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	<title>Revenue Cycle Management Archives - MEREM Health</title>
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	<link>https://www.meremhealth.com/category/revenue-cycle-management/</link>
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		<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>
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		<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>
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		<title>Specialty Healthcare Solutions expanding outside of Birmingham, Alabama</title>
		<link>https://www.meremhealth.com/specialty-healthcare-solutions-expanding-outside-of-birmingham-alabama/</link>
		
		<dc:creator><![CDATA[Amanda Cherry]]></dc:creator>
		<pubDate>Mon, 01 Jul 2019 17:48:11 +0000</pubDate>
				<category><![CDATA[Outsourced Medical Bil...]]></category>
		<category><![CDATA[Revenue Cycle Management]]></category>
		<category><![CDATA[Uncategorized]]></category>
		<guid isPermaLink="false">https://www.meremhealth.com/?p=2008</guid>

					<description><![CDATA[<p>Birmingham, Alabama based specialty healthcare solution company, MEREM Healthcare Solutions, is preparing to expand their outsourced healthcare solutions to specialty practice physicians across the Southeast. MEREM Healthcare Solutions aims to partner with rural healthcare providers across the Southeast such as individual physician practices, specialty physician groups, and healthcare institutions across the state of Alabama, Tennessee,...</p>
<p>The post <a href="https://www.meremhealth.com/specialty-healthcare-solutions-expanding-outside-of-birmingham-alabama/">Specialty Healthcare Solutions expanding outside of Birmingham, Alabama</a> appeared first on <a href="https://www.meremhealth.com">MEREM Health</a>.</p>
]]></description>
										<content:encoded><![CDATA[
<figure class="wp-block-image"><img 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="(max-width: 1024px) 100vw, 1024px" /></figure>



<p>Birmingham, Alabama based specialty healthcare solution company, MEREM Healthcare Solutions, is preparing to expand their outsourced healthcare solutions to specialty practice physicians <a href="https://www.meremhealth.com/service-areas/">across the Southeast</a>. </p>



<p>MEREM Healthcare Solutions aims to partner with rural healthcare providers across the Southeast such as individual physician practices, specialty physician groups, and healthcare institutions across the state of <a href="https://www.meremhealth.com/service-areas/alabama/">Alabama</a><a href="https://www.meremhealth.com/service-areas/">, Tennessee, Mississippi, South Carolina, and Georgia</a> who are facing economic pressures and in need of revenue improvement, strategic practice planning, credentialing and insurance network management. </p>



<div class="wp-block-image"><figure class="alignleft"><img loading="lazy" decoding="async" width="200" height="300" src="https://www.meremhealth.com/wp-content/uploads/2019/01/Brittney-Tidwell-200x300.jpg" alt="VP of Operations - MEREM Healthcare Solutions" class="wp-image-1557" srcset="https://www.meremhealth.com/wp-content/uploads/2019/01/Brittney-Tidwell-200x300.jpg 200w, https://www.meremhealth.com/wp-content/uploads/2019/01/Brittney-Tidwell-427x640.jpg 427w, https://www.meremhealth.com/wp-content/uploads/2019/01/Brittney-Tidwell.jpg 480w" sizes="auto, (max-width: 200px) 100vw, 200px" /></figure></div>



<blockquote class="wp-block-quote is-style-default is-layout-flow wp-block-quote-is-layout-flow"><p><em><strong>“MEREM Healthcare Solutions is more than an outsourced medical billing and coding company,&#8221; says MEREM Health VP of Operations, Brittney Tidwell, &#8220;we deliver unique solutions customized to fit the needs of individual practices that ensure improved practice performance and revenue cycle management.&#8221;   </strong></em></p><cite> <a href="mailto:btidwell@meremhealth.com">BRITTNEY TIDWELL</a><br>Vice President of Operations </cite></blockquote>



<p></p>



<p> Our mission at MEREM Healthcare Solutions is to provide our clients with superior, off-site medical billing management services while maintaining and exceeding the level of accountability, communication, and customer service that is valued in traditional on-site billing departments. </p>



<p>Providing high-quality medical billing solutions to support healthcare teams is something that we have been dedicated to for years.  For practices facing significant denials and claims rejections, a specialized outsourced solution can be just what you need. We encourage physicians and practice owners to consider this…  </p>



<h4 class="wp-block-heading" style="text-align:center"><em>Patients seek out specialty care for specialized treatment of their health problems. Consider giving your practice the same quality of specialized care.</em> </h4>



<hr class="wp-block-separator"/>



<h3 class="wp-block-heading"><strong>With MEREM Healthcare Solutions, Outsourcing Doesn’t Mean Offshoring</strong></h3>



<p><strong>Offshoring</strong> means getting work done in a different country. </p>



<p><strong>Outsourcing</strong> refers to contracting work out to an external organization.  We will provide you with a billing <strong><em>team</em></strong>. We structure our billing services around a team, ensuring appropriate checks and balances, a unified strategic vision, and the convenience of a single point of contact readily available to direct your questions – your <em>Merem Concierge. </em>Additionally, your patients will appreciate having their phone calls received directly by one of your U.S. based billing team members. </p>



<p>When there’s a backup in your pipes, you need a plumbing specialist. When there is a backup in your revenue cycle, our customized revenue cycle solutions and healthcare management team of medical billing and coding professionals can help. <a rel="noreferrer noopener" href="https://www.al.com/news/2017/12/financial_woes_put_alabamas_ru.html" target="_blank"></a></p>



