WHY CHOOSE US?
When you partner with FCS Medical Billing, you are allowing a team of young, smart, and committed professionals to improve your processes and implement new ideas to increase revenue. Our team is our most valuable asset, and they are the reason for our success. Partner with us and let us show you what we can do, we work as a team with your staff and we involve them in our processes.
Our expertise in providing medical billing services and our in-depth knowledge of the associated rules and processes enhances our ability to maximize your reimbursement. As a premier medical billing company, our services include not only working with established providers or groups but with startup practices as well. As your medical billing company partner, we offer the technical expertise and business insight to assist in managing your practice and planning for future growth.
INSURANCE VERIFICATION
Advantages of Insurance Verification:
- Increase point of service collections (Co-pays, Out Of Pocket, etc.)
- Improves efficiency of revenue cycle
- Decrease claim denials due to no coverage
- Reduce risk factors
- Enhanced patients experience
- Simplifies workflow
- Reduced rework of claims
- Decreased account receivables days
- Alerts about self-pay patients
MEDICAL BILLING AND CODING
- Patient documents or super bill or EMRs transmitted by client are fetched
- Documents are assessed by coders for completeness, quality and readability
- Diagnosis, procedure codes and modifiers are applied as per client’s description
- Certain codes are modified to meet the payer specific requirement or specification
- Completed claims go through a secondary assessment to ensure accuracy before submission
- Clean claims are then submitted electronically on time
- Claim submission is confirmed after a week to ensure timeliness
SUPER BILL AND CHARGE ENTRY
Depending upon the ease of the providers, some providers manually write codes on a super bill (A special sheet that consists of the list of services provided by a provider, the correct code is checked at the time of the appointment) or just write descriptions about the diagnosis and treatment, which are later converted into codes by specialized coders. In the later case, FCS Medical Billing provides comprehensive and reliable medical billing and coding services, which assures that claims get paid easily and in a hassle free manner.
- Experts with ease of working on wide range of billing software
- Served various medical specialties
- Instant start up with no transition delay
- Follow pre-defined account specific rules for charge entry as specified by client
- Two level of audits ensures 99% accuracy
- Quality focused and high processing speed
A/R RECOVERY
Initial evaluation of medical AR Follow up
- Involves identification and analysis of the claims listed on the A/R Aging Report. The team will review the provider's adjustment policy from which we will identify which claims need to be adjusted off.
Analysis and prioritizing medical AR Follow up
- Experienced medical A/R analysts initiate this phase by identifying the various issues for claims that are marked as uncollectible or for claims where the carrier has not paid according to its contracted rate with providers.
Collecting the maximum of medical AR Follow up
- Based on the analysis and our team's findings, the claims that are identified to be within the filing limit of the carrier are re-filed after verifying all the necessary billing information is correct such as claims processing address and other medical billing rules.
- Claims that have exceeded the filing limit of the carrier as well as the claims that appear to be underpaid by the carrier are appealed with the necessary supporting documents. Appeal procedures vary widely depending on the plan, carrier and state. These procedures are collected and applied on claims that are being appealed.
PAYMENT POSTING AND ELECTRONIC
Payment posting is yet another crucial process of billing that is laborious and time consuming. A practice might receive hundreds to thousands of EOBs or ERAs on a daily basis.These payments should be efficiently posted into the system so that the account receivables report shows prompt financial status of a practice at any given time.
- Paper EOBs can be scanned and mailed; while ERAs will be retrieved directly from the application.
- Payment details are posted into the practice management application using the secure ID and password provided through remote desktop connection.
- Denial codes and special scenarios are explained briefly in system notes for denial follow up.
- Patient’s responsibility is applied to patient’s account, or the balance is billed to secondary or tertiary payer as applicable.
- Quality assurance team tallies the total payment details for the date and ensures all the figures are precise and 100% accurate.
- Printed EOBs are shredded or destroyed under supervision and client is notified about the update.
PRACTICE MANAGEMENT
Our team of physician practice management consultant can evaluate your financial operation and provide you with a customized financial system including:
- Accounts payable and general ledger
- Financial statements/monthly accounting reports
- Income projections
- Month-to-month and year-to-year comparison reports
- Computerized payroll systems
- Advance funding on AR Follow Ups
We help you establish fee structures, implement a billing system and develop purchasing controls. Our medical billing company provides the technical expertise and business acumen to help you understand the current status of your physician practice and plan for its future growth.
FRONT DESK SUPPORT
FCS Medical Billing offers a complete front desk support for health care providers that will encompass each and every task they want us to do. FCS can help patients in confirming their appointments, updating their insurance details, rescheduling appointments, getting a new appointment, refilling medications, forwarding referrals or cancelling appointments.
- A dedicated phone line will be assigned for the practice
- All incoming calls from the practice can be forwarded to this number
- We will greet callers on behalf of the practice
- Handle queries related to appointments, bills, referrals, insurances or refills
- Forward other callers to dedicated departments of the practice
- Update any information (if applicable) in the patients account
MEDICAL TRANSCRIPTION PROCESS
Medical documents have become a crucial part of healthcare system and serves as a bridge between different physicians providing treatment to a patient. The accuracy and legibility of these documents guides the patient’s history and insurance track record. Due to its high importance, this documentation should be crafted with extreme caution and care.
