<?xml version="1.0" encoding="UTF-8"?><rss version="2.0"
	xmlns:content="http://purl.org/rss/1.0/modules/content/"
	xmlns:wfw="http://wellformedweb.org/CommentAPI/"
	xmlns:dc="http://purl.org/dc/elements/1.1/"
	xmlns:atom="http://www.w3.org/2005/Atom"
	xmlns:sy="http://purl.org/rss/1.0/modules/syndication/"
	xmlns:slash="http://purl.org/rss/1.0/modules/slash/"
	>

<channel>
	<title>Medical Billing and Co... Archives - MEREM Health</title>
	<atom:link href="https://www.meremhealth.com/category/medical-billing-and-co/feed/" rel="self" type="application/rss+xml" />
	<link>https://www.meremhealth.com/category/medical-billing-and-co/</link>
	<description></description>
	<lastBuildDate>Tue, 24 Mar 2026 14:26:49 +0000</lastBuildDate>
	<language>en-US</language>
	<sy:updatePeriod>
	hourly	</sy:updatePeriod>
	<sy:updateFrequency>
	1	</sy:updateFrequency>
	
	<item>
		<title>Technology: The Good and The Bad</title>
		<link>https://www.meremhealth.com/technology-the-good-and-the-bad/</link>
		
		<dc:creator><![CDATA[Amanda Cherry]]></dc:creator>
		<pubDate>Tue, 13 Feb 2024 16:42:17 +0000</pubDate>
				<category><![CDATA[Medical Billing and Co...]]></category>
		<category><![CDATA[Medical Billing Audits]]></category>
		<category><![CDATA[Medical Billing Services]]></category>
		<category><![CDATA[medical coding and bil...]]></category>
		<category><![CDATA[Medical Coding Company]]></category>
		<category><![CDATA[Outsourced Medical Bil...]]></category>
		<category><![CDATA[Patient Pre-Collections]]></category>
		<category><![CDATA[Revenue Cycle Management]]></category>
		<category><![CDATA[coding]]></category>
		<category><![CDATA[Collections]]></category>
		<category><![CDATA[medical billing]]></category>
		<category><![CDATA[Medical Billing and Coding Services]]></category>
		<category><![CDATA[medical coding]]></category>
		<category><![CDATA[medical practice]]></category>
		<category><![CDATA[patient collections]]></category>
		<category><![CDATA[Practice Management]]></category>
		<category><![CDATA[Revenue Cycle]]></category>
		<guid isPermaLink="false">https://www.meremhealth.com/?p=2185</guid>

					<description><![CDATA[<p>Certainly, let&#8217;s discuss technology, specifically focusing on billing software in the context of a billing company. Technological advances have indeed revolutionized the way billing and financial operations are managed. However, like any tool, billing software has its advantages and disadvantages, and its effectiveness depends on various factors, including the company&#8217;s understanding and utilization of the...</p>
<p>The post <a href="https://www.meremhealth.com/technology-the-good-and-the-bad/">Technology: The Good and The Bad</a> appeared first on <a href="https://www.meremhealth.com">MEREM Health</a>.</p>
]]></description>
										<content:encoded><![CDATA[
<p>Certainly, let&#8217;s discuss technology, specifically focusing on billing software in the context of a billing company. Technological advances have indeed revolutionized the way billing and financial operations are managed. However, like any tool, billing software has its advantages and disadvantages, and its effectiveness depends on various factors, including the company&#8217;s understanding and utilization of the software, as well as the education and procedures in place for employees.</p>



<figure class="wp-block-image size-large"><img fetchpriority="high" decoding="async" width="1024" height="408" src="https://www.meremhealth.com/wp-content/uploads/2023/09/technology-1024x408.jpg" alt="" class="wp-image-2189" srcset="https://www.meremhealth.com/wp-content/uploads/2023/09/technology-1024x408.jpg 1024w, https://www.meremhealth.com/wp-content/uploads/2023/09/technology-300x119.jpg 300w, https://www.meremhealth.com/wp-content/uploads/2023/09/technology-768x306.jpg 768w, https://www.meremhealth.com/wp-content/uploads/2023/09/technology-1536x611.jpg 1536w, https://www.meremhealth.com/wp-content/uploads/2023/09/technology-2048x815.jpg 2048w, https://www.meremhealth.com/wp-content/uploads/2023/09/technology-640x255.jpg 640w" sizes="(max-width: 1024px) 100vw, 1024px" /></figure>



<p><strong>The Good:</strong></p>



<ol class="wp-block-list" style="list-style-type:1">
<li><strong>Efficiency</strong>: Billing software can significantly increase efficiency by automating repetitive tasks, such as data entry and invoice generation. This can save time and reduce the risk of human error.</li>



<li><strong>Accuracy</strong>: Modern billing software is designed to be highly accurate, reducing the likelihood of billing errors that can lead to financial disputes or regulatory issues.</li>



<li><strong>Cost Reduction</strong>: Using billing software can reduce the need for extensive manual labor, leading to cost savings in terms of employee salaries and operational expenses.</li>



<li><strong>Data Security</strong>: Good billing software often includes robust security features to protect sensitive financial data from breaches and cyberattacks.</li>



<li><strong>Analytics and Reporting</strong>: Many billing software solutions come with built-in analytics and reporting tools, allowing companies to gain insights into their financial performance and make data-driven decisions.</li>
</ol>



<p><strong>The Bad:</strong></p>



<ol class="wp-block-list" style="list-style-type:1">
<li><strong>Cost of Implementation</strong>: Implementing billing software can be expensive, including the initial purchase cost, training, and potential customization to fit the company&#8217;s specific needs.</li>



<li><strong>Learning Curve</strong>: Billing software can be complex, and employees may require training to use it effectively. This learning curve can lead to temporary disruptions in operations.</li>



<li><strong>Dependency on Technology</strong>: Relying heavily on technology can be risky if there are system failures, technical glitches, or if the software becomes outdated.</li>



<li><strong>Security Concerns</strong>: While billing software can enhance security, it can also be vulnerable to hacking and data breaches if not properly protected and maintained.</li>



<li><strong>Lack of Customization</strong>: Some billing software may not fully meet a company&#8217;s unique requirements, necessitating additional development or workarounds.</li>
</ol>



<p>Regarding the billing company&#8217;s usage of the software, it&#8217;s crucial for them to:</p>



<ul class="wp-block-list">
<li><strong>Understand the Software</strong>: The billing company should have a thorough understanding of the software&#8217;s capabilities and limitations to maximize its benefits.</li>



<li><strong>Employee Training</strong>: Adequate training programs should be in place to ensure that employees are proficient in using the software efficiently and securely.</li>



<li><strong>Procedures and Compliance</strong>: The billing company must establish procedures that align with industry regulations and best practices to ensure compliance when using the software.</li>



<li><strong>Regular Updates</strong>: Keeping the software up to date is crucial for security and taking advantage of new features or improvements.</li>



<li><strong>Data Backup and Recovery</strong>: Robust backup and recovery procedures should be in place to protect against data loss.</li>
</ul>



<p>In conclusion, while billing software offers numerous advantages, it&#8217;s essential for billing companies to carefully consider both the advantages and disadvantages and take steps to mitigate potential pitfalls. Proper education, training, and procedural safeguards are crucial for harnessing the full potential of technology in billing operations while minimizing risks. Fortunately, Merem Healthcare Solutions encompasses ways to mitigate both the bad and good in technology, so you don&#8217;t have to worry about anything related to your revenue cycle management operations. </p>



<div class="wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex"></div>



<figure class="wp-block-image size-large"><img decoding="async" width="1024" height="135" src="https://www.meremhealth.com/wp-content/uploads/2023/09/Merem-logo-1-line-1024x135.jpg" alt="" class="wp-image-2193" srcset="https://www.meremhealth.com/wp-content/uploads/2023/09/Merem-logo-1-line-1024x135.jpg 1024w, https://www.meremhealth.com/wp-content/uploads/2023/09/Merem-logo-1-line-300x40.jpg 300w, https://www.meremhealth.com/wp-content/uploads/2023/09/Merem-logo-1-line-768x101.jpg 768w, https://www.meremhealth.com/wp-content/uploads/2023/09/Merem-logo-1-line-1536x203.jpg 1536w, https://www.meremhealth.com/wp-content/uploads/2023/09/Merem-logo-1-line-2048x270.jpg 2048w, https://www.meremhealth.com/wp-content/uploads/2023/09/Merem-logo-1-line-640x84.jpg 640w" sizes="(max-width: 1024px) 100vw, 1024px" /></figure>
<p>The post <a href="https://www.meremhealth.com/technology-the-good-and-the-bad/">Technology: The Good and The Bad</a> appeared first on <a href="https://www.meremhealth.com">MEREM Health</a>.</p>
]]></content:encoded>
					
		
		