<p>Outsourcing medical billing and coding significantly increase a physician’s confidence that the billing is handled accurately and efficiently. Merem Healthcare Solutions eliminates time, frustration, and expense associated with building and maintaining skilled professionals needed to achieve optimal reimbursement in the ever-changing and very challenging insurance industry. Above all, Merem clients know their business interests are in the hands of competent committed professionals. </p>



<div class="wp-block-image"><figure class="aligncenter"><img loading="lazy" decoding="async" width="679" height="386" src="https://www.meremhealth.com/wp-content/uploads/2015/06/Professionals-with-doctor.jpg" alt="Professionals with doctor" class="wp-image-1491" srcset="https://www.meremhealth.com/wp-content/uploads/2015/06/Professionals-with-doctor.jpg 679w, https://www.meremhealth.com/wp-content/uploads/2015/06/Professionals-with-doctor-300x171.jpg 300w, https://www.meremhealth.com/wp-content/uploads/2015/06/Professionals-with-doctor-640x364.jpg 640w" sizes="auto, (max-width: 679px) 100vw, 679px" /></figure></div>



<p>By choosing MEREM, you can rely on our expert team of certified healthcare revenue professionals who understand payer requirements and know how to get claims paid and help you reach revenue cycle performance above the industry standards. The We utilize a 3-part process that has been proven to put more cash in your pocket:</p>



<ol class="wp-block-list"><li><strong>Cut Costs</strong> by eliminating recruiting and training time, reducing labor costs, and improving accuracy.</li><li><strong>Increase Cash Flow</strong> by resolving your denied claims and advise on ways to prevent them from getting you paid quicker.</li><li><strong>Increase Charges</strong> by relying on our expert team to review each note or dictation in order to ensure you capture the maximum RVUs.</li></ol>



<p>This process is a concept that provides benefit to all parties involved, but most of all to cut the cost of in house staff by providing expertise, advice, and resources designed specifically for specialty practice providers needs &#8212; areas including coding, supply chain or regulatory compliance.</p>



<p> If you are interested in learning more about <a href="https://www.meremhealth.com/">MEREM Healthcare Solutions</a> and the customized practice management and revenue improvement options that we can provide, please contact us or give us a call at <a href="https://www.meremhealth.com/contact-us/">(205) 329-7519</a>. Our professional healthcare management team will consult and prepare customized practice solutions to fit the unique needs of your specialty. </p>
<p>The post <a href="https://www.meremhealth.com/specialty-healthcare-solutions-expanding-outside-of-birmingham-alabama/">Specialty Healthcare Solutions expanding outside of Birmingham, Alabama</a> appeared first on <a href="https://www.meremhealth.com">MEREM Health</a>.</p>
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		<title>Credentialing Mistakes That Can Drive Down Your Revenue</title>
		<link>https://www.meremhealth.com/credentialing-mistakes-that-can-drive-down-your-revenue/</link>
		
		<dc:creator><![CDATA[Amanda Cherry]]></dc:creator>
		<pubDate>Wed, 22 May 2019 21:45:24 +0000</pubDate>
				<category><![CDATA[Credentialing]]></category>
		<category><![CDATA[Revenue Cycle Management]]></category>
		<category><![CDATA[Credentialing new providers]]></category>
		<category><![CDATA[enrolling new providers]]></category>
		<category><![CDATA[Medical Credentialing]]></category>
		<category><![CDATA[provider credentialing]]></category>
		<guid isPermaLink="false">https://www.meremhealth.com/?p=1927</guid>

					<description><![CDATA[<p>MEREM Healthcare Solutions offers some key credentialing advice for physician practice owners. </p>
<p>The post <a href="https://www.meremhealth.com/credentialing-mistakes-that-can-drive-down-your-revenue/">Credentialing Mistakes That Can Drive Down Your Revenue</a> appeared first on <a href="https://www.meremhealth.com">MEREM Health</a>.</p>
]]></description>
										<content:encoded><![CDATA[
<p>Credentialing new providers with insurance payors and enrolling providers for the facilities they serve in is a time-consuming and detailed requirement of every medical practice.  Common credentialing errors cause scheduling delays, fluctuation in revenue cycle, and much more.  <strong>Failure to complete enrollment and submit proper (and often timely) credentials for a new provider or physician can lead to a significant revenue loss. </strong> </p>



<figure class="wp-block-image"><img loading="lazy" decoding="async" width="1024" height="512" src="https://www.meremhealth.com/wp-content/uploads/2019/05/Credentialing-Mistake-1024x512.png" alt="" class="wp-image-1928" srcset="https://www.meremhealth.com/wp-content/uploads/2019/05/Credentialing-Mistake.png 1024w, https://www.meremhealth.com/wp-content/uploads/2019/05/Credentialing-Mistake-300x150.png 300w, https://www.meremhealth.com/wp-content/uploads/2019/05/Credentialing-Mistake-768x384.png 768w, https://www.meremhealth.com/wp-content/uploads/2019/05/Credentialing-Mistake-640x320.png 640w" sizes="auto, (max-width: 1024px) 100vw, 1024px" /></figure>



<p><strong>Below is a list of
four significant provider credentialing mistakes that can drive down your
practice revenue. </strong></p>



<ol class="wp-block-list"><li>Not Planning Enough
Time for Credentialing</li><li>Incomplete or
Inaccurate Information on Applications and Documentation</li><li>Lack of Follow-Up
throughout the Application Process</li><li>CAQH Lapses</li></ol>



