Compliance & Operations Consulting
Discover Areas of Opportunity in Your Practice
There are infinite areas of opportunity in your practice for additional revenue streams. Do you qualify for supplemental payment programs? Are you under-coding your services? Are you properly reporting your RVUs? Is your payer contract up for negotiation? With over 50 years of experience, our team can help you identify and act on these opportunities.
Educating Yourself and Your Team to Stay on Top
Along with identifying areas of opportunity, education and action are crucial to remaining successful. We provide education in HIPAA Compliance, Provider Coding, and general operations of your practice. Allow our team to share our expertise and solutions to empower you to run a top-notch practice.
Our Compliance & Operations Consulting Solutions
Coding and Audit Education
Our coding and audit education team members can reduce risks by offering guidance to onboarding providers as well as seasoned professionals. Staying ahead of telemedicine and documentation updates have proven vital for our clients. We audit providers on a timeline specified by your practice. Providers who do not meet a predetermined threshold are educated one-on-one or in a group setting, either virtual or on-site. Coding errors, such as under coding a visit or procedure, can be costly to your practice. The provider audit and education process identifies and mediates these challenges.
Reimbursement
Our reimbursement division leverages payer relationships to negotiate contract terms most beneficial to each unique practice. Contracts and fee tables are maintained and studied to ensure payers adhere to reimbursement policies and rates. Any clauses that present exposure to future unfavorable changes are further negotiated. Our auditing program streamlines reimbursement analysis and is fully portable across client databases. Revenue integrity is managed across a spectrum of large state hospitals down to small specialty groups. Payment variances prompt investigation and reprocessing projects to direct recovery. Market trends are also studied to maintain an advantage in a competitive healthcare marketplace.
HIPAA Compliance
We provide and offer consulting and education to clients from our HIPAA Privacy and Information Security team. HIPAA Compliance support includes assistance with how to begin a HIPAA compliance program and policy and procedure review. We also provide guidance on risk analysis review and management strategies, as well as options for training your organization’s privacy and security officer on annual HIPAA requirements, how to educate your workforce members on Privacy Rule, Security Rule, and HITECH Breach Notification Rule (annual requirement). We prioritize educating your workforce members on cybersecurity best practices.
Supplemental Payment Programs
i3 offers document preparation for clients of all types of eligible healthcare systems. Our team assists in intergovernmental transfer contracting to remove barriers to entry that would prevent eligible practitioners from enjoying enhanced reimbursement. Payment modeling and support in negotiating State Plan Amendments allows our clients to assess the impact on their revenue and craft agreements to maximize Shared Savings programs.
Operations Consulting
With over 50 years of experience in the medical billing arena, we have truly seen it all. Having experience with practices of all sizes and specialties, our executive and operations teams can provide insight on issues and roadblocks within your practice. For example:
- During COVID, we developed a widely recognized grid to address unique COVID billing concerns and telehealth coverage and reimbursement. As the pandemic evolved, the i3 team has maintained the document to provide guidance on both reimbursement and policy.
- i3 has consulting agreements with hospital systems and state agencies related to policy and compliance issues and updates. These ongoing consulting arrangements focus on unique policy aspects and concerns the institutions have as they relate to the full scope of RCM.
