Physicians are being faced with very complex regulatory and policy requirements that change on a monthly basis. As new Quality Payment Programs like MIPS and APMs replace Meaningful Use, PQRS, and Value-based Modifiers, getting reimbursed accurately and in a timely manner is becoming more difficult. These complexities are leading to physicians failing audits and paying as much as triple the dollars in penalties.
It begins with Intellicure EHR actually calculating the appropriate E/M or procedure code. The selection is always 100% compliant with the medical documentation, because they both derive from the same source. That code automatically feeds into our Central Billing Office (CBO) and our trained professionals compile and process our physicians' claims.
Intellicure's CBO team has a deep understanding of public policy and private payor contracting. They track regulatory changes daily and manage the entire billing process from start to finish. Physicians that use Intellicure for billing services have denial rates of .06% (six tenths of a percent) and a 100% success rate for quality programs like PQRS.
From Credentialing to Collections, all aspects of the billing process are handled by the Intellicure CBO!