<h3 class="wp-block-heading">Timing is Everything in Credentialing</h3>



<div class="wp-block-image"><figure class="alignleft"><img loading="lazy" decoding="async" width="940" height="788" src="https://www.meremhealth.com/wp-content/uploads/2019/05/1-300x251.jpg" alt="" class="wp-image-1931" srcset="https://www.meremhealth.com/wp-content/uploads/2019/05/1-300x251.jpg 300w, https://www.meremhealth.com/wp-content/uploads/2019/05/1-768x644.jpg 768w, https://www.meremhealth.com/wp-content/uploads/2019/05/1-640x537.jpg 640w, https://www.meremhealth.com/wp-content/uploads/2019/05/1.jpg 940w" sizes="auto, (max-width: 940px) 100vw, 940px" /></figure></div>



<p>When bringing on a new provider, time is of the essence. It’s important to take the appropriate amount of time necessary for credentialing, instead of waiting a month before a new physician arrives.    You must </p>



<ul class="wp-block-list"><li><strong>Allow for time </strong>to process applications and gain approvals with each payor. </li><li><strong>Take time to </strong>review each detail for accuracy and completion prior to submission of application</li><li><strong>Make time</strong> to follow up during the credentialing process </li><li><strong>Be timely</strong> in re-attesting CAQH profiles.</li></ul>



<p>At a minimum, you must allow at least 90 to 120 days to complete applications and allow enough time to acquire payor approvals so that your new provider can get reimbursed. This projected lead time is necessary for beginning the enrollment process to successfully get a new provider enrolled with individual insurances and facilities. </p>



<p>Not allowing enough time to gather the
documentation needed in preparing and processing applications and insurance
approvals prior to a physician seeing patients will result in providers unable
to bill patients for services rendered.</p>



<p>Keep in mind that the responsiveness of approvals for the individual payor is determined by their workload. Some payors, especially government payors such as Medicare and Medicaid, can take 3-6 months to process.</p>



<h3 class="wp-block-heading">Attention to Detail is Key to Timely Approvals</h3>



<div class="wp-block-image"><figure class="alignleft"><img loading="lazy" decoding="async" width="300" height="251" src="https://www.meremhealth.com/wp-content/uploads/2019/05/2-300x251.jpg" alt="" class="wp-image-1932" srcset="https://www.meremhealth.com/wp-content/uploads/2019/05/2-300x251.jpg 300w, https://www.meremhealth.com/wp-content/uploads/2019/05/2-768x644.jpg 768w, https://www.meremhealth.com/wp-content/uploads/2019/05/2-640x537.jpg 640w, https://www.meremhealth.com/wp-content/uploads/2019/05/2.jpg 940w" sizes="auto, (max-width: 300px) 100vw, 300px" /></figure></div>



<p>Incomplete information and application errors
lead to delays in processing applications and possible denials. <strong>Applications are commonly denied due to inaccuracy errors such
as:</strong> </p>



<ul class="wp-block-list"><li>Omitting or making mistakes on data </li><li>Incomplete lock box address</li><li>Incorrect NPI numbers</li><li>Misspelled Names</li></ul>



<p>Credentialing
is directly tied to your profitability. When there are mistakes in the
documentation it could hold up applications or to face a denial. This leads to
the timely application process to have to start over.</p>



<p>Perform credentialing audits on a regular basis. <a href="https://www.meremhealth.com/free-consultation-and-revenue-cycle-audit/"><em>When was your last credentialing audit?</em></a></p>



<h3 class="wp-block-heading">Persistence Pays Off in Credentialing</h3>



<div class="wp-block-image"><figure class="alignleft"><img loading="lazy" decoding="async" width="300" height="251" src="https://www.meremhealth.com/wp-content/uploads/2019/05/3-300x251.jpg" alt="" class="wp-image-1933" srcset="https://www.meremhealth.com/wp-content/uploads/2019/05/3-300x251.jpg 300w, https://www.meremhealth.com/wp-content/uploads/2019/05/3-768x644.jpg 768w, https://www.meremhealth.com/wp-content/uploads/2019/05/3-640x537.jpg 640w, https://www.meremhealth.com/wp-content/uploads/2019/05/3.jpg 940w" sizes="auto, (max-width: 300px) 100vw, 300px" /></figure></div>



<p>Lack of Follow-up throughout the application
process can cost your practice 10’s of thousands of
dollars just by overlooking one letter or notice. We find that it is too easy
for a paper to fall through the cracks, so we do not wait around for your
payers to send notice of revalidation/recredentialing, we stay proactive. Be sure to follow up at regular intervals, keep notes and
follow up to confirm each application was received. </p>



<p>For example, even
though you may have received a fax sent confirmation, one document could have
been mis-scanned or lost. Some faxes are not received… so you must always follow
through and follow up to confirm the application was received. </p>



<p>Also, keep in mind that most payors will not expedite applications. Most plans will not contact you with updates or reasons for delays. </p>



<h3 class="wp-block-heading">Update Changes in CAQH Profiles </h3>



<div class="wp-block-image"><figure class="alignleft"><img loading="lazy" decoding="async" width="300" height="251" src="https://www.meremhealth.com/wp-content/uploads/2019/05/4-300x251.jpg" alt="" class="wp-image-1934" srcset="https://www.meremhealth.com/wp-content/uploads/2019/05/4-300x251.jpg 300w, https://www.meremhealth.com/wp-content/uploads/2019/05/4-768x644.jpg 768w, https://www.meremhealth.com/wp-content/uploads/2019/05/4-640x537.jpg 640w, https://www.meremhealth.com/wp-content/uploads/2019/05/4.jpg 940w" sizes="auto, (max-width: 300px) 100vw, 300px" /></figure></div>



<p>Every Insurance accesses this <a href="https://www.meremhealth.com/medical-credentialing-services-for-your-practice/">CAQH</a> information for credentialing. Profiles need to be re-attested every 120 days. In order to avoid loss in revenue, avoid lapses in CAQH by re-attesting on time and make sure all of the information is accurate and up-to-date. (Including your credentialing contact as well as the individual provider.) Be sure to use contact information that is monitored regularly.</p>



