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PROVIDER SUPPORT PROGRAM SYNOPSIS
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Integrated has hundreds of providers using our systems monthly. We have attempted to briefly cover each step to execute so you can follow the chain of events in processing your patient billings. Each modality has its own special requirements and processes.
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1)	Integrated will assist you with coverage issues, and documentation requirements .
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2)	Ideally your patient should receive only a 30 DAY PRODUCT SUPPLY. Some products are permitted up to 90 days worth of supplies, call for assistance. Integrated does not recommend allowing the patients to call and place their own orders. Establishing a routine offers them better service and you more profits with less work. This dramatically reduces the opportunity for payment denial and maintains their relationship with you.
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3)	You should consider placing repetitive replacement patients in our DIARY BILLING PROTOCOL. Patients receiving equipment (wheelchairs, hospital beds, etc.) will be automatically generated in subsequent months. Patient questionnaires will be sent to the patient by our office for the patient's RENT/PURCHASE decision. Maintenance billings will be automatically generated for capped rental items.
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4)	Every patient will need to complete an Assignments of Benefits (AOB) form. This must be kept in your files.
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5)	After patient delivery, inform Integrated, and we will generate your third party insurance claims. Ideally, you will be using the internet to forward all patient billing info.
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6)	Equipment patients and other therapy usually does not require monthly calls. After the first month, the billings are automatically produced on the appropriate day.
7)	Integrated will develop CMN's for each of the patients you service, at our site, or assist you in obtaining the required documentation set. In the event that a physician does not cooperate in completing the CMN timely (physicians are required by law to complete CMN's if they prescribe products) we will address that situation with you.
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8)	We generate the Provider's Primary billing and forward the claim to Patient's Insurance Carrier.
9)	You need to send us all Explanation of Medical Benefits (EOMB's). Mail or Fax to us at least weekly. If you receive denials (you will be denied payment under Medicare rule; " make the provider as nervous as possible" ) you may choose to fax the EOMB to us to expedite the resubmission process. Also, we need the EOMB's to process your patient copayments. Forwarding EOMB's is one area that cannot become snagged.
10)	Integrated will generate and forward to you the following month end information ;
	UTILIZATION SUMMARY . PROCEDURE SUMMARY . PATIENT COPAYMENT SUMMARY . NEWSLETTER & OTHER DOCUMENTS . ALL ORIGINAL DOCUMENTS YOU'VE SENT US . MONTHLY INVOICE FOR SERVICES RENDERED
11)	Please inform your staff ;
	When in doubt, call Integrated. . Whenever they are asked if a particular product is covered, call Integrated. . Integrated does not recommend collecting copayment "up front". Neither does Medicare.   Included in your Implementation fee are marketing flyers, literature , envelope stuffers, and other promotional items. We can customize them if you like, and will gladly use one of your favorite marketing line . Our normal operating hours are Monday - Friday, 9 am to 5 pm. . You can fax anytime, or leave a message. See our CONTACT US page for email address and phone numbers
12)	NOTE: Integrated will answer your coverage questions for clams WE GENERATE FOR YOU. If you use another billing agency or support some billings in house, Integrated may not share knowledge with you or your staff. We can support your office as a RETAINED PAID CONSULTANT. Please ask for an Integrated Executive if you are interested in this option.

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