and specialties. Whether your practice needs a full suite of billing, auditing, and revenue cycle services, or one particular service, we have the technology, skills, and experience to develop a customized plan that perfectly fits the needs of your particular practice. Call our Pittsburgh medical billing and coding specialists today at 412-775-3135 or contact us online to schedule a free, no-obligation consultation.
Dr. Nick Oberheiden is a federal attorney with 20 years experience in healthcare compliance and defending healthcare providers.
Dr. Stephen Taylor has 25 years as a medical billing specialist and consultant in medical, chiropractic, nursing, and physical therapy.
Ms. Beverly Gibson has been a health care consultant for more than 25 years and specializes in medical record auditing, E/M training, and audit risk mitigation.