<hr class="wp-block-separator"/>



<h4 class="wp-block-heading"><strong>Let MEREM Health Handle Your Credentialing </strong></h4>



<div class="wp-block-image"><figure class="alignleft"><img loading="lazy" decoding="async" width="300" height="251" src="https://www.meremhealth.com/wp-content/uploads/2019/05/5-300x251.jpg" alt="" class="wp-image-1935" srcset="https://www.meremhealth.com/wp-content/uploads/2019/05/5-300x251.jpg 300w, https://www.meremhealth.com/wp-content/uploads/2019/05/5-768x644.jpg 768w, https://www.meremhealth.com/wp-content/uploads/2019/05/5-640x537.jpg 640w, https://www.meremhealth.com/wp-content/uploads/2019/05/5.jpg 940w" sizes="auto, (max-width: 300px) 100vw, 300px" /></figure></div>



<p>The
day-to-day operation of running a busy medical practice comes with many
different challenges. Medical Credentialing is a
complex process that can be difficult to manage. Credentialing is one
foundational area of the revenue cycle process where mistakes can cost your
practice tens of thousands of dollars.</p>



<p>MEREM
Healthcare Solutions&nbsp;provides exceptional billing, coding, and <a href="https://www.meremhealth.com/services/medical-credentialing/">medical credentialing services</a> to specialty physicians, hospitals and
outpatient centers.&nbsp;Take advantage of our credentialing expertise today! When you trust MEREM Healthcare Solutions, you get the
peace-of-mind that your credentialing status is being managed and maintained by
our experienced credentialing reps.</p>



<p>While
we cannot add more time in the day, we can at least take one of the most
time-consuming responsibilities off of your long-running list of day-to-day to
dos and we will make sure your practice remains profitable as new physicians
come onboard.&nbsp; <a href="https://www.meremhealth.com/contact-us/">Contact MEREM Health today</a> by calling (205) 329-7519 to <a href="https://www.meremhealth.com/free-consultation-and-revenue-cycle-audit/">submit a request for a consultation</a>.</p>
<p>The post <a href="https://www.meremhealth.com/credentialing-mistakes-that-can-drive-down-your-revenue/">Credentialing Mistakes That Can Drive Down Your Revenue</a> appeared first on <a href="https://www.meremhealth.com">MEREM Health</a>.</p>
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		<title>Keep your medical practice moving in the right direction—forward!</title>
		<link>https://www.meremhealth.com/keep-your-medical-practice-moving-forward/</link>
		
		<dc:creator><![CDATA[Amanda Cherry]]></dc:creator>
		<pubDate>Tue, 14 May 2019 22:55:25 +0000</pubDate>
				<category><![CDATA[Revenue Cycle Management]]></category>
		<category><![CDATA[healthcare]]></category>
		<category><![CDATA[medical practice]]></category>
		<category><![CDATA[practice growth strategies]]></category>
		<guid isPermaLink="false">https://www.meremhealth.com/?p=1909</guid>

					<description><![CDATA[<p>What steps are you taking to grow your medical practice in 2019? Continue to grow your medical practice with the support of MEREM Healthcare Solutions</p>
<p>The post <a href="https://www.meremhealth.com/keep-your-medical-practice-moving-forward/">Keep your medical practice moving in the right direction—forward!</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="alignleft is-resized"><img loading="lazy" decoding="async" src="https://www.meremhealth.com/wp-content/uploads/2019/05/Practice-Moving-Forward.png" alt="" class="wp-image-1911" width="470" height="394" srcset="https://www.meremhealth.com/wp-content/uploads/2019/05/Practice-Moving-Forward.png 940w, https://www.meremhealth.com/wp-content/uploads/2019/05/Practice-Moving-Forward-300x251.png 300w, https://www.meremhealth.com/wp-content/uploads/2019/05/Practice-Moving-Forward-768x644.png 768w, https://www.meremhealth.com/wp-content/uploads/2019/05/Practice-Moving-Forward-640x537.png 640w" sizes="auto, (max-width: 470px) 100vw, 470px" /><figcaption><br></figcaption></figure></div>



<p>Any business wants to see growth, and medical practices are no exception. <br>Our team at <a href="https://www.meremhealth.com/">MEREM Healthcare Solutions</a> is here to help offer tips on how specialty physician practices can attract new patients, keep current patients happy, and improve your chances of growing your medical practice in 2019.</p>



<h2 class="wp-block-heading"><strong>Start Growing Your Medical Practice ASAP!</strong></h2>



<p>Fortunately, you do not have to wait until tomorrow to start down the journey of growing your practice. Rather, you can start taking steps today to actively build up your practice revenue and keep your growth moving forward sooner rather than later. </p>



<blockquote class="wp-block-quote is-style-large is-layout-flow wp-block-quote-is-layout-flow"><p><em>“Without continual growth and progress, such words as improvement, achievement, and success have no meaning.”</em></p><cite><em>— Benjamin Franklin</em> </cite></blockquote>



<hr class="wp-block-separator"/>



<h3 class="wp-block-heading"><strong>Market to Your Target Patient Audience</strong></h3>



<p>When building your medical practice, you want to make sure you are marketing to the right target audience of potential patients as well as their caregivers. If you own and run a specialty practice such as an <a href="https://www.meremhealth.com/specialties/obstetrics-gynecology/">OB/GYN practice</a>, marketing to men is most likely going to be a moot point. Therefore, you need to make sure you are <strong>on target</strong> with your marketing techniques to reach women local to your practice who are within the age of conception so that you are reaching and attracting potential new patients to your practice. </p>



