Managed Care
 

Managed care needs to be managed properly.  Depend on your IHBS team to have the experience and knowledge to watch out for your best interests.

  • IHBS’s Managed Care Coordinator
    • 15 years of physician and hospital contracting experience
    • Provides routine review of all managed care contracts
    • Random EOB analysis to verify correct payment
  • Cash Posters have a payment grid for each client contract to monitor payment terms
    • When contract terms are not adhered to the EOB is sent to our Managed Care Coordinator
    • Programmed payment logic errors or client demographic set-up errors are corrected
  • Payment and adjustment reports can be provided in any form and as frequently as required by the physician group
    • By payor, patient, CPT doctor/PA/NP, location of service, date of service, denial, or contract
    • Monthly, quarterly or semi-annually
    • An aged outstanding claim report is run weekly

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