HOW WE ARE UNIQUE IN HEALTHCARE SERVICES
Service & Benefits the ITH Advantage Services:
ITH Innovative Medical Billing provides an end-to-end modular but integrated billing solution to its customers. Besides, ITH seeks to improve the revenues of physician practices and hospital-based physicians. ITH has the competencies and infrastructure to work with healthcare service providers and medical billing companies. ITH systems can ride on Client's existing processes and software to give them quality and fast turnaround time on their data processing functions. ITH systems can adapt to any software that the Client has without having to make new investment to accommodate the billing process. ITH expertise in medical billing and technology helps Clients to enhance revenue through prompt medical billing and cost -saving on the Clients' staffing operating expenditures.
Expertise:
ITH offers expertise on various billing software applications that include Medic, Medics II, Medisoft, Lytec, Sequelmed, Vision, Sourceone Med and IDX. ITH's team is fully competent and trained in regulations pertaining to Medicare, Medicaid, Third Party Liability, Workers Compensation, Preferred Provider Organizations, and Indemnity Insurers. The team has full understanding of CPT, HCPCS, ICD-9 coding level I, II and III and able to submit clean insurance claim for reimbursement by insurers.
Infrastructure:
ITHs comprehensive and integrated infrastructure includes:
- Built in IT redundancies for uninterrupted operation
- Independent internet Leased Circuits from multiple ISPs installed for data access and redundancy
- Networked capacity of over 100 seats.
- 200% power back up
- 24/7 secured state-of-art access control systems
- Fire alarm and prevention system
- Dedicated training infrastructure
Training:
In any skill development process, Practice makes perfect. At ITH we believe in the value of practice as a means of reducing human error- in claims processing, and in applying the relevant billing rules on each account. We have a variety of training programs catering to various kinds of roles such as Demographic entry, Coding, Charge entry, Transmission, Cash posting, Denial Analysis, AR Calling, Project transition, Project management and Team management.
Process & Delivery
Patient Demographics and Charge Entry:
Our Medical Billing Charge Entry Service gets your Claims and Demographics entered in your billing system rapidly and accurately. Through the creative combination of advanced technology and qualified and experienced billing professionals, can get the claims sent to payers faster with 100% quality. A completely seamless solution that minimizes processing while utilizing your guidelines and billing software.
Client Requirement Analysis Study:
This process commences once a Client approved to conduct process study and to submit a presentation on the benefits of business process outsourcing. The study will determine the specialties covered, required cycle time, type of files, type of reports and formats required.
Transfer of Files from Client:
Clients send scanned copies in ".tif" format of patient registration sheet, super bill, and insurance card copies to ITH through dedicated account for each customer, 128 bit encryption, state of Art Cloud Storage FTP site and faxing.
Downloading and Allocation of Files:
The files received from Clients are downloaded by Medical Billing Team and assigned to dedicated Demographic and Charge Entry Team.
Patient Demographic Entry:
Once the downloaded files are assigned to designated team, the Demographic Team starts entering the patient's details that include patient's name, Date of birth, address, social security number, Employer, Insurance , and guarantor details.
Charge Entry:
After entering demographics the Charge Entry Team inputs all charges which are given in the super bill with the appropriate procedures, diagnosis and modifiers into the billing system.
Claim Submission:
Upon completion of Charge Entry process, a claim is electronically submitted from the Client's billing system to the insurance company. For paper claims, CMS 1500 or CMS 1450 forms are filed, scanned, and uploaded to ITH's FTP site that is forwarded to the Client to be mailed.
Cash posting:
Experienced billing professional post payments from EOBs, Charge Slips and other documents. They post payments to the patient account number, billed amount, adjusted amount, paid amount, Write-offs, co-insurance, denials , adjustments and Correspondence processing.
Analysis
EOB Follow-up:
When partial payment is made, analysis is conducted and corrective action and follow-up is taken.
Denial Analysis:
Analysis is conducted on EOB and claims to take appropriate action to recover the amount.
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