<p>Every medical practice only has so many dollars to put towards marketing in their overall budget. Use them wisely, but use them to inform potential patients and don&#8217;t be afraid to answer their questions. </p>



<h3 class="wp-block-heading"><strong>Make Sure Your Team Is On Board</strong></h3>



<p>Many times, your medical team is responsible for making the first impression your patient has with your practice. As a result, you need to develop a compassionate medical team who represent and reflect the same goals and values of your overall practice.</p>



<p>When your patient first walks in the door, is he or she greeted with a smile? Or, is your front office staff too busy dealing with insurance companies and billing needs? Are they laser-focused on collections or quality patient care?</p>



<p>Give your front office staff the chance to make a strong first impression on your patients. Improving your front office processes and coaching your front office staff, you can increase your clinic output. </p>



<h6 class="wp-block-heading" style="text-align:center">If this is a major concern or pain point for your patients, MEREM Healthcare Solutions can serve your medical practice&#8217;s front office staff with <a href="https://www.meremhealth.com/services/patient-pre-collections/">patient pre-collections</a> and <a href="https://www.meremhealth.com/services/consulting/">staff training</a>. <strong>Contact Us</strong> for more information on <a href="https://www.meremhealth.com/services/consulting/"><strong>Consulting Services</strong></a>.</h6>



<p>Additionally, you should consider lightening that burden by allowing a third-party to deal with your <a href="https://www.meremhealth.com/services/billing/">medical billing</a>, so that they can focus on <a href="https://www.meremhealth.com/services/revenue-improvement/">benefit verification and up-front collections</a> and most importantly, </p>



<ul class="wp-block-list"><li>giving your patients a warm welcome</li><li>listening to their needs</li><li>helping them with questions or concerns they might have walking into your medical practice. </li></ul>



<p>For the most part, patients visit medical practices when sick. They are already nervous and anxious about what is to come. By having your team warm and inviting from the beginning of their visit you can help to settle patients nerves and set the tone for a positive and comfortable visit. </p>



<h3 class="wp-block-heading"><strong>Patient Care Doesn’t End when the Patient Leaves</strong></h3>



<p><strong>Patient Care Doesn’t End when the Patient Leaves</strong>.  In fact, the moment your patients walk in your medical practice, is only the beginning of building a relationship with your patients. Follow-up communications is key in establishing stronger bonds with patients so that they have the ability to gain trust in you and your medical practice.</p>



<h6 class="wp-block-heading">Patients who feel they can trust your medical practice will continue returning when they need your expert care, as well as telling their family and friends. </h6>



<p>In the world of social media, word-of-mouth plays a huge role in attracting new patients to your medical facility. Patients will check-in at your clinic on social media, give countless recommendations and leave positive reviews when they have a great experience. So you may also want to email a follow-up message after a patient’s visit to ensure a positive experience and to foster that relationship and trust with your patients.</p>



<blockquote style="text-align:center" class="wp-block-quote is-style-large is-layout-flow wp-block-quote-is-layout-flow"><p> <a href="https://www.meremhealth.com/patient-experience-and-timely-payments/"><strong>POSITIVE PATIENT EXPERIENCE = TIMELY PAYMENT</strong></a> </p><cite> <a href="https://www.meremhealth.com/patient-experience-and-timely-payments/">Patients will also be quicker to pay their bills after a great experience.</a>  </cite></blockquote>



<hr class="wp-block-separator"/>



<h4 class="wp-block-heading"><strong><em>What are current patients saying about your medical practice right now? </em></strong></h4>



<h4 class="wp-block-heading"><strong><em>Discover how our team at MEREM Healthcare Solutions can help your medical practice.</em></strong></h4>



<p><a href="https://www.meremhealth.com/">MEREM Healthcare Solutions</a> offers services for every step in a medical practice’s revenue cycle management. We can start from the beginning from credentialing and end with payment posting once an account has been satisfied. <a href="https://www.meremhealth.com/about/">We offer a wide range of healthcare solutions</a> which include auditing, billing, coding, <a href="https://www.meremhealth.com/services/consulting/">consulting</a>, credentialing, payment posting, practice management, and <a href="https://www.meremhealth.com/services/patient-pre-collections/">pre-collections training</a>. Check out <a href="https://www.meremhealth.com/contact-us/">our website</a> or feel free to call us to see how we can help run your practice like a well-oiled machine &#8211; (205) 329-7519.</p>
<p>The post <a href="https://www.meremhealth.com/keep-your-medical-practice-moving-forward/">Keep your medical practice moving in the right direction—forward!</a> appeared first on <a href="https://www.meremhealth.com">MEREM Health</a>.</p>
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		<title>WE&#8217;RE EXHIBITING at the AAOE 2019 Annual Conference</title>
		<link>https://www.meremhealth.com/aaoe-2019-annual-conference/</link>
		
		<dc:creator><![CDATA[Amanda Cherry]]></dc:creator>
		<pubDate>Wed, 17 Apr 2019 13:45:36 +0000</pubDate>
				<category><![CDATA[Industry News]]></category>
		<category><![CDATA[Revenue Cycle Management]]></category>
		<category><![CDATA[Uncategorized]]></category>
		<category><![CDATA[AAOE]]></category>
		<category><![CDATA[orthopaedic practice]]></category>
		<category><![CDATA[Orthopedic Executives]]></category>
		<category><![CDATA[Orthopedics and Sports Medicine]]></category>
		<guid isPermaLink="false">https://www.meremhealth.com/?p=1824</guid>