			</item>
		<item>
		<title>Principles of Improving Patient Procedure Collections</title>
		<link>https://www.meremhealth.com/principles-of-improving-patient-procedure-collections/</link>
		
		<dc:creator><![CDATA[Amanda Cherry]]></dc:creator>
		<pubDate>Thu, 03 Aug 2023 14:26:42 +0000</pubDate>
				<category><![CDATA[Medical Billing and Co...]]></category>
		<category><![CDATA[Medical Billing Audits]]></category>
		<category><![CDATA[Medical Billing Services]]></category>
		<category><![CDATA[Revenue Cycle Management]]></category>
		<category><![CDATA[Uncategorized]]></category>
		<category><![CDATA[medical billing]]></category>
		<category><![CDATA[Medical Billing and Coding Services]]></category>
		<category><![CDATA[patient collections]]></category>
		<guid isPermaLink="false">https://www.meremhealth.com/?p=2110</guid>

					<description><![CDATA[<p>It has never been more important to the financial health of your practice to have an efficient patient pre-collections program in place. The goal is to get patients to pay in full prior to the procedure. The motto for getting paid is to Ask Early and Ask Often for Payment. The fact is, the further...</p>
<p>The post <a href="https://www.meremhealth.com/principles-of-improving-patient-procedure-collections/">Principles of Improving Patient Procedure Collections</a> appeared first on <a href="https://www.meremhealth.com">MEREM Health</a>.</p>
]]></description>
										<content:encoded><![CDATA[
<p>It has never been more important to the financial health of your practice to have an efficient patient pre-collections program in place.  The goal is to get patients to pay in full prior to the procedure.  </p>



<p>The motto for getting paid is to <em>Ask Early and Ask Often for Payment. </em></p>



<p>The fact is, the further into the collections process you go, the less likely a patient is to pay in full. If your practice’s patient collection efforts only go as far as issuing statements and generating “bad debt” reports of accounts that are turned over to collections, it’s likely that less than 50% of those collection balances will be recovered. </p>



<p>If this describes your practice, an improved strategy for Patient “Pre-Collections” that is both aggressive and fair should be implemented. Revenue for services rendered is the lifeblood of any facility, and if patients need to foot 40% of the bill, you can’t afford to miss out.</p>



<ul class="wp-block-list">
<li>Discuss payment expectations when you discuss procedure and appointment setting. If unable to pay in full, collecting a nominal portion the day before or the day of may make it worth proceeding. </li>
</ul>



<ul class="wp-block-list">
<li>Collect a portion of co-pays upfront from patients. This isn’t always possible in the case of many emergency room admissions, but it is for specialty services such as elective surgeries and ancillary procedures.</li>
</ul>



<h2 class="wp-block-heading">Point of Service Collections</h2>



<p>Point of service collections is just as important as insurance collections. Missed co-pays can quickly add up to a significant revenue loss. In the long run, point of service collections helps to cut down on statement costs and patient AR.</p>



<p>In order to </p>



<h2 class="wp-block-heading"><strong>Patient
billing is a significant problem for patients and providers.</strong></h2>



<p>ensure patients
understand their coverage and are aware of their responsibilities — and that
you get paid. Develop a self-pay policy, communicate it clearly to both staff
and patients, and self-pay collection will become an integral part of your
practice workflow.</p>



<p>People are not aware of their deductibles for specific procedures but when the time comes, it’s often the front office staff that has to educate patients about their insurance and the agreed-upon patient responsibility. Oftentimes, patients who hold high deductible health plans and other aggressive patient cost-sharing models are unpleasantly surprised with they find our they are ultimately responsible for their surgery. Patients who need to pay out of pocket for some or all of their medical care are frustrated by difficulties understanding what’s covered and what they owe, the lack of options for payment plans, and the poor timing of bills and communication around the process.</p>



<p>Front office staff
are intimidated to collect payments or have not perfected <strong>Point-of-service collections, </strong>the
art of asking for payment. </p>



<p>collecting some or all of
the co-pay upon admission or before services are rendered</p>



<p>For Example: </p>



<p><strong>Don’t Ask:</strong> CAN you can pay today? </p>



<p><strong>Ask:</strong> How WILL you pay today?</p>



<p><strong>Make it easy for patients to pay. </strong>9 times out of 10, patients say they want to be able to pay their medical bills online. Facilities and healthcare providers can help ease the burden for patients by setting up customized payment plans, using patients’ preferred payment methods — which helps ensure that bills will be paid.</p>



<figure class="wp-block-table is-style-stripes"><table class="has-subtle-pale-green-background-color has-background"><tbody><tr><td>
  
   
    
    
     
      
      <strong>FAQ Billing/Pre-Collections</strong>
      
      
     
    
    
    
   
  
  </td></tr></tbody></table></figure>



<figure class="wp-block-table"><table><tbody><tr><td><strong>What is their bill for? </strong><br>Deductible, Copay, Co-insurance        <br><br><strong>Has insurance been processed?</strong> <br>It is always processed prior to billing the patient as long as insurance was provided at the time of service.<br><br><strong>Can they set up payment arrangements?</strong> <br>Of course! Our Pre-collections Team will be happy to assist you in setting up a payment arrangement for any balance.&nbsp;        <br><br><strong>Where/how can my patients&nbsp;pay&nbsp;their bill?</strong> <br>Online at <a href="https://meremhealth.us15.list-manage.com/track/click?u=f92f8f71a2195d8e8f20f578b&amp;id=46291933c1&amp;e=8daaceb050">www.Meremhealth.com</a>, via telephone at 205.329.7519, at your physician&#8217;s office, or&nbsp;by mail. <br><br><strong>Should we get a lockbox for our insurance payments, and give you all access?</strong> <br>Yes, this makes the process of payment posting and claims follow up a lot quicker and easier. It cuts out the chance of things getting lost in the transition from your office to ours and also allows us to quickly identify any issues with payers not paying to the right location. <br><br><strong>Are x-rays covered within&nbsp;the post-op treatment for my patients? </strong><br>No. Co-pays for office visits are included within your post-op treatment but any additional x-rays and injections will not.                                                    </td></tr></tbody></table></figure>



<p>We don’t just set up a payment framework and then
walk away; we are committed to giving providers the analytics, technology
infrastructure, clinical support, and other resources that increase their
likelihood of success. We also try to understand and address their challenges;
for example, knowing that cash flow is a big issue, we’ve worked to make
billing cycles shorter and more predictable.</p>
<p>The post <a href="https://www.meremhealth.com/principles-of-improving-patient-procedure-collections/">Principles of Improving Patient Procedure Collections</a> appeared first on <a href="https://www.meremhealth.com">MEREM Health</a>.</p>
]]></content:encoded>
					
		
		
			</item>
		<item>
		<title>Outsource to Avoid Medical Billing and Coding Errors!</title>
		<link>https://www.meremhealth.com/outsource-to-avoid-medical-billing-and-coding-errors/</link>
		
		<dc:creator><![CDATA[Amanda Cherry]]></dc:creator>
		<pubDate>Wed, 17 Jul 2019 14:42:31 +0000</pubDate>
				<category><![CDATA[Medical Billing and Co...]]></category>
		<category><![CDATA[Medical Billing Services]]></category>
		<category><![CDATA[medical coding and bil...]]></category>
		<category><![CDATA[Medical Coding Company]]></category>
		<category><![CDATA[Outsourced Medical Bil...]]></category>
		<category><![CDATA[health care]]></category>
		<category><![CDATA[medical billing]]></category>
		<category><![CDATA[medical coding]]></category>
		<category><![CDATA[medical practice]]></category>
		<category><![CDATA[Outsourced Solutions]]></category>
		<guid isPermaLink="false">https://www.meremhealth.com/?p=2003</guid>

					<description><![CDATA[<p>By utilizing an experienced team of medical billers and coders who are knowledgeable in various specialty medical codes and trends, you can rest assured that things are being handled properly behind the scenes while you and your medical team can take care of patients upfront. Chances are what first brought you into the healthcare industry...</p>
<p>The post <a href="https://www.meremhealth.com/outsource-to-avoid-medical-billing-and-coding-errors/">Outsource to Avoid Medical Billing and Coding Errors!</a> appeared first on <a href="https://www.meremhealth.com">MEREM Health</a>.</p>
]]></description>
										<content:encoded><![CDATA[
<div class="wp-block-image"><figure class="aligncenter"><img decoding="async" width="806" height="482" src="https://www.meremhealth.com/wp-content/uploads/2019/07/Medical-Team-Players.jpg" alt="A picture of medical team players." class="wp-image-2100" srcset="https://www.meremhealth.com/wp-content/uploads/2019/07/Medical-Team-Players.jpg 806w, https://www.meremhealth.com/wp-content/uploads/2019/07/Medical-Team-Players-300x179.jpg 300w, https://www.meremhealth.com/wp-content/uploads/2019/07/Medical-Team-Players-768x459.jpg 768w, https://www.meremhealth.com/wp-content/uploads/2019/07/Medical-Team-Players-640x383.jpg 640w" sizes="(max-width: 806px) 100vw, 806px" /></figure></div>



