Step by Step Efforts to Combat Claim Denial

A practice’s efforts to reduce claim denials should begin with an understanding of its greatest source of denials. Run a series of denial reports over a period of time (3 weeks, or 3 months) that include: denial reasons procedure codes reported modifiers diagnosis codes payors The results can be your greatest asset in identifying the…


Ask The Experts – Credentialing & Provider Enrollment

MEREM Healthcare Solutions recently hosted their second Lunchtime LIVE Q&A. A Facebook LIVE series focused on offering clinical professionals, practice owners, and office administrators an opportunity to ask the experts particular questions about the stressors and challenges that impact their revenue cycle. On Thursday, MEREM Healthcare Solutions hosted a special guest and credentialing specialist, Matt…


How Coders Can Help Prevent Healthcare Fraud and Abuse

  Coding services are the life-blood of your practice. That is how the services you provide are transformed into billable revenue. It takes a knowledgeable and experienced coding staff to maximize your billed charges while maintaining strict compliance with CMS and CCI guidelines. Coders are trained to identify noncompliance and fraud. Part of a coder’s…


A Better Prepared Front Office Teammate Equals Faster Reimbursements

A front office employee is not only your patient’s first experience with your practice but they are also extremely vital to your revenue cycle. They are the first step in the life of a medical claim. This position is normally a simple position to recruit for and does not always require experience within the healthcare…


BENEFITS OF OUTSOURCING MEDICAL PRACTICE SOLUTIONS

With our dynamic process flow, we are able to handle all of the credentialing, coding, billing – payer submissions, receive denial or remit on claims, and post the payments electronically. Below are the reasons why choosing to outsource with MEREM Healthcare Solutions just makes practical sense.   Fully managed audits Our team of professionals will initially…


MEREM – Making You More Profitable

Medical billing and coding services is a critical component of a medical practice’s profitability, yet so much income goes overlooked and undiscovered. While your primary focus is caring for your patients as well it should be, it’s important to remember you are also running a business.


Free Consultation & Revenue Cycle Audit for Prospective Clients.

MEREM Healthcare Solutions has found that most of the time, practices are losing money due to inaccurate coding and/or neglected claims that weren’t followed up on upon initial denial. A complete Revenue Cycle Audit includes: Coding accuracy audit Billing & accounts receivable audit Industry Benchmark Comparison for your individual practice At MEREM Healthcare Solutions, we…


Time for a Coding Audit?

Running a busy private orthopedic practice can be a real challenge. There are times all you can do everyday is just “keep up”.

This is when you start working IN your practice instead of ON it.


National Correct Coding Edits – Effective April 1

CMS releases 2nd Quarter PTP and MUE Version Updates The Centers for Medicare & Medicaid Services (CMS) recently released the April 2018 code pair tables for providers to review before filing claims. CMS developed the national correct coding initiative (NCCI) to promote correct coding methodologies and to control improper coding that leads to inappropriate payment…


Enhance practice performance in these simple steps

The healthcare revenue cycle/reimbursement cycle is a very particular machine. All aspects need to work together just right and at the right time or the system breaks down. Merem Healthcare Solutions works with independent specialty medical practices to help improve your medical practice as a whole. MEREM Healthcare Solutions is dedicated to providing physicians and…