On Line Office - CIMS Virtual Office
The CIMS Group offers a type of outsourcing of all your office functions like no other!
Based on the use of ChartEvolve as the central tool of productivity and communication, The CIMS Group offers additional services to increase productivity and profitability for a practice.
Risk Manager
For each patient in your practice, our Risk Manager can identify the policies you need to be aware of and the practices and procedures you need to follow in order to satisfy your obligation to remain in compliance with Federal, National, Regional, State and Local rules and regulations.
[ Back to Top ]Practice Manager
For each patient in your practice, our Practice Manager will identify all the information in the patient care cycle that is required in order to assure a high percentage of authorizations and payment.
After you have registered your patient, completing all the information required, we will verify your patient's benefits and preauthorization requirements.
We will then print out on your printer your “Day Sheet” of all the patients you will see that day.
In addition to the patient's name, this will have the CPT Code, the ICD-9-CM Diagnosis Code. There will be a section for the patient's payment and their check number.
[ Back to Top ]Claims Manager
For each patient in your practice, our Claims Manager will prepare your claims for submission and processing.
You will not have to fax anything to us! Complete your work in ChartEvolve (i.e., complete the Intake Coordination tasks required), on an agreed day of the week we will gather all the encounters ready for claims processing. We will prepare your CMS 1500 forms and your ANSI 837P electronic files.
Using the Clean Claims Review, you will be able to assure that each claim is clean before it is submitted. We will assure that our Clearinghouse will process your claim and submit your payment
The Clearing House will provide an Explanations of Benefits (EOBs) and the Insurance Company will send your checks directly to you. We will post your payments directly into ChartEvolve.
The ChartEvolve Reporting System will provide all reporting showing all active clients with authorization numbers, number of visits authorized and number of visits left, birth dates and policy numbers, the name of the insurance company, their telephone and fax numbers.
[ Back to Top ]Utilization Manager
For each patient in your practice for which there is a denial of payment, our Utilization Manager will begin the Appeals Process. We will submit the documentation necessary to argue your case, including progress notes and additional treatment planning that may be required.
[ Back to Top ]Outcomes Manager
For all the standard metrics reported in ChartEvolve, our Outcomes Manager will provide you with reports based on your needs. We will help to identify the content and periodicity of your reporting needs. We will then print out the reports you wish to review on the regularity that is meaningful to you.