<h6 class="wp-block-heading" style="text-align:center">By utilizing an experienced team of medical billers and coders who are knowledgeable in various specialty medical codes and trends, you can rest assured that things are being handled properly behind the scenes while you and your medical team can take care of patients upfront. </h6>



<p>Chances are what first brought you into the healthcare industry was wanting to help others. You wanted to make a difference in people’s lives and give them more quality years. However, as you started your own private medical practice, you probably saw it was filled practice management tasks leaving you with less time with patients and more time behind a desk dealing with insurance and other revenue cycle demands. <br></p>



<h1 class="wp-block-heading"><strong>Be More Proactive in Your Medical Billing and Coding</strong></h1>



<p>According to <em><a href="http://www.healthcarebusinesstech.com/">Healthcare Business &amp; Technology</a></em>, more than 80% of medical bills contain errors. Medical billing errors are the biggest reason for the disruption of cash flow in a physician practice. </p>



<p>Fortunately, by making sure everyone on your team is on the same page when it comes to documentation (as well as having a strong medical billing and coding team), you can greatly <a href="https://www.meremhealth.com/tips-for-improving-your-denials-management/">reduce these errors</a> so that cash flow in your medical practice continues to move in the right direction.</p>



<h2 class="wp-block-heading"><strong>No Errors Allowed!</strong></h2>



<p>As you well know, most medical billing errors are due to:</p>



<ul class="wp-block-list"><li>Incorrect patient information, which includes insurance provider information</li><li>Duplicate billing</li><li>Poor documentation</li><li>Unclear claim numbers</li><li>Wrong codes being used</li></ul>



<p>However, by putting the proper training in place and outsourcing your medical billing and coding services, you can ensure that a majority of your claims will not be denied. </p>



<p>When these medical billing and coding errors take place, claims come back denied. <a href="https://www.meremhealth.com/how-to-handle-a-claims-adjustment/">Resubmitting a fixed claim denial</a> with the correct information can take weeks for review and approval on the other end. In addition, this puts a delay in not only payment from insurance but also slows down the payment received from the patient. </p>



<p>Medical billing errors add up quickly. Before you know it, your medical practice is starting to lose money rather than gain. However, by utilizing an experienced team of specialized medical billers and coders who are knowledgeable in various medical codes and trends, you can rest assured that things are being handled properly behind the scenes while you and your medical team can take care of patients upfront. </p>



<h2 class="wp-block-heading"><strong>Give Your Patients the Experience They Deserve</strong></h2>



<p>Even during a normal health care checkup, a patient’s anxiety can be high. Therefore, having a warm welcome can make all the difference in starting the patient’s experience off on the right foot within your medical practice. </p>



<p>Allow our team to handle the billing and coding services behind the scenes so that your front office staff, along with other members of your medical team, can focus on the patients walking through your door and providing them with the best experience possible! </p>



<p>Remember, happy patients will not only return. The chances are high that they will bring friends! </p>



<p></p>



<h3 class="wp-block-heading"><strong><em>Discover how our team at MEREM Healthcare Solutions in Birmingham, AL, can help your medical practice avoid medical billing and coding errors. </em></strong></h3>



<h6 class="wp-block-heading"><a href="https://www.meremhealth.com/"><em>Merem Healthcare Solutions</em></a><em> offers services for every step in a practice’s revenue cycle management. We can start from the beginning from credentialing and end with payment posting once an account has been satisfied. We offer a wide range of solutions which include auditing, billing, coding, consulting, credentialing, payment posting, practice management, and pre-collections training. Check us out </em><a href="https://www.meremhealth.com/contact-us/"><em>on our website</em></a><em> or feel free to call us to see how we can help run your practice like a well-oiled machine &#8211; (205) 329-7519.</em></h6>
<p>The post <a href="https://www.meremhealth.com/outsource-to-avoid-medical-billing-and-coding-errors/">Outsource to Avoid Medical Billing and Coding Errors!</a> appeared first on <a href="https://www.meremhealth.com">MEREM Health</a>.</p>
]]></content:encoded>
					
		
		
			</item>
		<item>
		<title>How You Can Effectively Handle Claims Adjustments</title>
		<link>https://www.meremhealth.com/how-to-handle-a-claims-adjustment/</link>
		
		<dc:creator><![CDATA[Amanda Cherry]]></dc:creator>
		<pubDate>Mon, 10 Jun 2019 13:00:15 +0000</pubDate>
				<category><![CDATA[Medical Billing and Co...]]></category>
		<category><![CDATA[Medical Billing Services]]></category>
		<category><![CDATA[claims adjustments]]></category>
		<category><![CDATA[medical billing and coding]]></category>
		<guid isPermaLink="false">http://encorelumber.azurewebsites.net/2015/06/10/how-to-handle-a-claims-adjustment/</guid>

					<description><![CDATA[<p>When a physician provides medical services to a patient, the expectation is that they will receive reimbursement for that service. When the payer issues a denial and requires a claim adjustment, the provider doesn’t receive their payment. Many times these denials can be appealed, depending on the reason for the denial. Below, the medical billing...</p>
<p>The post <a href="https://www.meremhealth.com/how-to-handle-a-claims-adjustment/">How You Can Effectively Handle Claims Adjustments</a> appeared first on <a href="https://www.meremhealth.com">MEREM Health</a>.</p>
]]></description>
										<content:encoded><![CDATA[<p>When a physician provides medical services to a patient, the expectation is that they will receive reimbursement for that service. When the payer issues a denial and requires a claim adjustment, the provider doesn’t receive their payment. Many times these denials can be appealed, depending on the reason for the denial.</p>
<p>Below, the medical billing and coding experts at MEREM Healthcare Solutions have provided five of the most effective responses you should take when handling a claim adjustment.</p>
<p><img loading="lazy" decoding="async" class="aligncenter wp-image-1985 size-large" src="https://www.meremhealth.com/wp-content/uploads/2019/06/IMG_4443-1024x681.png" alt="" width="1024" height="681" srcset="https://www.meremhealth.com/wp-content/uploads/2019/06/IMG_4443-1024x681.png 1024w, https://www.meremhealth.com/wp-content/uploads/2019/06/IMG_4443-300x199.png 300w, https://www.meremhealth.com/wp-content/uploads/2019/06/IMG_4443-768x511.png 768w, https://www.meremhealth.com/wp-content/uploads/2019/06/IMG_4443-640x426.png 640w, https://www.meremhealth.com/wp-content/uploads/2019/06/IMG_4443.png 1280w" sizes="auto, (max-width: 1024px) 100vw, 1024px" /></p>
<h2 class="p1">5 Effective Responses to Common Claim Adjustments</h2>
<h3><strong>Prove Medical Necessity</strong></h3>
<p>Sometimes claims are denied because they have been deemed medically unnecessary. In this case, you may need to submit additional information to prove that the service <em>was </em>medically necessary.</p>
<p>For example, if a person who has lost a lot of weight has surgery to have their excess sagging skin removed, the claim may be denied as cosmetic surgery which isn’t medically necessary. However, if the physician were to provide evidence that the excess skin was causing chaffing and irritation which led to an infection, it then becomes clear that this was a surgery of medical necessity.</p>
<h3><strong>What if a Service Isn’t Covered?</strong></h3>
<p>If you have a claim denied because the service, such as a weight loss plan, isn’t covered by the payer, don’t adjust the claim. These claims are to be billed to the patient that received the service. If you adjust the claim, then you are providing the service free of charge. The responsible party for a service that isn’t covered is the patient, not the physician.</p>
<h3><strong>No Prior Authorization</strong></h3>
<p>If you have a claim denied due to not receiving prior authorization, the first thing you need to do is check with the office to make sure they didn’t actually receive prior authorization. If they did, simply add the code and re-file the claim on the CMS 1500 form.</p>
<p>If a prior authorization was not obtained, see if the payer accepts retro-authorizations. They may not, but it never hurts try.</p>
<h3><strong>Filing Late</strong></h3>
<p>Timely filing denials are a common occurrence when resubmitting a claim that was previously denied. The way to counteract this problem is to be sure that, when you file a corrected claim, you include the payer’s previous claim number that was issued on the denial so that they will see that the original claim was filed in a timely manner and you won’t be denied.</p>
<h3><strong>Duplicate Claims</strong></h3>
<p>Sometimes when a bilateral procedure is billed on two lines, the payer may incorrectly assume that it is a duplicate. The <a href="/medical-billing-and-coding-services-code-collect/how-icd-10-changes-will-impact-orthopedic-practices">release of ICD-10</a>, cleared up some of this confusion thanks to the new codes that identify which side of the body a procedure was performed.</p>
<p>Until then, you must resubmit your claim with the correct information and let the payer know that the claim was actually for two separate procedures.</p>
<h2><strong><a href="https://www.meremhealth.com/tips-for-improving-your-denials-management/"><img loading="lazy" decoding="async" class="aligncenter wp-image-1702 size-full" src="https://www.meremhealth.com/wp-content/uploads/2019/03/Claim-Denials-post-2019.png" alt="" width="810" height="450" srcset="https://www.meremhealth.com/wp-content/uploads/2019/03/Claim-Denials-post-2019.png 810w, https://www.meremhealth.com/wp-content/uploads/2019/03/Claim-Denials-post-2019-300x167.png 300w, https://www.meremhealth.com/wp-content/uploads/2019/03/Claim-Denials-post-2019-768x427.png 768w, https://www.meremhealth.com/wp-content/uploads/2019/03/Claim-Denials-post-2019-640x356.png 640w" sizes="auto, (max-width: 810px) 100vw, 810px" /></a></strong></h2>
<h2><strong>Get Your Claims Adjustments Managed By Medical Billing and Coding Experts!</strong></h2>
<p>These examples are just a few of the reasons you could receive a claims adjustment. There are many others including bundling and coding errors.</p>
<p>If you want to take the guesswork out of medical billing, saving your practice or hospital valuable time <em>and </em>money, then turn to MEREM Healthcare Solutions, your team of <strong>medical billing and coding experts!</strong></p>
<p><a href="https://www.meremhealth.com/contact-us/">Contact the professionals at MEREM Healthcare Solutions</a> today to learn more about outsourcing <strong>medical billing and coding services</strong> for your medical practice.</p>
<p>The post <a href="https://www.meremhealth.com/how-to-handle-a-claims-adjustment/">How You Can Effectively Handle Claims Adjustments</a> appeared first on <a href="https://www.meremhealth.com">MEREM Health</a>.</p>
]]></content:encoded>
					
