HEALTHCARE PROVIDER SERVICES
HEALTHCARE PROVIDER SERVICES
EMPOWERING HEALTHCARE PROVIDERS WITH TAILORED PATIENT SUPPORT SERVICES
Comprehensive CX Solutions for Healthcare Providers
Fusion CX delivers a full range of services designed to optimize operations for healthcare providers. Our solutions include patient engagement, customer service, revenue cycle management (RCM), and provider support, allowing providers to focus on delivering high-quality care while we handle the administrative complexities.
With over 35 years of experience, Fusion CX combines advanced technology, scalable processes, and a patient-first approach to improve healthcare delivery and provider operations. Our tailored services ensure compliance, enhance operational efficiency, and deliver superior member and patient experiences.
OUR HEALTHCARE PROVIDER SERVICES PORTFOLIO
PATIENT ENGAGEMENT AND CUSTOMER SERVICE
Appointment Management
Scheduling, Reminders, and Follow-Ups (Inbound and Outbound)
Efficient appointment scheduling services with automated reminders and follow-ups to reduce no-shows and improve patient satisfaction.
Inbound and Outbound Patient Communications
Provide seamless support for appointment changes, confirmations, and reminders through inbound and outbound calls, SMS, and email.
Customer Service
Handling Inbound Patient Inquiries and Concerns
Offer responsive, empathetic support for all patient inquiries related to appointments, benefits, and care services.
Emergency Hotline Services
Provide immediate, 24/7 emergency support to assist patients in urgent situations.
Patient Experience Analytics and Satisfaction Metrics
Use data-driven tools to measure patient satisfaction and improve the patient experience across all touchpoints.
Multilingual Support for Diverse Patient Populations
Ensure accessibility by providing multilingual support to diverse patient populations, improving communication and patient engagement.
Nurse Triage and Care Navigation
Offer nurse triage services to guide patients through symptoms and provide care navigation, ensuring they are directed to the appropriate level of care.
Post-Discharge Care
Follow-Up Calls and Care Coordination
Conduct follow-up calls with patients post-discharge to ensure continuity of care and promote recovery.
Care Coordination
Coordinate care between various healthcare providers to ensure comprehensive patient management.
Proactive Outreach
Preventive Care Campaigns and Wellness Reminders
Promote wellness and preventive care through targeted campaigns and reminders for screenings, vaccinations, and annual check-ups.
Health Education and Awareness Initiatives
Educate patients about health risks and wellness practices through targeted outreach and educational materials.
Medication Adherence Calls
Proactively engage with patients to ensure they are adhering to prescribed medication regimens.
Chronic Condition Management Outreach
Conduct regular follow-ups with patients managing chronic conditions, offering personalized guidance, reminders for check-ups, and support to ensure ongoing adherence to treatment plans.
REVENUE CYCLE MANAGEMENT (RCM)
Front Office Support
Insurance Verification and Eligibility Checks
Verify insurance coverage and patient eligibility before services are provided to ensure timely reimbursement and minimize claim denials.
Preauthorization and Precertification Management
Manage preauthorization and pre-certification processes to ensure that medical procedures are authorized and covered by insurance before they occur.
Mid-Cycle Support
Medical Coding, Including HCC Coding Services
Ensure accurate and compliant coding for medical procedures, including HCC coding services, to optimize reimbursements and ensure regulatory compliance.
Claims Submission and Edits
Submit claims accurately and promptly, making any necessary edits to reduce the risk of denials and ensure proper reimbursement.
Charge Capture
Accurately capture all charges related to patient care to ensure complete and timely billing.
Back Office Support
Payment Posting and Reconciliation
Efficiently post and reconcile payments to ensure that accounts are up-to-date and accurate.
Accounts Receivable Management and Collections
Manage outstanding accounts receivable, reduce days in AR, and facilitate collections to improve cash flow.
Denial Management and Appeals Processing
Address claim denials and initiate appeals to maximize revenue and ensure healthcare providers are properly reimbursed.
Charge Capture Optimization
Ensure all billable services are accurately captured and coded to prevent revenue leakage, improving reimbursement rates and maintaining financial integrity.
PROVIDER SUPPORT AND CUSTOMER SERVICE
Credentialing and Network Participation Assistance
Provider Credentialing
Assist providers with the credentialing process to ensure compliance with regulatory requirements and network participation standards.
Network Participation Assistance
Guide providers through the network participation process, ensuring timely approval and smooth onboarding.
Medical Record Management
Comprehensive Medical Record Management
Manage patient records in compliance with HIPAA regulations, ensuring they are accurate, up-to-date, and easily accessible.
EHR Integration
Seamlessly integrate with Electronic Health Records (EHR) systems to improve workflow efficiency and ensure accurate data capture.
Scribing Services
Medical Scribing Support
Provide qualified medical scribes to assist healthcare providers during patient consultations, enabling them to focus on care rather than documentation.
Electronic Charting Support
Ensure accurate, timely documentation of patient encounters to optimize the clinical workflow and improve patient care.
AI SOLUTIONS FOR SALES AND CUSTOMER SUPPORT
Arya (Support Coach)
Provides real-time assistance to agents, streamlining customer interactions and RCM workflows for billing, claims, and payments.
Conversational AI
Enhances responsiveness with AI-driven voice bots for inquiries, eligibility checks, and claims follow-ups.
AI QMS
Ensures compliance and accuracy with automated audits, minimizing errors and maintaining service quality.
Marketing AI
Drives customer acquisition, engagement, and retention through data-driven outreach strategies.
THE FUSION CX-FACTOR
17K+
Skilled
Agents
PCI-DSS
Certified
25+
Language
Support
Ensured Business
Continuity
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WHY CHOOSE FUSION CX FOR HEALTHCARE PROVIDER SUPPORT?
Comprehensive Healthcare Solutions
Fusion CX offers a wide range of services that span the entire healthcare provider lifecycle, including patient engagement, revenue cycle management, medical record management, and care coordination.
AI-Driven Technology
Fusion CX leverages advanced technology and AI to automate workflows, improve accuracy, and streamline operations, reducing administrative burden and increasing productivity.
Expertise in Healthcare Operations
With over 35 years of experience in the healthcare industry, Fusion CX is equipped to handle the complex needs of healthcare providers, from appointment scheduling to claims processing.
Personalized and Empathetic Service
We deliver tailored, patient-centric services, ensuring a positive experience for both patients and healthcare providers. Our multilingual, 24/7 support ensures that we meet the diverse needs of patients.
FAQS
FAQS
What healthcare provider services does Fusion CX offer?
Fusion CX offers patient engagement, revenue cycle management, medical record management, care coordination, and provider support services.
How does Fusion CX help with appointment scheduling?
We offer automated appointment scheduling, reminders, and follow-up calls to streamline patient engagement and reduce no-shows.
Can Fusion CX assist with claims processing?
Yes, we provide full claims processing services, including claims adjudication, re-pricing, and payment reconciliation to ensure timely and accurate reimbursements.
What is the role of Fusion CX in care coordination?
Fusion CX facilitates seamless care coordination between healthcare providers, ensuring patients receive timely and appropriate care.
How does Fusion CX ensure compliance with healthcare regulations?
We ensure compliance with HIPAA, CMS, and other healthcare regulations by using secure, compliant systems and trained professionals to handle sensitive data and operations.
