Services
Medical Billing & Revenue Cycle Management Services
Medical billing solutions across the revenue cycle: eligibility verification, coding, claims processing, denials and A/R, by certified professionals.
End-to-end RCM
Hand off the whole revenue cycle to one team, or a specialized billing line such as EMS.
Revenue Cycle Management
A complete cycle management solution, run end-to-end by a professional and experienced billing team.
- Scheduling, registration, and eligibility verification
- Charge capture and coding
- Claim scrubbing and submission
EMS Billing Services
Specialized ambulance and EMS billing support built to drive better clinical, financial, and operational outcomes.
- ePCR review for medical necessity, mileage and signatures
- ALS/BLS level-of-service and mileage coding
- Origin/destination modifiers and point-of-pickup ZIP codes
Chronic Care Management Billing
Billing for chronic care management programs: code selection across 99490, 99491 and the add-on codes, time tracking that survives review, consent documentation and clean monthly claims.
- Monthly CCM claim preparation across 99490, 99491, 99439, 99487 and 99489
- Consent documentation verification before the first billed month
- Monthly time-total review against the code billed
Front-end
Get coverage, benefits and authorizations right before the visit, where most denials start.
Eligibility Verification
Insurance verification services that confirm coverage and benefits before every visit, from network status and deductibles to visit limits and carve-outs, so claims start clean.
- Coverage and member details confirmed before each visit
- Plan type and network status for the rendering provider
- Copays, coinsurance and deductible status
Prior Authorization
Prior authorization handled from the first requirement check to the auth number on the claim, with referrals, visit counts and expiration dates tracked for every approval.
- Authorization requirement checks by payer and service
- Clinical documentation gathered for each request
- Submission by portal, fax, phone or electronic transaction
Credentialing & Enrollment
Our credentialing team handles the paperwork, payer applications, and re-validations for you, start to finish.
- NPI, taxonomy and CAQH profile setup
- State licensing coordination
- Medicare (PECOS), Medicaid and commercial payer enrollment
Virtual Front Desk
Live call answering, appointment scheduling, patient intake, and message handling for medical practices — a trained front desk without the hiring, training, and turnover.
- Live call answering in your practice's name, during the hours you set
- Appointment scheduling, confirmations, and reminders in your system
- New-patient intake: demographics, insurance details, and reason for visit
Coding & claims
Accurate professional fee coding and claims that pass payer edits the first time.
Medical Coding
Certified coders help keep claims accurate and compliant, supporting better financial and operational outcomes.
- CPT, ICD-10, and HCPCS coding
- E/M level review and documentation matching
- Modifier application and review
Claims Management
Charges entered accurately, each claim checked before it leaves your practice, submitted electronically and followed until it is paid or resolved.
- Charge entry and charge capture review in your EHR/PM system
- Claim review before submission
- Electronic 837P submission through your clearinghouse
Back-end
Post payments, work denials and unpaid claims, recover underpayments and collect patient balances.
A/R Management
Our team assists healthcare providers in collecting outstanding revenue faster with focused, persistent follow-up.
- Aging A/R bucketed by payer and age
- Claim status checks by 276/277, portal and phone
- Insurance follow-up with documented notes on every contact
Payment Posting
Payment posting services that record every insurance payment, adjustment and denial in your system, reconcile it to bank deposits and flag problems early.
- 835 ERA posting and paper EOB entry
- Adjustment and reason code review on every line
- Deposit and remittance reconciliation
Denial Management
Claim denial management that corrects, appeals and tracks every denied claim, then fixes the step that caused it so the same denial is less likely to return.
- Denials captured from ERAs and payer letters as payments post
- Triage by payer deadline and claim value
- Corrected claims and resubmissions
Old A/R Recovery
A defined cleanup project for aged and legacy A/R: we sort what is still recoverable, work it against payer deadlines and document what is not.
- Inventory of open A/R by payer, date of service and status
- Triage by claim age, payer and time left on each deadline
- Claim status checks and payer research on every balance
Patient Billing & Collections
Patient billing services with clear statements, steady balance follow-up and payment plans that help patients pay what they owe, in step with your practice policies.
- Patient statements after insurance has paid
- Patient balance follow-up on a set schedule
- Self-pay and uninsured balance handling
Revenue integrity
Know where revenue is leaking, what your numbers mean, and keep providers enrolled.
Analytics & Reporting
Drive better clinical, financial, and operational outcomes with clear, transparent performance dashboards.
- Clean claim rate and first-pass rate tracking
- Denial trend reports by reason and payer
- Collections vs. charges by provider
Underpayment Recovery
Underpayment recovery that compares what payers pay with what your contracts and fee schedules say they should, then works the gaps through reconsideration and appeal.
- Loading and checking your payer fee schedules
- Line-level comparison of allowed amounts to expected rates
- Variance reports by payer, code and provider
How a claim moves
From patient visit to paid claim
Our services connect into one workflow, so every stage hands off cleanly to the next.
Registration & eligibility
Scheduling, registration and insurance verification.
Coding
CPT, ICD-10 and HCPCS codes applied.
Claim scrubbing
Checked against payer rules before submission.
Submission
Sent electronically to the payer or clearinghouse.
Payment posting
Payments posted and reconciled.
Follow-up & appeals
Denied claims corrected and tracked until resolved.
FAQ
Questions about our services
Still have a question? Talk to our team about your billing workflow.
What is Revenue Cycle Management (RCM) and how does Fastora approach it?
RCM covers every step from scheduling and eligibility checks through claim submission and final payment. Fastora runs this as one connected workflow — our virtual assistant, scribe, and billing teams hand off cleanly at each stage, so nothing slips between phases.
How does your pricing model work?
Pricing details to be provided by the Fastora team — commonly structured as a percentage of collections or a flat monthly fee depending on practice size and services used.
What types of practices do you serve?
We work with primary care, specialty practices, urgent care and ASCs, behavioral and mental health providers, freestanding EDs, rehab and chiropractic clinics, dental and oral surgery practices, and home health and hospice providers.
How do you ensure the security and privacy of our patient data?
Data security and patient privacy are crucial when it comes to medical regulation in the United States. We are fully HIPAA and HITECH compliant, implementing encryption, secure server environments, strict access controls, and regular internal audits to safeguard all sensitive information.
Ready to simplify your medical billing?
Talk with Fastora about your billing workflow, revenue cycle challenges, claims, denials and accounts receivable needs.