		
		
			</item>
		<item>
		<title>In-House Medical Billing Costs More – Outsource!</title>
		<link>https://www.meremhealth.com/medical-billing-and-coding-services-in-house-medical-billing-costs-more/</link>
		
		<dc:creator><![CDATA[Amanda Cherry]]></dc:creator>
		<pubDate>Sun, 02 Jun 2019 13:00:10 +0000</pubDate>
				<category><![CDATA[Medical Billing and Co...]]></category>
		<category><![CDATA[Outsourced Medical Bil...]]></category>
		<guid isPermaLink="false">http://encorelumber.azurewebsites.net/2015/06/29/medical-billing-and-coding-services-in-house-medical-billing-costs-more/</guid>

					<description><![CDATA[<p>Medical Billing and Coding Services is an essential part of any medical practice – which makes many practitioners think it is something that should only be performed in-house. Of course, once they figure out how much it costs you to have medical billing in-house, they tend to look toward the possibility of outsourced medical billing. Believe...</p>
<p>The post <a href="https://www.meremhealth.com/medical-billing-and-coding-services-in-house-medical-billing-costs-more/">In-House Medical Billing Costs More – Outsource!</a> appeared first on <a href="https://www.meremhealth.com">MEREM Health</a>.</p>
]]></description>
										<content:encoded><![CDATA[
<p><strong>Medical Billing and Coding Services</strong> is an essential part of any medical practice – which makes many practitioners think it is something that should only be performed in-house. Of course, once they figure out how much it costs you to have medical billing in-house, they tend to look toward the possibility of outsourced medical billing. </p>



<p>Believe it or not, outsourced medical billing can have an outsized impact that <a href="https://www.meremhealth.com/contact-us/">includes costing you less over time</a> than having these capabilities in your practice. Here’s why.</p>



<h2 class="wp-block-heading"><strong>Medical Billing and Coding Services &#8211; Cost of In-House Billing</strong></h2>



<p>A look at in-house medical billing capabilities starts with the most obvious cost: <strong>labor</strong>.</p>



<p>Medical billing professionals that work for you as employees cost money. You have their salary (or wages) to begin with, which represents a formidable cost. <em>According to </em><a href="http://www.indeed.com/salary/Medical-Coder.html"><em>Indeed.com</em></a><em>, a medical office biller costs, on average, $34,000. </em>Throw in benefits, like health insurance, and that cost rises even higher.</p>



<p>Multiply this by the number of people you need to do the job (depending on the size of your practice) and your labor cost can easily reach into the six figures.</p>



<p>There’s also the time spent by your managers supervising your billing specialists. That<strong> time costs money</strong>, too – and per hour, it’s even <em>more </em>expensive. Even if you’re in a small practice, and have one person wearing multiple hats (like billing, answering phones, dealing with patients, etc.) every hour spent billing is an hour that pads your overhead.</p>



<p>That’s just the labor, too. There’s also a very real technological cost that comes with in-house medical billing instead of outsourced medical billing. You’ll have to pay for hardware, equipment, software, technical support, plus peripherals like office supplies, printer ink, etc. The costs add up to quite a bit of money over time.</p>



<h2 class="wp-block-heading">Bottom Line: <strong>Outsourced Medical Billing <em>Saves</em> You Money</strong></h2>



<div class="wp-block-image"><figure class="alignleft"><img loading="lazy" decoding="async" width="300" height="200" src="https://www.meremhealth.com/wp-content/uploads/2018/10/34078400_m-300x200.jpg" alt="" class="wp-image-1344"/></figure></div>



<p>Once you add up all of the expenses, you can see how the cost of an outsourced provider is more like an investment that also saves money in the long run.</p>



<p>By outsourcing, you gain access to trained, certified specialists who do the same amount of work but at a lower overall cost. Plus, by hiring the right provider, you can avoid the additional expense of having to not only find and hire a qualified, expert billing specialist but also making sure they stay trained and up-to-date on the latest developments.</p>



<p>Outsourcing your billing is a prudent, fiscally responsible thing to do for virtually any practice. If you have any questions, call us for more information – and learn more about how outsourcing is the right call for your budget.</p>



<div class="wp-block-image"><figure class="alignright is-resized"><a href="https://www.meremhealth.com/contact-us/?fbclid=IwAR2XUVXMjoOJpfxyQtdBHyxHCet3Vzq7Pd9EpKfIA6F2Seye4LJ2oyBhmZc" target="_blank" rel="noreferrer noopener"><img loading="lazy" decoding="async" src="https://www.meremhealth.com/wp-content/uploads/2018/04/MEREM_Schedule-A-Free-Consultation.png" alt="" class="wp-image-787" width="450" height="53" srcset="https://www.meremhealth.com/wp-content/uploads/2018/04/MEREM_Schedule-A-Free-Consultation.png 600w, https://www.meremhealth.com/wp-content/uploads/2018/04/MEREM_Schedule-A-Free-Consultation-300x35.png 300w" sizes="auto, (max-width: 450px) 100vw, 450px" /></a></figure></div>



<h2 class="wp-block-heading"><strong>Ready to Outsource? </strong></h2>



<h4 class="wp-block-heading"><strong>Turn to <a href="https://www.meremhealth.com/">MEREM Healthcare Solutions</a></strong></h4>



<p>What are you waiting for? Start saving money today by outsourcing your medical billing and coding to MEREM Healthcare Solutions. <a href="https://www.meremhealth.com/contact-us/" target="_blank" rel="noreferrer noopener">Contact us today</a> or fill out the form below to get started.</p>
<p>The post <a href="https://www.meremhealth.com/medical-billing-and-coding-services-in-house-medical-billing-costs-more/">In-House Medical Billing Costs More – Outsource!</a> appeared first on <a href="https://www.meremhealth.com">MEREM Health</a>.</p>
]]></content:encoded>
					
		
		
			</item>
		<item>
		<title>Add-On Codes That Physician Specialties Need to Know Before 2021</title>
		<link>https://www.meremhealth.com/add-on-codes-that-physician-specialties-need-to-know-before-2021/</link>
		
		<dc:creator><![CDATA[Amanda Cherry]]></dc:creator>
		<pubDate>Tue, 30 Apr 2019 18:00:51 +0000</pubDate>
				<category><![CDATA[Medical Billing and Co...]]></category>
		<category><![CDATA[Medical Coding Company]]></category>
		<category><![CDATA[CMS Rule]]></category>
		<category><![CDATA[E/M]]></category>
		<category><![CDATA[Medical Coding Compliance]]></category>
		<category><![CDATA[Office Visits]]></category>
		<category><![CDATA[Specialty Physician documentation]]></category>
		<guid isPermaLink="false">https://www.meremhealth.com/?p=1888</guid>

