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