MANCHESTER-BY-THE-SEA, Mass., May 25, 2004 -- Integrative Medicine Networks (IMN), a national preferred provider organization (PPO) of integrative healthcare practitioners, today announced its decision to base its actuarial studies, network management practices and insurance claims processing on ABC codes, a set of next generation health insurance codes that help identify and advance the nation's most cost-effective care.
IMN blends the art and science of caring for the whole person: mind, body and spirit. The PPO is open to qualified conventional and alternative caregivers, including allopathic medical doctors, osteopathic physicians, chiropractors, acupuncturists, massage therapists, naturopathic doctors and other allied and integrative health practitioners. IMN provides tools and training that help participating providers document care, more effectively manage their practices and secure insurance reimbursement using ABC codes in conjunction with older medical sets, such as CPT and HCPCS II. IMN implemented ABC codes to ensure more complete, accurate and precise information on the nature of delivered care could be digitized, electronically processed and analyzed to identify and support payment for best practices.
"ABC codes ensure practitioners gain appropriate reimbursement under consumer-driven health plans," Richard Furber, Chairman of IMN. "The codes also help consumers, unions, employers, payors and policymakers understand what really works, to support better personal healthcare and health policy decisions."
"ABC codes work with older code sets to help all health industry stakeholders gain the greatest possible value for their healthcare dollars," explains Synthia Molina, CEO of Alternative Link, the developers of ABC codes. "The codes are supported by relative value units, practitioner identifiers and legal practice guidelines, so that caregivers can establish defensible fees for services, deliver care within their legal scopes of practice and comply with fraud and abuse regulations that require accurate documentation of patient encounters."
Alternative Link's ABC codes were developed to support consumer choice and improve healthcare accessibility, quality and cost-management. The codes fill gaps in older medical and dental coding systems and the national health information infrastructure (NHII). They are issued in an impartial manner, similar to the way universal product codes (UPCs or bar codes) are issued in the retail industry, to better support research, management and commerce.
ABC codes fit in the same forms, data fields, software applications, information systems and business processes as older code sets and are authorized under the Code of Federal Regulations, Title 45, Section 162.940, as compliant with the Health Insurance Portability and Accountability Act (HIPAA).
Integrative Medicine Networks is a national PPO for Integrative Medicine which provides practice management solutions that helps CAM (Complementary and Alternative Medicine) practitioners effectively treat the whole person -- body, mind, and spirit -- through access to "Evidence-Based Protocols" research while advocating ethical insurance reimbursement for procedures within the legal scope of their respective practice, modality, or health specialty. For more information, visit http://www.IntegrativeMedicineNetworks.com or call 978-526-9969.
Alternative Link, the developer of ABC codes, delivers information products and consulting services that help health-promoting organizations and individuals finance, administer and deliver cost-effective care that improves individual and public health, business and industry efficiencies and socioeconomic development.