Billing and Claims Management Solutions

There are billing companies, and then there’s Integrity Billing Solutions...

The vast majority of billing companies operate just like you do, a small business trying to compete in a multi-tiered, matrixed environment. For these companies billing claims are like credit card purchases, debits and credits that flow whenever a claim is sent in.

Integrity Billing Solutions knows better. Medical claims are seldom that straightforward; adjustments, co-pays, deductibles, denials and appeals are standard, and not for the faint of heart.

And this complex maze is now set to become even more so.

To navigate the payment labyrinth our end to end billing solution includes:

  • Claims submission and tracking to ensure timely payment
  • Remittance advice posting, including EOB scanning and payment verification
  • New payer rule development to monitor changes and keep payments on track
  • Advanced claim scrubbing to ensure clean claims the first time
  • Extensive follow-up and appeals process where nothing gets left behind
  • Customized reports to assess your practice’s performance and trends
  • A global dictionary of insurance package information, ensuring proper payer enrollment
  • Periodic account reviews where we examine payer successes and opportunities for improvement
  • Continuous contracts review to ensure that you are always billing at most current rates

Management and Consulting Services

We’re committed to your success...

We believe that improved operations means improved patient care, greater employee satisfaction and financial performance. We’ve worked with physicians and specialty providers across the country to improve their operations and enhance their bottom line.

Our consulting services include:

  • Revenue cycle management
  • Practice/Facility assessments See our Vital Signs Checklist
  • Practice management
  • Bill review
  • Third party contracting
  • Productivity and work flow analysis
  • Market strategy and business plan development

Our services for hospitals and ancillary services include:

  • Feasibility studies
  • Business plans
  • Start-up & development of:
    • Specialty unit development (Rehab, SNF, LTCH)
    • In-office physical and occupational therapy
    • Ambulatory surgery centers
    • Diagnostic services (MRI, Ultrasound, X-ray)
    • Alternative care clinics
    • Pain management programs
  • Pharmacy reviews and optimized pricing
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