					<description><![CDATA[<p>We&#8217;re partnering with the AAOE Annual Conference in Nashville, TN, from May 5-8, 2019. Join us along with other orthopaedic practice professionals for this unforgettable event. Gain knowledge on the business side of orthopaedics from both industry experts and peers, as well as to develop contacts with like-minded professionals and vendors.</p>
<p>The post <a href="https://www.meremhealth.com/aaoe-2019-annual-conference/">&lt;a href=&quot;https://aaoe19.snoball.events/e/merem-healthcare-solutions&quot;&gt;WE&#8217;RE EXHIBITING at the AAOE 2019 Annual Conference&lt;/a&gt;</a> appeared first on <a href="https://www.meremhealth.com">MEREM Health</a>.</p>
]]></description>
										<content:encoded><![CDATA[<p></p>


<div class="wp-block-image"><figure class="aligncenter"><a href="https://s4.goeshow.com/aaoe/annual/2019/registration_form.cfm"><img loading="lazy" decoding="async" width="820" height="454" src="https://www.meremhealth.com/wp-content/uploads/2019/04/We-are-exhibiting.png" alt="" class="wp-image-1828" srcset="https://www.meremhealth.com/wp-content/uploads/2019/04/We-are-exhibiting.png 820w, https://www.meremhealth.com/wp-content/uploads/2019/04/We-are-exhibiting-300x166.png 300w, https://www.meremhealth.com/wp-content/uploads/2019/04/We-are-exhibiting-768x425.png 768w, https://www.meremhealth.com/wp-content/uploads/2019/04/We-are-exhibiting-640x354.png 640w" sizes="auto, (max-width: 820px) 100vw, 820px" /></a></figure></div>



<table class="wp-block-table"><tbody><tr><td>We&#8217;re partnering with the AAOE Annual Conference in Nashville,  TN, from May 5-8, 2019. Join us along with other <g class="gr_ gr_14 gr-alert gr_spell gr_inline_cards gr_run_anim ContextualSpelling multiReplace" id="14" data-gr-id="14">orthopaedic</g> practice professionals for this unforgettable event. Gain knowledge on the business side of <g class="gr_ gr_15 gr-alert gr_spell gr_inline_cards gr_run_anim ContextualSpelling multiReplace" id="15" data-gr-id="15">orthopaedics</g> from both industry experts and peers, as well as to develop contacts with like-minded professionals and vendors. <br></td></tr></tbody></table>


<p><!-- wp:paragraph 






<p>First times AAOE attendees many want to check out our blog, <a href="https://www.meremhealth.com/aaoe-planning-first-time-attendees/">PLANNING FOR AAOE 2019 – FIRST TIME ATTENDEES.</a> </p>





--><br>
<!-- /wp:post-content --></p><p>The post <a href="https://www.meremhealth.com/aaoe-2019-annual-conference/">&lt;a href=&quot;https://aaoe19.snoball.events/e/merem-healthcare-solutions&quot;&gt;WE&#8217;RE EXHIBITING at the AAOE 2019 Annual Conference&lt;/a&gt;</a> appeared first on <a href="https://www.meremhealth.com">MEREM Health</a>.</p>
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		<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>
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		<title>Tips For Improving Your Denials Management</title>
		<link>https://www.meremhealth.com/tips-for-improving-your-denials-management/</link>
		
		<dc:creator><![CDATA[Amanda Cherry]]></dc:creator>
		<pubDate>Mon, 25 Mar 2019 16:40:42 +0000</pubDate>
				<category><![CDATA[medical coding and bil...]]></category>
		<category><![CDATA[Outsourced Medical Bil...]]></category>
		<category><![CDATA[Revenue Cycle Management]]></category>
		<category><![CDATA[Claims Denials]]></category>
		<category><![CDATA[medical billing]]></category>
		<category><![CDATA[Revenue Cycle]]></category>
		<guid isPermaLink="false">https://www.meremhealth.com/?p=1697</guid>

					<description><![CDATA[<p>When it comes to active healthcare claims processing, it is essential to create a process that maximizes efficiency to handle denied claims. Most medical practice administrators get worried when it comes to working claims, particularly when the claims are denied. It is essential to identify the potential income loss and begin an effective medical claims...</p>
<p>The post <a href="https://www.meremhealth.com/tips-for-improving-your-denials-management/">Tips For Improving Your Denials Management</a> appeared first on <a href="https://www.meremhealth.com">MEREM Health</a>.</p>
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<div class="wp-block-image"><figure class="aligncenter"><img loading="lazy" decoding="async" width="810" height="450" src="https://www.meremhealth.com/wp-content/uploads/2019/03/Claim-Denials-post-2019.png" alt="" class="wp-image-1702" 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" /></figure></div>



<p>When it comes to active healthcare claims processing, it is essential to create a process that maximizes efficiency to handle denied claims. Most medical practice administrators get worried when it comes to working claims, particularly when the claims are denied. It is essential to identify the potential income loss and begin an effective <a href="https://www.meremhealth.com/how-to-handle-a-claims-adjustment/">medical claims</a> management process for handling these claims.</p>



<p>The good news is that every small improvement will make a significant impact on the cash flow of your practices revenue cycle. Here are some tips on how to accurately process denied claims and increase the overall performance of your revenue generation.</p>



<p><strong>Track All your Claims</strong></p>



<p>This may seem like basic advice, but the fact is that many healthcare providers do not track all their claims. The only way to define the problem is to use an effective method that will help teams keep track of denials so that they do not lose a single claim.  </p>



