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EXPERTISE
> BILLING & COLLECTIONS |
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Maximize appropriate
Cash.
INCUS brings you knowledge and experience necessary to compete aggressively
within the complexity of health care reimbursement. We can expertly
help you manage reimbursement in all areas including Medicare and
Medicaid, managed care, commercial payors, workers' compensation
and private pay. With each program, we use proven techniques to
analyze and monitor reimbursement, and make specific changes designed
to isolate problems within your payor mix and create solutions for
optimal and accurate revenue realization.
INCUS managed care experience and expertise lies in fine-tuning
operations to extract maximum benefit from the variety of managed
care contracting mechanisms. We help you customize documentation
and billing procedures to maximize the economic effectiveness of
physician and hospital based operations within capitation agreements,
fee schedules and various formularies. INCUS goes further with in-depth
analysis of the A/R adjudication process, looking for inappropriate
discounting and unauthorized "silent PPO" activity.
We are also skilled in the managed care negotiation process, looking
at the broad proposals and the isolated CPT, ICD-9 and DRG product
and modifier reimbursements against operating costs. We have successfully
assisted hospitals and practices in the negotiation process and
in advising when a proposal is no longer profitable, and where there
may be opportunity to improve rates and conditions.
We also bring a strong compliance background to create methods for
assessing high risk billing activities and assure safe, compliant
billing practices without sacrificing revenues. Our reimbursement
teams are able to review coding practices to identify opportunities
for better reimbursement through more accurate documentation. We
can also develop credentialing packets for Medicare, Medicaid and
managed care providers. |
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