					<description><![CDATA[<p>The 2019 Medicare Physician Fee Schedule (MPFS) proposed rule discussed potential add-on codes to represent Evaluation and Management complexity. Lucky for physician specialties, it been delayed until 2021. The proposed add-on code was a way to add reimbursement in the new territory of blended E&#38;M&#160;payments. For physician specialties, CMS is proposing to revise the current...</p>
<p>The post <a href="https://www.meremhealth.com/add-on-codes-that-physician-specialties-need-to-know-before-2021/">Add-On Codes That Physician Specialties Need to Know Before 2021</a> appeared first on <a href="https://www.meremhealth.com">MEREM Health</a>.</p>
]]></description>
										<content:encoded><![CDATA[
<p>The 2019 Medicare Physician Fee Schedule (MPFS) proposed rule discussed potential add-on codes to represent <a href="https://www.meremhealth.com/level-of-office-visit-code/">Evaluation and Management</a> complexity. Lucky for physician specialties, it been delayed until 2021. The proposed add-on code was a way to add reimbursement in the new territory of blended <a href="https://www.meremhealth.com/new-e-m-coding-changes-coming-2019/">E&amp;M</a>&nbsp;payments. </p>



<p>For physician specialties, CMS is proposing to revise the current five levels of reporting patient office visits into two levels, one for new patients and one for established patients.&nbsp; This proposal would also <a href="https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/PhysicianFeeSched/Downloads/CY2019-PFS-NPRM-Doc-Requirements-and-Payment-E-M-Visits-and-Advancing-Virtual-Care.pdf">change the documentation required</a> to support the billing of E&amp;M codes.&nbsp; </p>



<p>This proposal would eliminate separate billing of E&amp;M codes
when those visits are furnished in conjunction with other procedures, by
applying a multiple procedure payment adjustment in those circumstances.</p>



<p>The proposed add-on code for
specialists is temporarily called GCG0X. The code would represent additional
costs for resources in specialties that have E&amp;M visits as a big percentage
of the allowed charges. These specialties typically report level 4 and 5
visits. They often use E&amp;M codes rather than separate codes for the
treatments provided to the patient.</p>



<p>The specialties for the <a href="https://www.meremhealth.com/new-e-m-coding-changes-coming-2019/">add-on&nbsp;codes</a> include Endocrinology, Rheumatology, Hematology/Oncology, <a href="https://www.meremhealth.com/specialties/urology/">Urology</a>, <a href="https://www.meremhealth.com/specialties/neurology/">Neurology</a>, <a href="https://www.meremhealth.com/specialties/obstetrics-gynecology/">OB/GYN</a>, Allergy/Immunology, Otolaryngology, or <a href="https://www.meremhealth.com/specialties/pain-management/">Interventional Pain Management-Centered Care</a>. The add-on code would be listed separately in addition to the E&amp;M visit code.</p>



<p>The proposed value of the code was based on 75% of psychiatric evaluation/psychotherapy code +90785. &nbsp;Medicare has made the decision for the primary RVU to be the same as the specialty, which means the new proposed RVU is 0.25 with a physician time of 8.25 minutes.</p>



<div class="wp-block-cover is-light"><img loading="lazy" decoding="async" width="960" height="640" class="wp-block-cover__image-background wp-image-1889" src="https://www.meremhealth.com/wp-content/uploads/2019/04/stethoscope-3457519_960_720.jpg" data-object-fit="cover" srcset="https://www.meremhealth.com/wp-content/uploads/2019/04/stethoscope-3457519_960_720.jpg 960w, https://www.meremhealth.com/wp-content/uploads/2019/04/stethoscope-3457519_960_720-300x200.jpg 300w, https://www.meremhealth.com/wp-content/uploads/2019/04/stethoscope-3457519_960_720-768x512.jpg 768w, https://www.meremhealth.com/wp-content/uploads/2019/04/stethoscope-3457519_960_720-640x427.jpg 640w" sizes="auto, (max-width: 960px) 100vw, 960px" /><span aria-hidden="true" class="wp-block-cover__background has-background-dim-30 has-background-dim"></span><div class="wp-block-cover__inner-container is-layout-flow wp-block-cover-is-layout-flow">
<p class="has-text-align-center has-large-font-size"> <br>Trust the coding experts at <br>MEREM Healthcare Solutions. </p>
</div></div>



<p>Accuracy in <a href="https://www.meremhealth.com/services/coding/">medical coding</a> is the life-blood of all medical practice. It takes a knowledgeable and experienced coding staff to maximize your billed charges while maintaining strict compliance with CMS and CCI guidelines. That is why these add-on&nbsp;codes&nbsp;will be something we watch for in 2021 within these specialties. Trust the coding experts at <a href="https://www.meremhealth.com/services/coding/">MEREM Healthcare Solutions</a>.</p>
<p>The post <a href="https://www.meremhealth.com/add-on-codes-that-physician-specialties-need-to-know-before-2021/">Add-On Codes That Physician Specialties Need to Know Before 2021</a> appeared first on <a href="https://www.meremhealth.com">MEREM Health</a>.</p>
]]></content:encoded>
					
		
		
			</item>
		<item>
		<title>Significant Impacts of HDHP on Your Medical Practice</title>
		<link>https://www.meremhealth.com/medical-billing-and-coding-the-impact-of-hdhp-on-your-practice/</link>
		
		<dc:creator><![CDATA[Amanda Cherry]]></dc:creator>
		<pubDate>Tue, 23 Apr 2019 22:20:31 +0000</pubDate>
				<category><![CDATA[Medical Billing and Co...]]></category>
		<category><![CDATA[Medical Billing Services]]></category>
		<category><![CDATA[medical practice]]></category>
		<category><![CDATA[patient pre-collections]]></category>
		<category><![CDATA[Precollection Solutions]]></category>
		<category><![CDATA[Precollections]]></category>
		<category><![CDATA[The impact of HDHP]]></category>
		<guid isPermaLink="false">http://encorelumber.azurewebsites.net/2017/05/27/medical-billing-and-coding-the-impact-of-hdhp-on-your-practice/</guid>