<p><strong>Complete Your Denials in a Week</strong></p>



<p>If a claim was submitted incorrectly it will get returned or denied, then it needs to be corrected and promptly submitted again.  Many health insurance companies place time limits to re-file their denied claims. By <a href="https://www.meremhealth.com/step-by-step-efforts-to-combat-claim-denial/">making denials a high priority</a> and actively addressing them quickly you can ensure that they are not ignored or lost.</p>



<p><strong>Identify the Problem</strong> <strong>Within Your Claims Denials </strong></p>



<p>Monthly, you should look over all the denials and try to locate any trends that might be a <a href="https://www.meremhealth.com/5-major-reasons-your-claims-are-getting-denied/">cause for errors</a> on a large scale (<a href="https://www.meremhealth.com/revenue-cycle-management-days-in-ar-part-5/">global errors</a>). By identifying a specific issue that several denials have in common, the problem can lead you to take practical steps to rework the claims and to avoid future denials. This can protect your <a href="https://www.meremhealth.com/benefits-of-outsourcing-your-medical-billing-processes/">Time</a>, <a href="https://www.meremhealth.com/medical-billing-and-coding-services-creating-custom-reports-for-your-practice/">Money and Effort</a>.</p>



<p>What happens if you find out an excessive number of mistakes are being made? Do you take the time to re-educate your staff, or do you choose to outsource? </p>



<hr class="wp-block-separator"/>



<div class="wp-block-media-text alignwide"><figure class="wp-block-media-text__media"><img loading="lazy" decoding="async" width="560" height="315" src="https://www.meremhealth.com/wp-content/uploads/2018/06/Claim-Denials-Blog.png" alt="Step by step efforts to combat claim denials" class="wp-image-1096" srcset="https://www.meremhealth.com/wp-content/uploads/2018/06/Claim-Denials-Blog.png 560w, https://www.meremhealth.com/wp-content/uploads/2018/06/Claim-Denials-Blog-300x169.png 300w" sizes="auto, (max-width: 560px) 100vw, 560px" /></figure><div class="wp-block-media-text__content">
<p style="text-align:left" class="has-background has-medium-font-size has-cyan-bluish-gray-background-color"><a href="https://www.meremhealth.com/step-by-step-efforts-to-combat-claim-denial/">Check out our blog on how to combat claim denials.</a> </p>
</div></div>



<hr class="wp-block-separator"/>



<p><strong>Outsource your denial management process</strong></p>



<p>A good solution will be outsourcing your <strong><a href="https://www.meremhealth.com/medical-billing-coding-services/">denial management</a></strong> process to an expert company that focuses on Revenue Cycle Management solutions. When you outsource medical billing, you are handing over your revenue cycle management to individuals with extensive training. If you have a cavity, you go to the dentist. Similarly, if you have trouble with your medical revenue cycle, you outsource medical billing.</p>



<p>When <a href="https://www.meremhealth.com/you-need-a-medical-billing-firm-have-you-considered-these-qualities/">choosing an outsourced healthcare solution</a> to use, there are a few questions you should ask like, </p>



<ul class="wp-block-list"><li>Do they use expert teams that are highly skilled in working with insurance systems? </li><li>What are their turnaround times to get the denials addressed?  </li></ul>



<figure class="wp-block-image"><img loading="lazy" decoding="async" width="679" height="386" src="https://www.meremhealth.com/wp-content/uploads/2015/06/Professionals-with-doctor.jpg" alt="Professionals with doctor" class="wp-image-1491" srcset="https://www.meremhealth.com/wp-content/uploads/2015/06/Professionals-with-doctor.jpg 679w, https://www.meremhealth.com/wp-content/uploads/2015/06/Professionals-with-doctor-300x171.jpg 300w, https://www.meremhealth.com/wp-content/uploads/2015/06/Professionals-with-doctor-640x364.jpg 640w" sizes="auto, (max-width: 679px) 100vw, 679px" /></figure>



<p>By <a href="https://www.meremhealth.com/revenue-cycle-management-days-in-ar-part-5/">outsourcing your </a><strong><a href="https://www.meremhealth.com/revenue-cycle-management-days-in-ar-part-5/">denial management</a></strong><a href="https://www.meremhealth.com/revenue-cycle-management-days-in-ar-part-5/"> process to a medical billing company</a>, you will have more time to focus your attention on patient needs. Interested in learning more? Check out this overview of <strong>MEREM Health</strong>’s <a href="https://www.meremhealth.com/contact-us/">medical billing services</a>.</p>
<p>The post <a href="https://www.meremhealth.com/tips-for-improving-your-denials-management/">Tips For Improving Your Denials Management</a> appeared first on <a href="https://www.meremhealth.com">MEREM Health</a>.</p>
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		<title>Tips For IDTF Credentialing</title>
		<link>https://www.meremhealth.com/idtf-credentialing-tips/</link>
		
		<dc:creator><![CDATA[Amanda Cherry]]></dc:creator>
		<pubDate>Fri, 15 Mar 2019 23:17:22 +0000</pubDate>
				<category><![CDATA[Credentialing]]></category>
		<category><![CDATA[Revenue Cycle Management]]></category>
		<category><![CDATA[contracting]]></category>
		<category><![CDATA[payor enrollment]]></category>
		<category><![CDATA[Provider Enrollment]]></category>
		<category><![CDATA[validation]]></category>
		<guid isPermaLink="false">https://www.meremhealth.com/?p=1666</guid>

