Revenue Recovery Services

We offer the following services to analyze your practice recover lost revenue from past records:

Auditing / Compliance
  • Assess medical records for completeness and accuracy
  • Assess documentation accuracy
  • Assess Compliance with respect to coding and billing
  • Enhance Revenue
  • Discover Lost Revenue
  • Look for Coding Irregularities

The following analysis is performed to uncover problems in your existing procedures:

Medical Billing Analysis
  • Review of entire billing process, including software
  • Coding Practices and Billing Methodology
  • Unbilled Charges and Services
  • AR Characteristics and Type of Denials
  • Revenue Flow and A / R Recovery
  • Dead AR Recovery
  • Ageing Review
Coding Analysis
  • ICD-9, CPT-4 and HCPCS coding
  • Modifiers usage
  • Under coding E / M visits or vice versa
  • CCI and NCCI Edits
  • Accurate, ethical and compliant coding
Collection Analysis
  • Contracted Amount Vs Payment Collected
  • Drugs Profit / Loss Analysis
  • Underpaid and Undervalued Charges
  • Contract Negotiation
  • Out of Network Payment Analysis and Negotiation

  • "We have been working with Fedora Solutions for almost two years now. I must say they have been a tremendous help in working with our numerous accounts. Since they have been working with us we have been able to remain timely with our patient's accounts. I want to thank all staff members for their hard work and the many hours they have put into helping us." - Evelyn Rangel
    Account Rep
  • "I have been working with Fedora Solutions staff for the last couple of years and they have been a big help with our billing and any question we have. They are quick to respond by email or phone and they are always willing to help in anyway they can and a pleasure to work with."- Tammie Ambriz
    Insurance Supervisor
  • "It has been a great pleasure to work with Fedora Solutions for the last two years.  They have learned every aspect of our billing department and have been a tremendous help in keeping our business current.  They have taken on everything we have given them & helped keep pace with our expanding practice."- Sandra Wheeler
    Payment Coordinator
  • "It has been my pleasure to work closely with staff at Fedora for several years. The staff and Fedora are friendly and has been a great asset to our companys success. The staff at Fedora are extremely knowledgeable and are quick to solve problems such as coding and billing issues and the appeals process in the event a claim has been denied. I look forward to many more years working with Fedora and their highly trained staff."- Cynthia Hukill
    Account Rep