					<description><![CDATA[<p>With the increasing prevalence of High Deductible Health Plans (HDHP) and other aggressive patient cost-sharing models, it has never been more important to the financial health of your practice to have an efficient patient pre-collections program in place. At MEREM Healthcare Solutions, one thing we know for sure is that poor revenue cycle management can be disastrous for a practice.</p>
<p>The post <a href="https://www.meremhealth.com/medical-billing-and-coding-the-impact-of-hdhp-on-your-practice/">Significant Impacts of HDHP on Your Medical Practice</a> appeared first on <a href="https://www.meremhealth.com">MEREM Health</a>.</p>
]]></description>
										<content:encoded><![CDATA[<p>With the increasing prevalence of <strong>High Deductible Health Plans (HDHP)</strong> and other aggressive patient cost-sharing models, it has never been more important to the financial health of your practice to have an efficient patient pre-collections program in place.</p>
<p>Fee schedules are getting reduced every year. This means if you’re not on top of your patient collections at all times, revenue will be lost.</p>
<p>At MEREM Healthcare Solutions, one thing we know for sure is that poor revenue cycle management can be disastrous for a practice. The codes required for obtaining maximum revenue payout for billing medical claims are constantly changing, which brings numerous challenges for coders in an already busy practice. The coding and reimbursement landscape continues to change.</p>
<h2><strong>Impacts of High Deductible Health Plans </strong></h2>
<p>Due to patients having more responsibility for their healthcare costs, High-deductible health plans have a significant impact on your bottom line, from <a href="https://www.meremhealth.com/services/patient-pre-collections/">patient collections</a> to <a href="https://www.meremhealth.com/2018-3-21-are-you-aware-of-bracket-creep/">bad debt.</a></p>
<p>You must also add in additional labor costs for the <strong>time</strong> required for your staff to focus on the collections side. Your billing process can no longer be something that gets a couple of hours of attention a day, it will constantly evolve and requires a dedicated staff or team to file and consistently work claims as well as dedicate additional time speaking with patients to discuss coverage and out-of-pocket costs.</p>
<h2><strong>Medical Billing and Coding &#8211; Let MEREM Health Help</strong></h2>
<p>With the increasing prevalence of High Deductible Health Plans and other aggressive patient cost-sharing models, it has never been more important to the financial health of your practice to have an efficient <a href="https://www.meremhealth.com/services/patient-pre-collections/">patient pre-collections</a> program in place.</p>
<p>With a typical Medical Billing company, their patient collection efforts only go as far as issuing statements and generating “bad debt” reports of accounts that need to be turned over to collections. However,  we have found that when accounts reach this point, <strong>less than 50% of these balances are ever recovered.</strong></p>
<p><img loading="lazy" decoding="async" class="alignnone wp-image-1865 size-full" src="https://www.meremhealth.com/wp-content/uploads/2019/04/High-Deductible-Health-Plans.jpg" alt="" width="1920" height="1080" srcset="https://www.meremhealth.com/wp-content/uploads/2019/04/High-Deductible-Health-Plans.jpg 1920w, https://www.meremhealth.com/wp-content/uploads/2019/04/High-Deductible-Health-Plans-300x169.jpg 300w, https://www.meremhealth.com/wp-content/uploads/2019/04/High-Deductible-Health-Plans-768x432.jpg 768w, https://www.meremhealth.com/wp-content/uploads/2019/04/High-Deductible-Health-Plans-1024x576.jpg 1024w, https://www.meremhealth.com/wp-content/uploads/2019/04/High-Deductible-Health-Plans-640x360.jpg 640w" sizes="auto, (max-width: 1920px) 100vw, 1920px" /></p>
<p><strong>At MEREM Healthcare Solutions, we work with our client partners to develop a Patient “Pre-Collections” strategy that is both aggressive and fair. </strong>We work with your front office staff and management to develop a Point-of-Service (POS) collections process to effectively collect more money up-front.</p>
<p>Additionally, you will have the added support of a dedicated medical billing team and a patient collections representative. Our patient collections reps work diligently to collect patient balances in full or to make payment arrangements within 90 days and will help you identify and transmit delinquent accounts to a third-party collections agency of your choice.</p>
<h5><a href="https://www.meremhealth.com/contact-us/">Contact Us</a> today to learn more about our <a href="https://www.meremhealth.com/services/patient-pre-collections/">Patient Pre-Collections Services.</a></h5>
<h3><strong><img loading="lazy" decoding="async" class="size-medium wp-image-826 alignright" src="https://www.meremhealth.com/wp-content/uploads/2018/04/deliver-solutions-300x205.png" alt="" width="300" height="205" srcset="https://www.meremhealth.com/wp-content/uploads/2018/04/deliver-solutions-300x205.png 300w, https://www.meremhealth.com/wp-content/uploads/2018/04/deliver-solutions.png 331w" sizes="auto, (max-width: 300px) 100vw, 300px" />Patient Pre-Collections Solutions</strong></h3>
<p>Our Patient Pre-Collections Solutions include:</p>
<ul>
<li>20 hours of consultant time to develop your customized solution</li>
<li>Statements and collection letter processing</li>
<li>Managing payment plan list to ensure patients meet their terms</li>
<li>Running auto-dial lists to notify patients with delinquent accounts</li>
<li>Aggressive follow-up on past-due surgical balances</li>
<li>Custom reports to aid in POS collection efforts</li>
<li>Diligent management of third-party collections accounts</li>
<li>Ongoing support from our patient collection reps and management consultants</li>
</ul>
<p><strong><a href="https://www.meremhealth.com/free-consultation-revenue-cycle-audit-for-prospective-clients/">Request an Assessment</a> of your patient AR to see how much money you could be leaving on the table! </strong><strong>Contact MEREM Health at (205) 329-7519 or <a href="https://www.meremhealth.com/contact-us/">click here to send us an email.  </a></strong><strong>We look forward to hearing from you!</strong></p>
<p><a href="https://www.meremhealth.com/services/patient-pre-collections/">MEREM Health provides exceptional collections and medical billing</a>, coding and credentialing services for specialty physician practices, urgent cares, and diagnostic imaging centers. Take advantage of our medical billing and coding expertise today!</p>
<div class="sqs-block-button-container--center" data-alignment="center" data-button-size="small"><a class="sqs-block-button-element--small sqs-block-button-element" href="https://www.meremhealth.com/contact-us/">Request Information</a></div>
<div class="newsletter-form-wrapper newsletter-form-show-name newsletter-form-wrapper--layoutFloat newsletter-form-wrapper--alignCenter">
<form class="newsletter-form" autocomplete="on" method="POST" data-form-id="594a9c5a1e5b6cc5d6db8c94">
<div class="newsletter-form-footnote"></div>
<div class="hidden form-submission-text">Thank you!</div>
<div class="hidden form-submission-html" data-submission-html=""></div>
</form>
</div>
<p>The post <a href="https://www.meremhealth.com/medical-billing-and-coding-the-impact-of-hdhp-on-your-practice/">Significant Impacts of HDHP on Your Medical Practice</a> appeared first on <a href="https://www.meremhealth.com">MEREM Health</a>.</p>
]]></content:encoded>
					
		
		
			</item>
		<item>
		<title>The Masters of Revenue Cycle Management</title>
		<link>https://www.meremhealth.com/the-masters-of-revenue-cycle-management/</link>
		
		<dc:creator><![CDATA[Amanda Cherry]]></dc:creator>
		<pubDate>Sun, 14 Apr 2019 15:00:11 +0000</pubDate>
				<category><![CDATA[Medical Billing and Co...]]></category>
		<category><![CDATA[Revenue Cycle Management]]></category>
		<category><![CDATA[medical billing Medical Billing Digest medical billing insights Medical Billing Service]]></category>
		<category><![CDATA[physician revenue]]></category>
		<guid isPermaLink="false">https://www.meremhealth.com/?p=1819</guid>

					<description><![CDATA[<p>While your &#8220;long game&#8221; goal as a specialty healthcare facility is to provide high-quality care to your patients. You need to master your revenue cycle management in order to keep positive cash flow so that you can continue to provide the state-of-the-art technology and quality services you desire within your medical practice. When medical billing...</p>
<p>The post <a href="https://www.meremhealth.com/the-masters-of-revenue-cycle-management/">The Masters of Revenue Cycle Management</a> appeared first on <a href="https://www.meremhealth.com">MEREM Health</a>.</p>
]]></description>
										<content:encoded><![CDATA[
<p>While your &#8220;long game&#8221; goal as a specialty healthcare facility is to provide high-quality care to your patients. You need to master your revenue cycle management in order to keep positive cash flow so that you can continue to provide the state-of-the-art technology and quality services you desire within your medical practice. <br></p>



<figure class="wp-block-image"><img loading="lazy" decoding="async" width="940" height="788" src="https://www.meremhealth.com/wp-content/uploads/2019/04/MEREM-Masters.png" alt="" class="wp-image-1820" srcset="https://www.meremhealth.com/wp-content/uploads/2019/04/MEREM-Masters.png 940w, https://www.meremhealth.com/wp-content/uploads/2019/04/MEREM-Masters-300x251.png 300w, https://www.meremhealth.com/wp-content/uploads/2019/04/MEREM-Masters-768x644.png 768w, https://www.meremhealth.com/wp-content/uploads/2019/04/MEREM-Masters-640x537.png 640w" sizes="auto, (max-width: 940px) 100vw, 940px" /></figure>



<p>When medical billing errors occur, you are not only causing billing issues with your patients, you are also causing hazards in the cash flow of your medical practice that can get your practice in the weeds. Here’s why you may want to consider outsourcing your medical billing. <br></p>



<h2 class="wp-block-heading"><strong>The Masters of Outsourcing Your Medical Billing</strong><br></h2>



<p>Did you know that more than 51% of patients owe their physician at least $1000? Could you imagine what your medical practice could provide to your patients if your cash flow remained in the black month after month? New modalities? A better nurse to patient ratio? The benefits would be endless!</p>



<p>This is why it is important to make your medical billing department a priority—even if that means outsourcing your medical billing!<br></p>



<h3 class="wp-block-heading"><strong>New Medical Codes Are Par For The Course</strong><br></h3>



<p>As a medical coder, there are three sets of medical codes you need to know:<br></p>



<ul class="wp-block-list"><li>ICD codes</li><li>CPT codes</li><li>HCPCS codes</li></ul>



<p>Within the aforementioned three sets, there are a number of medical codes, that may be updated and can change quarterly or annually, which can cause confusion if you do not have a knowledgeable and experienced team in place who is constantly staying up-to-date on medical code changes and fully comprehending what each code means.<br></p>



<p>At MEREM Healthcare Solutions, our medical coders are certified by the American Academy of Professional Coders (AAPC). We even have an AAPC-certified instructor on staff to provide on-going training to our knowledgeable and experienced team of medical coders to ensure we are always aware of coding changes in the medical billing industry so that claims go out with errors. <br></p>



<p>When a medical billing error occurs, it can contribute to a number of issues within your medical practice. <br></p>



<h3 class="wp-block-heading"><strong>The Hazards Behind Medical Billing Errors</strong><br></h3>



<p>First, it can cause issues with your patient’s insurance. When an incorrect code appears on a patient’s bill, it can over or undercharge them. If the error is found, when re-filing the bill with a new code, it can cause the patient’s insurance company to reject the new bill, which makes it more difficult for you to get the money you are owed. &nbsp;<br></p>



<p>Second, it can cause a concern of fraud when incorrect codes are placed on a patient’s chart that shouldn’t be there. As a result, it can put a “red flag” on your medical practice to where you are audited more frequently than usual. <br></p>



