BILLING
Insurance Verification
IBS has real-time access to insurance eligibility information prior to patient care. Verification can be done in batch mode(system runs eligibility
Charge Entry
IBS realizes that accuracy in data entry is vital to claims reimbursement. We’ve established a set of checks and balances to ensure that all patient and insurance information is entered correctly. Because of the multiple “scrubs” we have in place prior to claims submission (which minimizes potential human error), IBS has an accuracy rate of 98% clean claims before they hit the insurance company.
Coding Services
Certified Coders are a necessity because coding is the key step to proper reimbursement. A certified coder is educated It is very important to have certified professional coders (CPC) on your medical billing staff. IBS recognizes specifically on:
Being familiar with medical insurance plans and regulations regarding ICD, CPT and HCPCS codes and guidelines
Auditing and appealing denied medical claims
Advising medical providers how to improve their coding
Continuing education to keep current with medical compliance and reimbursement policies such as correct coding initiatives
Electronic Health Records (EHR)
IBS has the ability to submit claims to over 2500 payors and commercial insurance companies for faster reimbursement. Claims are submitted electronically to clearinghouse to be processed within 14 business days.
COLLECTIONS
Our follow-up on claims is what truly separates IBS from the competition. IBS is committed to following up on all outstanding claims, no matter the charge or reimbursement. We believe in continually following up with each insurance company until payment or processing is resolved. It is this attention to detail and commitment to our clients that provides an increased level of reimbursement and that sets us apart from our competitors.
Our follow-up methods include:
- Telephoning insurance companies regarding unpaid claims at 30 days for electronic claims and 45 days for paper claims
- Filing secondary and tertiary insurances
- Never balance billing a patient until unresolved insurance issues are completed
- Insurance Inquiries and Appeals to insurance companies for denied services that do not meet the National Correct Coding Policy that have been certified by CMS and approved by the AMA
- Telephone appeals requested on denied inquiries
- Creation of patient payment plans
- While other billing services make only a few attempts to collect receivables, CPM will make every attempt to collect payment from insurances companies.
Insurance Claim Management Services
IBS understands the importance of timely, medical claim follow up and practices the following standards for their clients to ensure maximum reimbursement:
Daily EDI error analysis
Medical Claim status call 20 days after submission
Quick denial correction using special denial management tracking tool
Accurate appeal filing
Aggressive medical claims resolution for AR over 60 days
Less than 10% of our A/R is over 90 days .
