Billing Programs
Government payers represent the largest payer mix for most healthcare providers today. The complexity of such payers is well known and the need to develop precise billing and follow-up guidelines is key to becoming successful. Because of the ever increasing amount of required documentation and the complexity of producing an accurate claim, providers experience routine delays in claim submission and then fail to accurately follow-up on a claim. IHMS is there to help you change this and to assist you resolve aged accounts receivable.
Medicare
IHMS has leveraged technology to assist in the cleaning up unpaid government claims. As a member of IVANS we have access to the AT&T Global Network. This network provides on-line access to most Medicare Fiscal Intermediaries and some Part B carriers. We utilize this access to:
- Check eligibility
- Check available benefits
- Check the current status of the claim
- Check claims history
- Resubmit claims
- Request an adjustment to a previously paid claim
Medicaid / AHCCCS / Medi-Cal
For State based government payers like Medicaid, AHCCCS, and Medi-Cal, IHMS uses a simple and effective approach to claims resolution. Some State based payers provide online access and others do not. In any case the process is straightforward
- Review hospital notes and history
- Document the next step to claim resolution
- Verify eligibility when questionable
- Check state of current claim
- Resubmit claim if necessary
- Check status on requested medical records
Out-of-State Medicaid
IHMS offers Out-of-State Medicaid billing services to any of our clients currently enrolled in one of our eligibility programs. This service includes assistance with provider enrollment as well as the billing and follow-up on out-of-state Medicaid claims.
Key Benefits
- Increased Collections
- Resolution of unpaid aged receivables
- Reduction in A/R Days
Capabilities
Automated Referrals.
IHMS is positioned to handle electronic and hardcopy referrals. By utilizing a hospital-based patient accounting system IHMS is also able to retain client specific financial class and patient type information throughout the collections process.
Electronic Billing
IHMS utilizes remote access, web based portals, and stand-along electronic billing platforms to insure the timely submission of claims.
Client System Documentation
For most billing and follow-up projects IHMS documents all collection efforts on the client system providing our clients with quick access to account status information.
Detailed Standard Operating Procedures (SOP)
Before a single account is reviewed by IHMS a meeting is held to jointly develop a Standard Operating Procedure (SOP) for the project. This document is updated routinely to include any changes to procedures and when they occurred.
If you have any question fill out our Contact Form
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