FREQUENTLY ASKED QUESTIONS
1How does PIMS charge for its billing services?
PIMS is paid a percentage of the total revenue collected. This provides incentive to obtain the maximum revenue due and in a timely manner.
2How are unpaid or underpaid claims handled by PIMS?
PIMS has dedicated staff trained to immediately identify rejected, unpaid and underpaid claims. Denied claims are reviewed for payer and contract specific billing policies, assessed for proper modifier application, and otherwise evaluated for accuracy. Expert appeals specialists are utilized to craft appropriate and effective appeals to secure proper reimbursement.
3How are patient balances handled by PIMS?
PIMS employs “soft collection” practices to address balances remaining after insurance processing and for uninsured “self-pay” patients. Our 100% U.S.-based Patient Relations department will handle patient billing statements, collection telephone calls, and address general billing inquiries on your practice’s behalf. Further, PIMS stays abreast of national and state-based patient balance billing laws, such as the No Surprises Act, to ensure your practice’s compliance.
4Does PIMS offer credentialing and payer contracting services?
Yes, PIMS is a full-service billing and practice management company.
5Is PIMS familiar with government incentive programs such as MIPS & MACRA?
Yes, PIMS utilizes a CMS-Qualified registry to report quality data and measures. This optimizes the potential for incentives and bonuses while also avoiding penalties.
6Is PIMS HIPAA & HITECH compliant?
Yes, PIMS abides by all federal and state regulations for patient privacy and data security.