Certainly, let’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’s understanding and utilization of the…
Category: Medical Billing Audits
Principles of Improving Patient Procedure Collections
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…
How Can Your Practice Avoid An Audit?
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?
Three Reasons Orthopedic Surgeons Lose Revenue
If there is one thing we understand at MEREM Healthcare Solutions, it ‘s practice profitability. We know from experience that so much income goes overlooked and undiscovered when it comes to medical billing and coding. However, there could be other revenue cycle components going on too.
Where does your practice stand among industry benchmarks?
Now is the time to conduct a financial review of your medical practice’s 2018 financial performance. Whether you currently handle your billing and coding in-house or outsource to another company, MEREM Healthcare Solutions recommends that you should conduct an annual revenue cycle audit in order to: Compare your practice’s performance against the previous year. Compare…
How Do You Handle Prior Authorizations?
To keep pace with changes to healthcare reimbursement, hospitals and healthcare organizations need to reduce inefficiency in their revenue cycle management. One significant cause from revenue loss is claim denials due to lack of prior authorizations. You cannot work backwards to get retro-authorizations for most insurance companies. Therefore, no prior authorization = no payment. Take…
Creating Custom Reports For Your Medical Practice
Reporting of a practices medical billing performance is more complicated today than ever before because the options for reporting are much greater. EMR programs collect and process so much data, that it becomes overwhelming and time consuming to manage and sort for most practice managers. In order to truly measure specific practice performance processes that…
Auditing With NO Fear, NO Frustration and NO Faults
When you think about an audit like an interrogation, it can invoke anxiety. If you change your perspective to look at audits as an improvement tool, it can be something practice owners and managers can look forward to. Occasional Billing and Coding Audits are valuable tools to help improve your revenue cycle and maintain compliance…
What if your billing team went away tomorrow?
What if your medical billing team went away tomorrow? It’s happened to more than one practice. Like many specialty medical practices, you probably have an in-house team that handles your revenue cycle management; From billing to coding, to auditing, collections, payment posting, claims re-submissions and dealing with payors. For some practices, this in-house arrangement works…
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…
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