Our Services
Insurance Billing
At IHFMC, we have a dedicated team of seasoned billers and account representatives who understand the ins and outs of claims submission. We ensure all of our billing codes are up to standard and follow all AMA and CMS guidelines to ensure the best possible reimbursement. We are knowledgeable with UB04 for all institutional billing and HCFA 1500 for all professional billing.
Claims Follow-up
Our team at IHFMC are dedicated to ensuring that all claims submitted to insurance are paid in a timely manner required by state laws. With this information, our team will follow up on your claims from day 1 of billing to ensure claims are received and adjudicated. Any claims issues can be identified within the week and re-submissions immediately. We strive to keep your AR under 90 days.
Payer Credentialing
The Payer credentialing process can be very gruesome and cumbersome for new and existing providers. IHFMC has a team of professionals who work with specific payers to obtain credentialing and payer contracts based on your services needed. We will do all the leg work from submitting a letter of interest, to submitting an application and then tracking its process to ensure you are in-network. We will also negotiate contract rates and suggest the best rates for your state and services.
Verification of Benefits (VOB)
The VOB process can be tedious, and the information received are sometimes misinterpreted. Our VOB team provide two types of VOB – a live and online VOB. We use various tools to obtain VOBs from web portals such as Availity, VerifyTX and payer specific portals. Live VOBs are also available when information on the portal is not available. Based on what your needs are, our team can respond to your admissions team within the hour and provide the most accurate data to ensure admissions.
Census Tracking/Reporting
Census tracking has become more and more popular to assist providers understand the overall data of their business. Our services tracks census for inpatient and outpatient levels of care and the output can consist of Average Daily census, patient days, outpatient visits, net revenue, admissions, and discharges. Our team has the knowledge and expertise that can tailor to your provider needs.
NPI Set-up
According to HIPAA regulations, all healthcare providers must have a National Provider Identifier (NPI). This number is a special, government-issued, universal identifier for healthcare organizations and individual providers, including clinics, hospitals, pharmacies, schools, and group practices. We have qualified staff connected with CMS I&A and NPPES to
create NPIs for your organization.
Data/Business Analytics/KPI Metrics
The competitive advantage belongs to facilities that extract insights from enterprise data in today's data-driven environment.
You need quick access to current, high-quality data and analysis to stay on top of shifting market dynamics and make smarter strategic decisions.
With the help of business analytics, you can eliminate uncertainty in decision-making and make confident business decisions supported by solid measurements and insights. With the use of business analytics and data analytics, you may more effectively influence future outcomes, improve decision making, and change your company from what is currently happening to what will happen in the future.
- Predictive and prescriptive forecasting
- Real-time access to your data
- Financial and operational planning
Other Available Services
· Accounts Receivables (AR) Aging Analysis
· Utilization Management
· Self-Pay/Private Pay Collections/Early outs and Bad Debts
Due to the fast paced environment of today’s healthcare and the avalanche of changes that are required to stay in compliance, it is imperative for businesses to have access to professionals who can maximize revenue and improve workflow processes to ensure the financial viability and longevity of their company.