Streamlined Work Flow
Our system is set up so that it will capture all patient events from the initial intake notes. We encourage our clients to obtain updated insurance information at every visit. We ensure that patient demographics are consistent and correct. We are cognizant of requirements for various carriers and government payers. We know when referrals and authorizations must be made to ensure payment. At Hybrid IMS Services, these matters are routine, rather than occasional.
Our distinctive workflow specially designed to maximize cash flow is as folows
Our Work flows
Pre-Visit Activities
Keep Track of Provider’s Schedule
Perform Prior Eligibility
Determine plan Coverage
Obtain Prior Authorization/Referrals
Calculate Patient’s Responsibility in advance (co-pay, Co-ins, Deductible)
Set Alerts for front office and provider regarding Billing Issues
Post-Visit Activities
Claim Scrubbing (Validating ICD, CPT, Modifiers & LCD)
Applying Plan Specific Rules
Attaching Required Documentation with Claims
Best Turn Around Time
Aggressive Follow-ups
Additional Activities
Reporting
Efficient Support (dedicated email group – Support over phone
Ad-hoc reporting upon request
EDI Enrollments
Credentialing
Regular QA Audits
Leading Physicians towards MAXIMUM REIMBURSEMENT