fortum provider solutions
What are the common issues providers encounter during Billing?
Eligibility not verified
If verified prior to service, it reduces billing errors by 80%.
Incorrect Coding
All claims must be submitted with correct CPT, POS and Modifier
Incorrect Billing
Make sure to bill the claims using insurance guidelines
Copay not confirmed
It creates issue with patient if Copay not communicated prior to visit.
Not submitted timely
Insurances has Time Limit to accept the claims.
Follow-up
All un-paid claims must be checked in a timely manner.
Billing Solutions
Charge Entry and coding review
An effective collaboration between coding and charge entry teams leads to a sustainable improvement in the overall process. With expertise in multiple specialties and Revenue Cycle Platforms, our charge entry experts process high volume of charge entry transactions with exceptional accuracy
Payment Posting
We have trained professionals in Medical Billing Terms to do the posting and analyse. In case there are denials, they do a root cause analysis for each rejection and take long-term corrective actions.
- Insurance Payments
- Patient Payments
- Credit Card Processing
- EFT Enrollment
What we can do for you.
The method of managing the billing, payment processing, and denial management is known as Revenue Cycle Management (RCM).
- We check / scan the required documents or superbills that will be collected from your office daily, through FTP upload or PC anywhere Access.
- All Patient Demographics, Insurance Information, Superbills, EOB copies, and charges will be keyed through the online or offline route.
- Medical claims process software will be used to submit claims electronically. Expected TAT of this process is 36 Hrs.
- EOB (Explanation of Benefits) will be updated into billing software and payment information will be updated to individual claims on a daily basis, based on daily document source.
Healthcare provider systems are inundated with challenges that can impede financial performance – rising care costs, alternative payment models, growth through consolidation, consumerism and the desire for a better patient experience.
Patient Services and Collections
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We understand that Professional and timely credit balance handling, sending out the monthly statements, and follow up on the patient outstanding is essential to keep a positive relationship with patients. We ensure your patients are always with communicated with utmost respect and politeness.
We review the monthly balance of patient and send out the monthly statement. We ensure patient receive them on time and make the Payments by calling patients. The collection could be done either Online or via Collection agencies.
