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Fanestra Medical Billing System
Why Outsource? Free resources for other purposed Reduce and control operating costs Resources not available internally Make capital funds available Improve company focus Share risks Function is difficult to manage, or out of
control Accelerate re-engineering benefits Cash infusion
Fanestra (Simply the best!)
Longevity – in business for more than 10 yrs.
Diversity – Served Chiropractic, Dermatology, Family Practice, Psychiatry, Physical Therapy and others.
Experience – 76 Years of combine billing & collection experience
Technology – Information Technology company
Value – Highest Quality at most competitive price
Success – Treating satisfied patients
Goal – Increase the profitability of your practice
Preamble Our most important customer is our present one, not our
next one. We don't waste money on fancy offices and things that
don't help us better serve our customers. We invest in our exceptional people, processes and
technologies that serve our customers. We operate honestly and ethically in all of our
relationships. We foster and encourage open communication
throughout our company, and we treat everyone with respect.
We take pride in our work, and we strive to be the best in industry.
We are flexible and creative in finding solutions to help our customers and employees be successful.
Our USP
US healthcare domain knowledge In-house Medical Billing software Lowest operation cost Remote access to data and client system Integrated Technology with VPN & Web Workflow management Software
Activities & Services
Account Receivable Analysis and calling Medical Billing Insurance claim processing Managing appointment scheduling Data Migration and integration to generate a
variety of reports Development of Portals Software development & Support
Security Assurance
Software patch updates. Anti-Virus Software. Host-based firewall software. Passwords. Account management. Encrypted authentication.
Fanestra Team
Certified Medical Coders Software programmers Technical Analysts Claim process specialists Information Specialist (Callers) Network Engineer Security Experts and Quality assurance personals.
Human Resources
Regular Performance Monitoring Regular appraisals Identification of training needs Compensation performance based Individual Performance Team Performance Company Performance The Human Touch
Medical Billing Process
Patient demographic & Charge Entry Electronic Insurance claims filling Payment Entry Secondary insurance charges Account Receivable Analysis Patient Statements Insurance Calling Balancing and Posting
I-Hub
Highlights of I-Hub
Workflow automation based on skill-based routing
Leverage best practices Built-in collaborative tools 24/ 7 Real-time Reporting Enhanced operator efficiency and productivity Ability to manage and co-ordinate between
multiple locations Anytime, anywhere access
Advantages – I-Hub
Increased co-ordination Quick and easier removal of bottlenecks Create multiple user with defined access
rights Daily reports indicating Volumes, service
level performance and Quality Dynamically generated status reports Application Service Provider Model
Management System
I-Hub – Batch Setup Screen
I-Hub – Batch Search
FMB Software
Why FMB System?
Dual Architecture Secured System Cost effective Different Reports as per roles 3 tier hierarchy
No need of entering same data again and again.
Incomplete information prompts at the time of Saving the data.
All mandatory fields are highlighted in red color if left blank.
Search option has been provided at various places.
Editing is restricted after the month is closed.
Highlights of FMB
Highlights
Transactions History of any account can be seen.
Audit Trail is maintained. Claims with Missing information gets queued
up and can be processed after getting the required information.
Missing Information can be entered even by providers by viewing HCFAs online.
Claims can be processed either electronically or through paper
Highlights
Claims can be filed through clearing house as well as directly to insurance carriers.
Process in batch or single claim processing Built in HCFA rules. CPT (Current Procedural Terminology) Code
and Dx(diagnosis) Code validation. Batch log and month end documents can be
taken directly into word document.
Highlights
Automatically Secondary claim filing. Claim can be reprocessed. Numerous Templates which can be taken in
word document. Claim status viewed at every stage in a
transparent workflow management system.
Charge Entry Screen
Batch Retrieval Screen
Payment Posting Screen
Payment Details Screen
Report Login Page
Highlights of Reports
Missing information report on daily basis. Transaction reports. Validation and processing of claim online. Daily Activity Report. Daily denial report, etc.. Reports Link – can be provided on request
Report Page
Aging Report
To see the PENDING BALANCE for the provider
Insurance wise balance for the provider To find out AR for the provider based on DOS
and Transaction Date. To reduce AR, to see the statements sent
date. Link to Transaction History of Patient.
Aging Report
Aging Recovery Report
How the AR is recovered. When the payment was received and How. We can analyze which CPT code gets paid
the maximum. Useful for Coder, AR analyst and Provider. To know how many CPT codes and Dx codes
are used by provider and what % are paid. Hyperlink to CPT and Dx codes used by
provider
Aging Recovery Report
Daily Activity Summary Report
Gives the overview of the work done for the day
Daily Activity Summary Report
Complete details regarding the patient Demographics.
Insurance details of the patient can also be know.
Viewed by selecting Patient A/c No., First Name or Last Name.
Data Mining is possible (Expired Payor details are retained).
Patient Demographic Report
Patient Demographic Report
Daily Activity Report
Daily Activity Details
Name of Report
Why this report? What information we can get? (Fields) What we can do with it? Where it is useful? How it helps to track the information? How do we access the report? (Parameters) What should be the possible hyperlink?
Report is based on DOS. It can be run by the DOS or by selecting the
last DOS it will automatically pick up and display the last entered DOS.
It shows all the details for the charges. It gives a patient count for the particular DOS
as entered. Can be very useful if we follow the DOS in
the charge batches.
Report can be run by selecting Account Number or patient name.
Even if one alphabet of the patient first / last name is entered with an asterisk it will list all the patients.
One can select a particular date or a range or all dates.
Report is based on DOS.
Report is based on DOS between two selected dates.
In case of charges entered after Month End closing they are captured by entry date as LRC – Late received charges.
Report shows Charges by Payor and by CPT (location wise) for the period.
Report gives patient count and visit count location wise.
This is yet to get activated after we start sending statements.
This report is based on Batch dates pf payment batches.
Report can be run between two selected dates of Batch.
Report gives Payor wise payments for the selected range of batch dates.
Also gives copay, adjustments and capitation details.
Can be run by Patient Name or Account Number. Can be run for a specific DOS or a range or all DOS Report gives information on all transactions done for
the account. PDS details can be opened from here by clicking on
Account No. Charge and payment details can be opened by
clicking on the link under the description column.
HCFA 1500
Assuring to the best of the Services all the time
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