Billing and Collections Management


Payer Credentialing

Our staff completes all of the necessary credentialing services, on behalf of our clients, to establish and maintain participating status. This service greatly reduces the time that our clients spend completing paperwork.

  • Compiling initial provider information file

  • Obtaining applications

  • Completing applications/agreements (incl. document request from facilities or provider, document request follow up, application completion)

  • Submitting enrollment applications/agreements

  • Following up on applications/agreements

  • Coordinating communications with payers during approval process

  • Following up with payers to expedite application processes

  • Documenting each step of enrollment process

  • Maintaining electronic file including most up to date information

  • Updating CAQH every 120 days (incl. database update, attestations, document updates when expired, etc.)

  • Completing requested information from payers/databanks and group (incl. updating licensure, liability face sheets, W9, etc.)

  • Completing requested information to assist with maintaining hospital privileges (re-credentialing done ever 1-3 years depending upon the hospital)

  • Updating Medicare application as necessary (e.g., change of location/name, revalidation)

Compliance

Our staff achieves the highest standards of quality and accuracy to ensure each claim we process is complete and correct.

  • Dedicated compliance committee

  • Standards of business ethics and conduct

  • Written policies and procedures

  • Compliance training program

  • Confidential discloser program

  • Coding compliancy program

  • Continuing employee education programs

Billing and Collections

Our staff maximizes reimbursements for profitable operations through timely billing and thorough patient account follow-up.

  • Electronic demographic interface

  • IPMS scanner installed

  • Experienced Account Manager

  • Dedicated staff of medical reimbursement specialists

  • Certified coders, physician education and coding feedback

  • Charges billed within 48 hours of receipt

  • Electronic billing edits received within 24 hours

  • Allowables pre-entered into billing system

  • Payments, denials, correspondence posted within 48 hours of receipt

  • Electronic storage

  • Denial report

  • No response report

  • Follow-up report

  • Direct month-end report(s) to client

  • Unlimited custom reports upon request

  • Monthly meeting with Account Manager

Managed Care Contract Review

Our expert Account Managers review payer contracts and negotiate with the various insurance companies to obtain optimum reimbursements. We work closely with the client, aggressively advocating on their behalf.

  • Contract review

  • Fee Schedule/Allowables

  • Payment policies

  • Non-covered services

  • Effective date tracked

  • Terms and termination

  • Top billed procedures

  • Reimbursement analysis

  • Direct payer relationship vs. IPA/PHO relationship

  • Strategic approach



Contact Us


Integrated Physicians Management Services
99 East River Drive
Fifth Floor
East Hartford, CT 06108

Phone: (860) 282-4124
Fax: (860) 282-0170
Email: contact@ipmscorp.com

The Pulse


Stay Informed


Spring Recess
The Senate went on Spring Recess without voting on the bill (H.R. 4851) that includes the Medicare Physician Fee Schedule freeze extension.  The Senate returns on April 12th and a cloture vote is scheduled for 5:30 pm that evening.
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