The questions below are the ones physicians and practice owners actually ask us in a first conversation. If yours is not here, call 630-886-7358 or email info@fortunahcs.com and we will answer it directly.
How are you different from our billing company? A billing company submits your claims. We own the business performance of the practice — revenue cycle included, but also ancillary programs, front office, staffing, technology and growth strategy. Where a billing vendor reports activity, we are accountable for the outcome and report against KPIs weekly. Many of our clients keep their billing vendor; we manage that relationship to defined targets rather than replacing it.
Are you consultants? Not in the usual sense. Consultants assess, recommend and hand you a document. We assess, then build what the assessment calls for, then stay and run it. The report exists to agree on priorities, not to be the deliverable.
What does “operating partner” mean in practice? It means named people from our team working inside your operation on a regular cadence — daily on the claim and authorization queues, weekly on KPIs with your staff, monthly on collections against target, quarterly on growth. Not a call once a month.
What services do you offer? Nine areas: new practice startup, revenue cycle management, credentialing and payer enrollment, payer contract negotiation, practice operations redesign, EHR selection and optimization, compliance and coding audits, fractional leadership, and expansion, staffing and M&A. You can engage us for one or hand over the whole business function.
Which specialties do you work in? We have built playbooks for neurology, cardiology, primary care and internal medicine, psychiatry and behavioral health, rheumatology, and urgent care. A playbook means the service lines, coding standards, workflows and KPIs for that specialty are already defined, so the work starts from a known model rather than a blank page.
Do we have to hand over everything? No. Most engagements start with one problem — usually a revenue cycle assessment or a practice launch — and expand only if the first piece of work earns it. Scope is agreed in writing before anything changes in the practice, including an explicit list of what we will not be doing.
Are we locked into a long contract? No. Engagements are terminable on notice and the scope is defined in writing up front. We would rather earn the next quarter than rely on a contract to keep it.
What happens if we stop working with you? The systems, documentation, dashboards and trained staff stay with the practice — your team learns the parts they own.
How long does an engagement last? The assessment takes two weeks. Build and execution typically run three to six months depending on scope. After that it is either a defined end point or an ongoing operating relationship, and you choose which.
How quickly will we see results? Cash-side improvements — denial fixes, A/R work, coding corrections — usually show inside the first quarter because they act on revenue already earned. New service lines and referral growth take longer, typically two to three quarters before they carry meaningful volume.
What does it cost? It depends on scope, and we will not quote before we understand the practice. What we can tell you is how we price: a fixed fee agreed in advance for the assessment, credited against your first invoice if you engage us, then one of three models for the engagement itself — fixed fee plus performance-based, revenue share, or a long-term operating partnership. We do not bill for activity or hours.
Is the assessment free? No — but it is credited back. The assessment is a fixed fee agreed in advance, and if you go on to engage us, that fee is deducted from your first invoice. It produces a written analysis of your revenue, operations and growth potential with a dollar figure against each gap. Charging for it keeps it a real piece of work rather than a sales call. Crediting it back means it costs you nothing if we end up working together.
What size practice do you work with? Typically physician groups generating $1M to $10M or more in revenue, and new practices being built from the ground up. Below that range the economics rarely work for either side, and we will tell you so rather than take the engagement.
What happens to my staff? In most engagements, nothing — they get clearer roles, better workflows and training. We are usually adding capability rather than replacing people. Where the staffing model genuinely is the problem, we say so during the assessment rather than after you have signed.
Do you need access to patient records? No. Our work runs on financial and operational reports — charges, payments, adjustments, denials, claim counts, visit volumes, scheduling data. We do not need patient-identifiable information, and we ask clients not to send it. Where a specific piece of work requires system access, it is scoped and governed separately.
Do you work with our EHR? We work across systems and have deep experience with eClinicalWorks, including setup, migration, interface connectivity and template design. Our EHR selection work is vendor-neutral — we are not a reseller and take no commission from any platform.
Who actually does the work? Named onshore leadership who are accountable to you, supported by offshore capacity for the functions that scale — scheduling, medical records, referral and prescription coordination, and parts of the revenue cycle. You will know who your lead is, and that person does not change without a conversation.
What is the first step? A Discovery & Opportunity Assessment. We review your revenue, operations and growth potential and come back with a quantified view of the gap between what your practice earns and what it collects — and what closing it would be worth.
What do you need from us to start? A short conversation with whoever owns billing and operations, and three standard reports from your practice management system. Any biller or administrator can export them in a few minutes. We will send the exact list.
Where do you work? We are based in Plano, Texas, and most of our clients are across Texas. We work with practices outside Texas where the specialty and the model fit.
How do we get in touch? Call 630-886-7358, email info@fortunahcs.com, or request an assessment through the contact form. We will come back within one business day.
Every engagement begins with a baseline. We look at revenue, operations and growth potential, and come back with a quantified view of the gap between what your practice earns and what it collects. The fee is credited against your first invoice if you engage us.