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Practice Management Services

Credentialing

Out of Network Claims Negotiation

Whether you are a Payor or a Provider, our Non-Network Fee negotiaton is a significant cost savings program for you. In addition, we provide a comprehensive line-by-line charge review and rapid claims repricing resulting in prompt payment and no balance billing to the patient.

• Provider Enrollment
  
• Managed Care Contracting
  
• NPI review
  

The Office of Inspector General recommends that healthcare providers perform regular periodic claim audits to verify that they bill services correctly to Medicare and other third-party payors. An effective auditing program can decrease your compliance risk and increase your peace of mind. Our consultants perform audits tailored to our clients' specifications, prospective or retrospective, and as large or small as required. We will also pinpoint areas of compliance vulnerability as well as untapped revenue and maximize proper reimbursement. Findings are delivered in a comprehensive written report that will help in implementing corrective action and serve as a record of the client's compliance efforts.

Monthly or Quarterly Financial Reporting, Benchmarking & Data Analysis will highlight any areas of concern or discrepancy.  This will ensure that all aspects of your practice are running smoothly and efficiently while optimizing maximum revenue. Depending on your software capability, reports may include:

• Procedure Analysis by Physician and Group
  
• Collections by Financial Class
  
• Charges, Revenue and Adjustments by Financial Mix
  
• Average Charge, Number of Patients & Total Charges
  
• Frequency of Procedure Codes
  
• Accounts Receivable Aging
  

Integrity Healthcare Solutions

Auditing Services