<p>Fortunately, with the right medical billing team behind your medical practice, these two issues never have to come into play. When it comes to outsourcing your medical billing, you can have full confidence that the job is being done right when choosing <a href="https://www.meremhealth.com/">MEREM Healthcare Solutions</a> for help!<br></p>



<h4 class="wp-block-heading"><strong><em>Discover how our team at MEREM Healthcare Solutions in Birmingham, AL, can help your medical practice avoid and/or prepare for a CMS audit.</em></strong></h4>



<p><br><a href="https://www.meremhealth.com/"><em>Merem Healthcare Solutions</em></a><em> offers services for every step in a practice’s revenue cycle management. We can start from the beginning from credentialing and end with payment posting once an account has been satisfied. We offer a wide range of solutions which include auditing, billing, coding, consulting, credentialing, payment posting, practice management, and pre-collections training. Check us out </em><a href="https://www.meremhealth.com/contact-us/"><em>on our website</em></a><em> or feel free to call us to see how we can help run your practice like a well-oiled machine &#8211; (205) 329-7519.</em></p>
<p>The post <a href="https://www.meremhealth.com/the-masters-of-revenue-cycle-management/">The Masters of Revenue Cycle Management</a> appeared first on <a href="https://www.meremhealth.com">MEREM Health</a>.</p>
]]></content:encoded>
					
		
		
			</item>
		<item>
		<title>Finding the Right Fit</title>
		<link>https://www.meremhealth.com/choosing-medical-billing-company-finding-right-fit/</link>
		
		<dc:creator><![CDATA[Amanda Cherry]]></dc:creator>
		<pubDate>Tue, 02 Apr 2019 22:35:22 +0000</pubDate>
				<category><![CDATA[Medical Billing and Co...]]></category>
		<category><![CDATA[Medical Billing Services]]></category>
		<category><![CDATA[Outsourced Medical Bil...]]></category>
		<category><![CDATA[medical billing]]></category>
		<category><![CDATA[medical practice]]></category>
		<category><![CDATA[outsourced billing and coding]]></category>
		<guid isPermaLink="false">http://encorelumber.azurewebsites.net/2015/07/20/choosing-medical-billing-company-finding-right-fit/</guid>

					<description><![CDATA[<p>Have you struggled with choosing an outsourced Medical Billing Company?  Is your medical practice overwhelmed with the paperwork of billing and coding? If you have outsourced your revenue cycle management process, how did you know that the outsourced medical billing and coding services company you are working with was the right fit for your practice? ...</p>
<p>The post <a href="https://www.meremhealth.com/choosing-medical-billing-company-finding-right-fit/">Finding the Right Fit</a> appeared first on <a href="https://www.meremhealth.com">MEREM Health</a>.</p>
]]></description>
										<content:encoded><![CDATA[
<div class="wp-block-cover has-background-dim is-layout-flow wp-block-cover-is-layout-flow" style="background-image:url(https://www.meremhealth.com/wp-content/uploads/2019/04/puzzle-fit-1024x562.jpg)"><p class="wp-block-cover-text"> How Do You Determine<br>The Best Fit For Your Practice?<br><br><br><br></p></div>


<p>Have you struggled with choosing an outsourced Medical Billing Company?  Is your medical practice overwhelmed with the paperwork of billing and coding?</p>
<p>If you have outsourced your revenue cycle management process, how did you know that the outsourced medical billing and coding services company you are working with was the right fit for your practice? </p>
<div style="width: 610px" class="wp-caption alignright"><img loading="lazy" decoding="async" src="http://static1.squarespace.com/static/592456ecf5e2317aaae82c5f/5931c1dc02d7bcb86649ee94/5931c1e702d7bcb86649efd7/1496433127289/ChooseCompany-1.jpg" alt="" width="600" height="400" /><p class="wp-caption-text">With a reputable billing and coding service, physicians can stop focusing on billing issues and get to what’s important: the patient.</p></div>
<p>Outsourcing your medical billing and coding to a professional healthcare solution company is advantageous for a number of reasons. Understanding what to look for is essential when choosing a company to outsource your medical coding. </p>
<p>Check out the list below provided by MEREM Healthcare Solutions for the top the things to consider <strong>before</strong> choosing the best medical billing and coding company for your practice.</p>
<p><em>Are you still unsure about outsourcing your medical billing and coding? If so, check out our latest article, </em></p>
<h6><a href="https://www.meremhealth.com/medical-billing-and-coding-services-should-you-outsource/"><strong><em>“</em><em>Should You Outsource Your Medical Coding? Yes!</em><em>”</em></strong></a></h6>
<h4> </h4>
<h4><strong>How Much Is the Medical Billing and Coding Company Willing to Do for You?</strong></h4>
<p>Looking for the best fit?  The best medical billing and coding companies perform <a href="https://www.meremhealth.com/about/" target="_blank" rel="noopener noreferrer">above the industry average</a>. The most basic medical billing company will provide:</p>
<ul>
<li>claim submission,</li>
<li>carrier follow up,</li>
<li>payment posting and processing,</li>
<li>patient invoicing,</li>
<li>and collections.</li>
</ul>
<p>You&#8217;ll want to seek out and choose a medical billing and coding company that <strong><em>delivers more </em></strong>than the basics. Ask about their specific performance metrics, including net collection ratio, days outstanding, denial/rejection rate and the average number of days in accounts receivable (AR).</p>
<p>For many practices to even consider outsourcing, <strong><a href="https://www.meremhealth.com/optimize-patient-collections-in-3-steps/" target="_blank" rel="noopener noreferrer">patient follow-up is key</a>.</strong> If a patient fails to pay, you should expect that the billing company you are outsourcing these matters to will pursue that debt, right? Unfortunately, some will not.</p>
<p>Also, does the billing company provide <a href="https://www.meremhealth.com/medical-billing-and-coding-services-creating-custom-reports-for-your-practice/" target="_blank" rel="noopener noreferrer"><strong>frequent and detailed analytics and reporting</strong></a> to help your practice recognize what they can do to grow? Or do they just provide a bank statement once a month?</p>
<p>Any company that you are considering to partner with should be transparent about the services that they will deliver in order to help you determine which is the best fit for your practice. Choose a company that goes above and beyond the basic credentials. You also want to find an outsourced solution working within your specialty field of medicine.</p>
<h4 class="p1"><strong>Choose Experience And Specialty Expertise</strong></h4>
<p>When choosing a medical billing company, experience matters. After all, experience can ensure a smooth, problem-free onboarding process.</p>
<p>The number of years a company has been in business matters, but it’s not the only consideration. You also want to look for a company that has worked for a sizable number of years in your particular specialty. This ensures that they fully understand <em>your </em>field and have more intimate knowledge of the specific requirements for medical coding, documentation, compliance, etc. related to your specialty—whether it’s <a href="https://www.meremhealth.com/specialties/advanced-imaging-radiology/" target="_blank" rel="noopener noreferrer">Advanced Imaging and Radiology</a>, <a href="https://www.meremhealth.com/specialties/obstetrics-gynecology/" target="_blank" rel="noopener noreferrer">Obstetrics and Gynecology</a>, <a href="https://www.meremhealth.com/specialties/orthopedics-sports-medicine/" target="_blank" rel="noopener noreferrer">Orthopedics and Sports Medicine</a>, or <a href="https://www.meremhealth.com/specialties/gastroenterology/" target="_blank" rel="noopener noreferrer">Gastroenterology</a>.</p>
<p>Perhaps they have only been open for three years, but those three years were spent learning the specific, highly-detailed ins and outs of your specialty. Ask your prospective medical billing companies the following questions before you commit.</p>
<ul>
<li>How many years of experience do you have working in your area of expertise and in our area of medicine?</li>
<li>How many clients in that specialty do you currently have?</li>
<li>What size practices are you used to managing?</li>
</ul>
<p>The answers to these questions will help you to weed out the companies who aren’t a good fit and can help ease your mind about partnering with an outsourced healthcare solution that is ready and able to seamlessly take on your practice’s medical billing and coding.</p>
<h4><strong>Discuss Technology&#8230; The Good and Bad</strong></h4>
<p>Technological advances have made for some fancy billing software. Find out what type of software the billing company is using. Does the company understand the full usage of the software? What kind of software education and procedures are in place for their employees?</p>
<p>Your practice wants to ensure there is not a violation of <strong>HIPAA privacy</strong> rules. A loss of data would most likely shut down your medical practice. Be sure your paperwork is safe and private by asking: </p>
<ul>
<li>How does the medical billing company go about sharing your patient’s data?</li>
<li>Is there a backup plan in place in case a security breach is made or the system fails? </li>
</ul>
<p>At the end of the day, it is essential that you ask all the right questions to ensure that you are getting a full-service medical billing and coding company that can properly handle your practice’s needs. </p>
<hr />
<h1><strong>Looking for the Best Medical Billing and Coding Services? </strong></h1>
<p>Turn to MEREM Healthcare Solutions. <a href="https://www.meremhealth.com/contact-us/">Get a free quote</a> and learn more about our uniquely designed support system for revenue cycle and operations management needs. <strong>At MEREM, we don’t just provide services, we deliver solutions. </strong></p>
<p>No matter the size, healthcare organizations need a strategic partner and that is what we are here to provide. Let us help you save time and ensure proper coding for all your medical billing needs. You will feel the difference through the level of dedication and commitment we provide to our clients.</p>
<p> </p>


