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

Highlights of FMB
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
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

day

the overview of the work done for the

Daily Activity Summary Report

Patient Demographic 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

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