Frequently Asked Questions
What services does IMBS provide?
A: End-to-end revenue cycle management: credentialing, eligibility & benefits, prior authorization, coding & billing, claims submission/EDI, payment posting, A/R & denials, patient statements, and reporting.
Do you work inside our existing EHR/PM?
A: Yes. We plug into the systems you already use (major EHR/PM and clearinghouses) with no rip-and-replace—configuring edits, EDI, and workflows to your setup.
Which specialties do you support?
A: Multispecialty expertise including Oncology/Hematology, Cardiology, Radiology/Imaging, Primary Care, Behavioral Health, PT/OT & Rehab, Ophthalmology, Urology, ENT, SNF/Nursing Home, Dental, and more.
What does onboarding look like?
A: Discovery → access checklist → tracker setup → pilot → go-live. We align SLAs, reporting cadence, and owners, then ramp volume in measured phases to minimize disruption.
What are your typical turnaround times?
A: We initiate authorizations ~15 days pre-visit; most auths clear in 4–5 business days (urgent 24–48 hrs). Eligibility runs 4 business days ahead. Clean claims submit within 24–48 working hours; ERAs/EOBs post within 24 hours; secondaries go out within 24 hours of primary posting. (Timelines vary by payer/policy.)
How does pricing work?
A: Flexible models: percentage of net collections, per-FTE, or hybrid—scoped to volume and services. We include clear deliverables, SLAs, and reporting in every proposal.
How do you ensure HIPAA compliance?
A: Business Associate alignment plus layered safeguards: access controls, monitored facilities, workstation and device policies, encryption in transit/at rest, unique user authentication, audit logs, ongoing staff training, and documented incident/breach response.
How will we see performance?
A: Weekly operational pack (EOB review, denial file, high-balance, complicated cases, A/R aging, credentialing status) and monthly roll-ups with reconciliation and write-off audits.
Do you handle prior authorizations?
A: Yes—start early, track daily, and obtain “not required” confirmations when applicable. We verify auth on file matches the same payer shown on eligibility to prevent denials.
Can you help with credentialing and payer enrollment?
A: Absolutely. We manage initial enrollments, group adds, re-credentialing, CAQH upkeep, panel adds, and coordinate contract onboarding so approvals turn into active billing quickly.
Who manages patient statements and questions?
A: We prepare clear statements aligned to eligibility-based estimates and can assist with patient billing inquiries, routing exceptions to the right clinic contact as needed.
What KPIs do you track?
A: First-pass acceptance, denial rate and reasons, days in A/R by bucket, net/clean collection ratios, under/over-payment trends, high-balance progress, and provider productivity—so teams can act, not guess.
