PROVIDERS

 

Intelenet provides specialized administrative back-office and customer contact services, which have been customized to meet the unique needs of the following distinct segments of the Healthcare Provider industry –

• Hospitals
• Skilled Nursing and Long-term care facilities
• Physician groups
• Free-standing ambulatory and Diagnostic centers
• Durable Medical Equipment (DME) suppliers
• Pharmaceutical manufacturers and Pharmacies

We offer Providers a full range of Business Process Outsourcing (BPO), Revenue Cycle Management, Consulting, and Business Process Management (BPM) services designed to reduce costs, improve business processes and maximize technology. Intelenet is totally objective in selecting the most effective technology to suit each client’s specific needs or to maximize existing system performance.

 

Recognizing that every provider must satisfy local regulatory, business and customer needs as well as national and entitlement program requirements we specialize in tailoring solutions, and avoid cookie cutter approaches that require changes in your business models.

Business Process Outsourcing Revenue Cycle Management Services include both pre-billing and post-billing administration that impact revenue streams and receivable aging. Our domain expertise enables us to offer a full range of services including:

 

Patient registration	Payment reconciliation
Insurance eligibility verification	Rebilling/balance billing
ICD diagnosis and procedure coding	Appeals and resubmissions
Billing generation	Collections
Accounts Receivable management	Regulatory compliance

 

Intelenet is fully HIPAA compliant and has coders on staff already fully certified in ICD-10-CM aimed at relieving clients of having to retrain or hire new coders to meet the mandate.

 

BPM Services complement our outsourcing approach and provide clients with both initial and ongoing analysis of existing business processes that lead to “To Be” recommendations. We offer clients the option of upgrading existing systems or suggesting replacement systems built around solid rules applications. Our goals are to:

Consulting Services are designed to develop both strategic and tactical solutions to the many changes that government healthcare reform and unfunded mandates will impose. These reforms will place significant burdens on the industry to fully comply with regulatory requirements of CMS and RAC audits with the threat of financial penalties and sanctions for non-compliance. This is a critical consideration given the Federal Government considers such penalties to be a revenue source.

 

Intelenet’s healthcare domain experts offer years of experience in day to day operations in all aspects of provider functions as well as executive level management experience that offers a full understanding of payer, government and regulatory requirements and how providers can best interact with each other. 

 

It is now becoming clear that major changes to the healthcare industry are going to occur. One of the most significant issues providers face is the continued reduction in payment for services under Federal and State entitlement programs. Programs will grow under Universal Access and partnering with Intelenet will go along way in reducing administrative costs while maintaining and improving performance.

PAYERS