Suite
Bill Review / Fee Schedule:
- • Comprehensive Medical Bill Review Audit
- • Reasonable and Customary Review
- • Fee Schedule Evaluation & Analysis
- • PPO/EPO Application
- • Negotiation/Prompt pay negotiation
- • Duplicate Billing
- • Re-pricing
Special Medical Bill Review:
- • Line item bill review
- • Unbundeling/Rebundeling
- • Professional nurse review
- • Bill re-pricing
- • Expert fee negotiation
- • Diagnostic Related Group Validation (DRG)
- • Hospital outpatient reasonable & customary review
Pharmacy Benefit Management:
- • Retail Pharmacy Network
- • Mail Service Pharmacy
- • Specialty Compounding
- • Discount Drug Program
- • State fee schedule or U&C price reduction
- • In versus out-of-network claims
- • Appropriateness
- • Duplicate billing
- • Formulary
- • Drug Utilization Review
- • MSA Discount Mail Drug Program
Nurse Case Management:
- • Three Point Contact Reporting
- • Telephonic, Onsite and Field Case Management
- • Utilization Management
- • Integrated Disability Management
Durable Medical Equipment
- • Online and telephonic equipment ordering and status management
- • Local, preferred equipment distributors
- • Diagnostic Imaging
Ancillary Services
- • Pro and Retrospective Physical & Occupational Therapy Review
- • Independent Medical Evaluations
- • Peer Reviews
- • Transportation & Translation
- • Utilization management
- • Automated billing and reimbursements
Medicare Set-Asides:
- • Development of comprehensive allocation report
- • Initial consultation to evaluate need for MSA
- • Obtain any necessary rated age information
- • Assistance with outstanding conditional payment status
- • Assistance with Social Security/Medicare status
- • Assist and prepare all necessary forms
PPO & Out of Network Solutions
PPOs:
iMed's clients have access to more than 28 national PPO networks, which include more than 2,400,000 providers, and 700,000 facilities nationwide. However, iMed's true intrinsic value lies in our ability and dedication to mine and analyze data required to match the PPOs to our clients' unique needs, maximizing savings. We continually seek ways to find savings and also have the ability to negotiate and establish Exclusive Provider (EPOs) contracts for your organization at your request.
Out of Network Negotiations:
iMed's Out of Network Negotiation utility is a unique cost-containment tool for determining fair and reasonable reimbursement on non-network facility and ancillary charges.
News & Info
iMed Cost Containment Solution will be at the following events this year. Please drop by and see us or connect with us there. We look forward to networking with you!
- AGRIP — March 22-24, 2010: Hyatt Regency Hotel, Irvine, CA
- SafetyFestMT-2010 — March 30-April 2, 2010: Red Lion Colonial Hotel, Helena, MT
- RIMS — April 25-29, 2010: Boston Convention & Exhibition Center, Boston, MA
- WCA of NM — May 12-14, 2010: Sandia Resort & Casino, Albuquerque, NM
- NCSI — May 23-26, 2010: Don CeSar Beach Resort, St. Pete Beach, FL
- Signal / LCA Maritime — May 27-29, 2010: Baltimore, MD
- MT Governor's Conference — Sept. 15-17, 2010: Big Sky, MT
- NWCDC — Nov. 10-12, 2010: Las Vegas Convention Center, Las Vegas, NV
Fee Scheduling
Timely Bill Review
iMed is one of the most efficient mail-in and/or electronically submitted Bill Review Service providers in today's industry. We utilize our professional and medical expertise, in tandem with our state-of-the-art software, to supply an up-to-date fee schedule. We take pride in our ability to provide accurate and timely bill review adjudication, resulting in less provider/facility reconsiderations and in achieving maximum savings.