<figure class="wp-block-image"><img loading="lazy" decoding="async" width="1024" height="534" src="https://www.meremhealth.com/wp-content/uploads/2019/04/MEREM_Indoor-Ad_1366x713-1024x534.jpg" alt="" class="wp-image-1736" srcset="https://www.meremhealth.com/wp-content/uploads/2019/04/MEREM_Indoor-Ad_1366x713-1024x534.jpg 1024w, https://www.meremhealth.com/wp-content/uploads/2019/04/MEREM_Indoor-Ad_1366x713-300x157.jpg 300w, https://www.meremhealth.com/wp-content/uploads/2019/04/MEREM_Indoor-Ad_1366x713-768x401.jpg 768w, https://www.meremhealth.com/wp-content/uploads/2019/04/MEREM_Indoor-Ad_1366x713-640x334.jpg 640w, https://www.meremhealth.com/wp-content/uploads/2019/04/MEREM_Indoor-Ad_1366x713.jpg 2048w" sizes="auto, (max-width: 1024px) 100vw, 1024px" /></figure>
<p>The post <a href="https://www.meremhealth.com/choosing-medical-billing-company-finding-right-fit/">Finding the Right Fit</a> appeared first on <a href="https://www.meremhealth.com">MEREM Health</a>.</p>
]]></content:encoded>
					
		
		
			</item>
		<item>
		<title>How Can Your Practice Avoid An Audit?</title>
		<link>https://www.meremhealth.com/avoid-an-audit/</link>
		
		<dc:creator><![CDATA[Amanda Cherry]]></dc:creator>
		<pubDate>Tue, 19 Feb 2019 21:16:01 +0000</pubDate>
				<category><![CDATA[Medical Billing and Co...]]></category>
		<category><![CDATA[Medical Billing Audits]]></category>
		<category><![CDATA[Outsourced Medical Bil...]]></category>
		<category><![CDATA[Revenue Cycle Management]]></category>
		<category><![CDATA[CMS]]></category>
		<category><![CDATA[Coding Errors]]></category>
		<category><![CDATA[Healthcare Solutions]]></category>
		<category><![CDATA[internal audit]]></category>
		<category><![CDATA[medical practice]]></category>
		<guid isPermaLink="false">https://www.meremhealth.com/?p=1610</guid>

					<description><![CDATA[<p>Is your medical practice at risk for an audit? Are you off the grid from auditors and sure everything is being coded and billed correctly and ethically?</p>
<p>The post <a href="https://www.meremhealth.com/avoid-an-audit/">How Can Your Practice Avoid An Audit?</a> appeared first on <a href="https://www.meremhealth.com">MEREM Health</a>.</p>
]]></description>
										<content:encoded><![CDATA[
<p>No one wants to be hit by an audit from the <a href="https://www.cms.gov/">Centers for Medicare &amp; Medicaid Services (CMS)</a>, but it happens. When it does, fear and anxiety can set in throughout your medical practice, leaving you to ask and answer questions about your practice efficiency, such as: </p>



<ul class="wp-block-list"><li>When was the last time we reviewed our process or improved our technology?</li><li>How accurate is our documentation? </li><li>Can we improve  </li></ul>



<p>But it doesn’t have to be this way.  Our team at MEREM Healthcare Solutions wants you to know how to be as prepared as possible in case your medical practice finds itself in the middle of a CMS audit this year.  One of the best ways to avoid a CMS audit is to be prepared at all times, the best way to do so is by conducting <a href="https://www.meremhealth.com/medical-auditing/">internal audits</a> within your medical practice. </p>



<h2 class="wp-block-heading"><strong>When Was the Last Time You Reviewed Your Process?</strong><br></h2>



<p>Every medical practice has its own unique operations “process.” <strong>Is your process working for your medical practice as it should?</strong> <a href="https://www.meremhealth.com/services/auditing/">Internal audits</a> can be helpful in identifying areas of improvement such as your practice management software/technology and can highlight challenges within each step of your revenue cycle from documentation and coding, to billing and collections. <br></p>



<p>Technology is always changing to provide improved accuracy, especially when it comes to medical billing. If your medical practice is still using technology from years ago, then you may face a higher chance of errors in addition to your team being limited in their ability to work as effectively and efficiently as possible thorough streamlined <g class="gr_ gr_65 gr-alert gr_spell gr_inline_cards gr_run_anim ContextualSpelling" id="65" data-gr-id="65">pms</g> processes.<br></p>



<p>Conducting an internal audit can allow you to see if the time has come to update your medical practice’s “process,” also known as “technology.”<br></p>



<p>An internal audit can also prevent revenue loss from occurring, as it can point to where issues are happening so that you can identify areas to focus&nbsp;on improving. For example, if your practice is facing a <g class="gr_ gr_105 gr-alert gr_spell gr_inline_cards gr_disable_anim_appear ContextualSpelling ins-del multiReplace" id="105" data-gr-id="105">signifacant</g>&nbsp;amount of claim denials due to coding mistakes, it might be better to consider outsourcing your medical billing and coding to a team <g class="gr_ gr_390 gr-alert gr_gramm gr_inline_cards gr_disable_anim_appear Style multiReplace" id="390" data-gr-id="390">of  experts</g> that have the experience<g class="gr_ gr_435 gr-alert gr_gramm gr_inline_cards gr_run_anim Style replaceWithoutSep" id="435" data-gr-id="435">,</g><g class="gr_ gr_435 gr-alert gr_gramm gr_inline_cards gr_disable_anim_appear Style replaceWithoutSep" id="435" data-gr-id="435">and</g> ongoing training for coding within your specialty —like us!<br></p>



<p>If it has been a while since your last internal audit, you might want to conduct one sooner rather than later. </p>



<h2 class="wp-block-heading"><strong>How Accurate Is Your Documentation?</strong><br></h2>



<p>When it comes to a patient health record, there is absolutely no room for error. Not only can it cause harm to the patient<g class="gr_ gr_6 gr-alert gr_tiny gr_gramm gr_inline_cards gr_run_anim Grammar only-ins replaceWithoutSep" id="6" data-gr-id="6">,</g> it can also cause your medical practice harm and possible fines if caught while undergoing a CMS audit. <br></p>



<p>There should be no discrepancies whatsoever when comparing medical information, such as health records, which should be filled out properly throughout the entire process. Every detail is key.</p>



<h2 class="wp-block-heading"><strong>MEREM Healthcare Solutions Is Here to Help!</strong><br></h2>



<p>A lot of concerns that we&#8217;ve discussed with potential clients particularly come from Pain Management physicians because they are a high risk for audits and they want to make sure everything is being coded and billed correctly and ethically to keep them off the grid from auditors.</p>



<p>As we explained earlier, one of the best ways to avoid a CMS audit is to be prepared at all times, which includes conducting your own audits within your medical practice. If you are noticing your medical practice is losing money or you do not have 100-percent faith in your team’s coding accuracy, it may be time for an internal audit! <a href="https://www.meremhealth.com/services/auditing/">We can help you.</a><br></p>



<p>At MEREM Healthcare Solutions, you can feel confident that our knowledgeable and experienced team provides the coding accuracy your medical practice needs in order to keep insurance claims correct and get your medical practice paid for services provided.</p>



<h4 class="wp-block-heading"><strong><em>Discover how our team at MEREM Healthcare Solutions in Birmingham, AL, can help your medical practice avoid and/or prepare for a CMS audit.</em></strong><br></h4>



<p><a href="https://www.meremhealth.com/"><em>Merem Healthcare Solutions</em></a><em> offers services for every step in a practice’s revenue cycle management. We can start from the beginning from credentialing and end with payment posting once an account has been satisfied. We offer a wide range of solutions which include auditing, billing, coding, consulting, credentialing, payment posting, practice management, and pre-collections training. Check us out </em><a href="https://www.meremhealth.com/contact-us/"><em>on our website</em></a><em> or feel free to call us to see how. Our customized healthcare solutions can help you run your practice like a well-oiled machine &#8211; (205) 329-7519.</em></p>
<p>The post <a href="https://www.meremhealth.com/avoid-an-audit/">How Can Your Practice Avoid An Audit?</a> appeared first on <a href="https://www.meremhealth.com">MEREM Health</a>.</p>
]]></content:encoded>
					
		
		
			</item>
	</channel>
</rss>
