Accounts Receivable Management Services
Our proprietary billing system tracks each claim and follows up on those that are not resolved within timely payment parameters. Payments are reconciled to specific contracted allowables for contracted payers to help ensure that payers are paying according to established and agreed-upon terms. Reports reveal how much is collected each month and in what timeframes. Intermedix also processes credit balances, coordinates refunds, and manages unclaimed property.
Claims Appeals
Certain denials trigger automatic reviews and appeals. In conjunction with our clients, our client service representatives, compliance officers, CPAs, and attorneys regularly challenge and appeal inappropriate claims denials, payment errors, and more. Accounts are not turned over to collections without first exhausting the availability of other resources.
Transition Funding
Intermedix provides our clients with unique solutions to help alleviate the problem of securing initial funding. A significant challenge for most groups in obtaining a new contract is funding the initial Accounts Receivable until level monthly cash flows are achieved. Our transition funding solution fills the gap until level monthly cash flows have been reached. We can offer you a tailor-made solution to fit your group's individual needs.
Provider Credentialing
Enrollment with programs such as Medicare, Medicaid, and Blue Cross and Blue Shield can be extremely challenging and, when not done properly, the results can have a significantly negative impact on your group. These challenges are greater today than they have ever been. Intermedix minimizes the hassle and takes the worry out of the process for our clients.
Analytics
- Reimbursement Analysis
Intermedix consistently monitors reimbursement to ensure that your payers comply with your contractual agreements and remit appropriate and timely payment. Your specific contracted payment terms are loaded into our proprietary billing software and payments are measured against those expected values. Reporting capabilities allow Intermedix Client Services staff to isolate an account if it has been improperly paid or denied. Any payments received that are different from those expectations are appealed.
- Managed Care Plan Analysis
Intermedix will evaluate the terms of managed care plan agreements that you are considering. Our clients have sought our professional opinions to facilitate negotiations with payers across the country. The impact the plan will have on your group will be known before agreeing to contract terms.
- Fee Schedule Analysis
We conduct regular comprehensive reviews of client fee schedules to help ensure that fees are consistent with local market trends. Utilizing this market intelligence, a client-authorized charge/price methodology is logically and consistently applied to the fee schedule.
- Contract Analysis
Intermedix brings national insight to your local community. We will evaluate your contracts and policies - including hospital contracts, physician agreements, employment agreements, managed care plan agreements, insurance policies, and more. We also provide you with feedback regarding potential areas of improvement.
Documentation Education
Intermedix conducts onsite educational programs that include a comprehensive overview of CPT/Medicare Documentation Guidelines and offers practical approaches to documentation compliance. Client Service representatives provide our clients with monthly reports capturing services that could not be coded due to insufficient documentation. This feedback is designed to ensure that all services going forward are documented according to industry guidelines. The reimbursement for the work that was performed can then be fully realized.
Accounting Services
For clients looking for a one-stop solution for billing, collection, and accounting needs, Intermedix offers monthly bookkeeping services, accounts payable, check writing, tax return preparation, and more.
Payroll Services
Intermedix can perform partial or complete payroll services for our clients and can accommodate a variety of formulas including fixed-hourly, hourly-plus, RVU-based models, and more.