Medical Billing Companies & Consultants in Barrigada, GU

Island Medical Staff and Billing, LLC, known as IMSB, is a revenue cycle firm based in Tamuning, Guam. It handles billing and collections for healthcare providers. The company focuses on two things: submitting claims correctly and on schedule, and then pursuing them steadily so that clients recover as much of what they are owed as possible. IMSB presents this outsourced support as a way for clinicians to spend their time with patients rather than on paperwork while their practices expand.

Who IMSB Serves

IMSB takes on providers of very different sizes. Its clients range from a physician practicing alone to a group of several clinicians working within one specialty. Over the years its client base has grown to include a facility performing outpatient surgical procedures, a center delivering radiation oncology treatment, an anesthesia provider and a number of specialist physician offices. Organizations in these fields may find that the team already knows the coding and payer issues common to their type of care.

Billing and Revenue Cycle Services

The firm's offering covers the whole billing workflow. It starts with turning clinical documentation into codes and ends with reconciling the payments that come back. The main elements are:

• Procedure and diagnosis coding, along with chart abstraction
• Claim preparation and pursuit of collections
• Statements sent to patients for the balances they owe
• Handling of denied claims and filing of appeals
• Ongoing follow-up on unpaid claims
• Posting of payments as they are received
• Electronic transmission of claims and electronic funds transfer
• Statistical reports delivered every week and at the close of each month
• Internal audits of billing activity
• Clean-up of aging receivables, including accounts older than 90 days and balances not owed by patients

Beyond routine processing, IMSB advises clients on payer strategy. It also maintains working relationships with Medicare, with insurers based on the U.S. mainland and with carriers operating locally on Guam. The receivables clean-up work may suit a practice that has built up a backlog of old or stalled accounts and wants them resolved before or alongside a move to outsourced billing.

Background and Approach

IMSB began offering billing support to physicians and other clinicians in 2008 and has added more types of healthcare organizations to its roster since then. Its staffing model sets it apart. Part of the team works on Guam, which lets the company deal directly with the island's insurance companies.

Another group is based on the mainland and concentrates on Medicare and stateside payers. Guam practices often treat patients covered by local plans as well as by federal or mainland insurers. For them, this split arrangement means one vendor can manage both sides of the payer mix without handing work off to a separate firm.

The regular statistical reporting and internal auditing give clients an ongoing view of how their accounts are performing rather than leaving billing as a black box. Practices that want to explore working with IMSB can request a proposal from the company. The proposal can be shaped around the provider's specialty, size and current receivables situation.