Medical Billing Companies & Consultants in Montgomery, AL

Based in Montgomery, Alabama, InterHealth Solutions, Inc. (IHS) manages the financial and administrative operations of medical organizations, including physician groups, specialty clinics and healthcare facilities. By handling reimbursement, coding, payer enrollment and operational guidance on behalf of its clients, the firm aims to free clinicians from paperwork so they can concentrate on patient care. IHS presents itself as a boutique operation that can nonetheless deliver the depth and capacity typically associated with much larger vendors.

Core Services

The company's offerings fall into four principal categories, which practices may select individually or bundle together:

• Outsourced billing and revenue cycle support: end-to-end handling of reimbursement, from sending claims to payers through resolving rejections and pursuing outstanding accounts
• Provider credentialing and payer enrollment: maintenance of CAQH records, PECOS and NPI registrations, contracting with health plans, and tracking of license renewal deadlines
• Coding services and audits: continuous code assignment for existing customers, along with assessments for organizations weighing a change of vendor
• Advisory engagements: guidance aimed at streamlining operations, reducing overhead and boosting reimbursement

Specialties Served

IHS supports a broad range of clinical disciplines, among them anesthesiology, imaging, emergency departments, walk-in clinics, surgical practices, orthopedic groups, chiropractic offices, behavioral health, family and internal medicine, and assorted other specialties. Billing for institutional facilities is available as well. Outside directories that profile the company highlight anesthesia as a particular strength.

How IHS Works With Clients

Every customer account is placed in the hands of named personnel who own its results. These staff learn the details of each organization, from the blend of insurers it bills to the documentation habits of its clinicians and the day-to-day rhythms of its front office. Implementation is tailored rather than standardized.

A new engagement generally opens with a series of configuration meetings, after which progress is checked on a weekly and then monthly basis until operations stabilize. Clients are paired with a designated account manager and also enjoy direct access to a member of the ownership group.

When evaluating a potential customer, IHS frequently begins by examining operational procedures, code selection and payment performance to pinpoint lost income. According to the company, such an assessment can reveal opportunities to lift revenue by roughly 2% to 10%.

Credentials and Compliance

IHS reports a staff of over fifteen AAPC-certified coding professionals. These specialists scrutinize records for encounters billed below their documented level and for mistakes that cause reimbursement to go unrealized, all while adhering to insurer guidelines. Regulatory adherence sits at the heart of the firm's methodology, with the goal of growing practice revenue without inviting audit exposure.

The enrollment group states that it has guided several hundred clinicians nationwide through approval with a variety of insurers. Because each payer imposes distinct requirements, the staff actively track submissions to shorten the wait before newly enrolled clinicians can begin treating patients.

Background and Footprint

Established in 2010, IHS remains under private ownership. The firm lists a workforce of 72 people spread across seven states: Alabama, Tennessee, Georgia, Mississippi, North Carolina, Arkansas and Indiana. Honesty, openness and dedication to clients form the core of its published principles. The company commits to owning its errors and to answering customer inquiries promptly.

It also embraces a faith-based guiding motto. In addition, IHS cites the lengthy tenure of much of its staff as evidence of organizational stability that benefits the practices relying on it.

Professional Billing, Inc., which goes by PBI, has handled billing and management work for physicians and other healthcare providers for more than three decades. The company sells outsourced medical billing, also called revenue cycle management, along with practice management and technology services. Its main customers are physician practices that want to hand off claims and collections or get more out of their existing billing setup.

Approach to Client Engagements

PBI says each practice has its own makeup and needs, so it doesn't use one standard package for every client. It shapes each engagement around the practice's situation, and it says its leadership team brings more than 90 years of combined industry experience. For buyers, that means a tailored setup rather than a fixed bundle, which may help practices with an unusual payer mix, specialty workflow or software environment.

Core Services

• Medical billing and revenue cycle management
• Ongoing analysis and management of accounts receivable
• Practice management support, from routine daily operations to longer-range strategy
• Provider credentialing handled by a dedicated in-house team
• On-site revenue recovery reviews for physician practices
• EMR and reporting tools that work on mobile devices

On receivables, PBI's staff keep reviewing a client's A/R to make sure balances are being worked properly and payments come in. The practice management service covers both day-to-day administrative needs and bigger planning questions. Credentialing gets special attention: because payer enrollment keeps getting more complicated, PBI has a full-time credentialing team, some with college degrees, whose only job is to keep clients' revenue from being interrupted.

Revenue Recovery Review

PBI offers physician practices a revenue recovery review conducted at the practice itself. The review looks for income the practice should have collected but didn't. PBI says past reviews have recovered amounts from thousands up to millions of dollars, and it offers prospective clients a free initial review.

Technology and Systems Integration

PBI isn't tied to one billing platform. It works with systems such as Athena, eClinical, Allscripts and SequelMed and says it can connect with almost any other practice system, so clients may not have to switch software. Its own tools are built on modern code and keep data in a relational database, which allows flexible, detailed reporting. Its EMR and reporting products can run on mobile devices, giving users live access to practice data.

Buyers comparing medical billing companies may want to weigh PBI's long history, its system-agnostic technology, its dedicated credentialing team and its on-site recovery reviews. Together these make PBI an option for practices that want billing, receivables oversight and practice management from one provider.