					<description><![CDATA[<p>Credentialing is a complex process that can be difficult to manage. It is easy for a paper to fall through the cracks, so do not wait around for your payers to send notice of revalidation/recredentialing. Stay proactive. In order to avoid delays in enrollment of your independent diagnostic testing facility, the following mandatory documentation should...</p>
<p>The post <a href="https://www.meremhealth.com/idtf-credentialing-tips/">Tips For IDTF Credentialing</a> appeared first on <a href="https://www.meremhealth.com">MEREM Health</a>.</p>
]]></description>
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<div class="wp-block-image"><figure class="alignright is-resized"><img loading="lazy" decoding="async" src="https://www.meremhealth.com/wp-content/uploads/2019/03/Credentialing.jpg" alt="REVENUE CYCLE MANAGEMENT: CREDENTIALING" class="wp-image-1667" width="550" height="265"/><figcaption> <br></figcaption></figure></div>



<p>Credentialing is a complex process that can be difficult to manage. It is easy for a paper to fall through the cracks, so do not wait around for your payers to send notice of revalidation/recredentialing. Stay proactive.  </p>



<p>In order to avoid delays in enrollment of your independent diagnostic testing facility, <strong>the following mandatory documentation should be readily available so that they can be submitted along with the credentialing: </strong></p>



<ul class="wp-block-list"><li>Comprehensive liability insurance policy of at least $300,000 per location that covers both the place of business and all customers and employees.      </li><li>Current facility state license.&nbsp; Even if the facility is not required to be licensed by the state, you must provide a current business license. </li><li>Any current applicable accreditation certificates, such as ACR or IAC certificates.</li><li>Name and type of equipment, including the model/serial number, and current software information.</li><li>A copy of the facility’s current W-9.</li><li>Written confirmation from the IRS confirming the facility’s tax identification number and legal business name.</li><li>Voided check or bank letter for EFT enrollment. </li></ul>



<p>Once all the above items are received and the appropriate requirements are met, the credentialing process may begin! </p>



<p>Payors call it different things: Credentialing, validation, contracting, etc, but no matter what they call it, <a href="https://www.meremhealth.com/medical-credentialing-services-for-your-practice/">Medical Credentialing</a> is one area of the revenue cycle process where mistakes can cost your practice 10’s of thousands of dollars just by overlooking one letter or notice.  Although painfully boring and time-consuming, it is absolutely crucial for every medical practice and independent diagnostic testing facility. </p>



<h3 class="wp-block-heading">WHY IS MEDICAL CREDENTIALING IMPORTANT?</h3>



<p>If you think of revenue cycle management like building a house, payer credentialing is the foundation. If you can’t get the payor credentialing right, you simply can’t get paid. Keeping your credentialing up to date is imperative to getting you paid for your services. </p>



<p>Medical Credentialing is becoming increasingly important because it is the procedure that allows patients to trust their healthcare providers. Through a standardized process that involves data collection, primary source verification, and committee review, patients are assured of their healthcare professional’s merit and experience. </p>



<div class="wp-block-image"><figure class="alignright"><img loading="lazy" decoding="async" width="484" height="252" src="https://www.meremhealth.com/wp-content/uploads/2019/03/Med-Credentials.jpg" alt="" class="wp-image-1668" srcset="https://www.meremhealth.com/wp-content/uploads/2019/03/Med-Credentials.jpg 484w, https://www.meremhealth.com/wp-content/uploads/2019/03/Med-Credentials-300x156.jpg 300w" sizes="auto, (max-width: 484px) 100vw, 484px" /></figure></div>



<p> <br>Credentialing new providers for insurance payors and enrolling providers for the facilities they serve is a time-consuming and detailed requirement of every medical practice. Most physicians view this as a necessary evil and find it extremely undesirable. For that reason, they will put off the paperwork until it’s too late. With little time to work through paperwork, problems arise. Common credentialing errors cause scheduling delays, fluctuation in revenue cycle, and much more. </p>



<p>It’s important to take the appropriate amount of time necessary for credentialing, instead of waiting a month before a new physician arrives<g class="gr_ gr_4 gr-alert gr_gramm gr_inline_cards gr_run_anim Style replaceWithoutSep" id="4" data-gr-id="4">.</g></p>



<p><strong><g class="gr_ gr_4 gr-alert gr_gramm gr_inline_cards gr_disable_anim_appear Style replaceWithoutSep" id="4" data-gr-id="4">Failure</g> to complete enrollment and submit proper (and often timely) credentials for an individual provider or physician, can lead to a significant revenue loss.</strong> </p>



<hr class="wp-block-separator"/>



<h3 class="wp-block-heading"><a href="https://www.meremhealth.com/ask-the-experts-credentialing-provider-enrollment/">Ask The Experts – Credentialing &amp; Provider Enrollment</a></h3>



<p>Don’t let credentialing overwhelm your practice, causing revenue cycle delays, denied payments, or worse. Get the help you need; hire a healthcare solutions company to manage the medical credentialing process for you.</p>



<p>At <a href="https://www.meremhealth.com/">MEREM Healthcare Solutions</a>, we would love to help you with the following <a href="https://www.meremhealth.com/services/medical-credentialing/">medical credentialing services</a>:</p>



<ul class="wp-block-list"><li>Filing applications with Insurance Companies</li><li>Complete application for CAQH (universal credentialing)</li><li>Approval for work comp carriers</li><li>Approval with TPA’s</li><li>Credentialing with hospitals, ambulatory surgery centers</li><li>Credentialing for CMS (Medicare and Medicaid)</li><li>Track updates for all insurance companies, government payers, and work comp carriers</li><li>File malpractice certificates</li></ul>



<p>Are you interested in hiring or outsourcing to a medical credentialing company? If so, <a href="https://www.meremhealth.com/contact-us/">contact MEREM Healthcare Solutions today</a>! Feel free to call (205) 329-7519 if you have any questions about our onboarding process or if you are seeking <a href="https://www.meremhealth.com/medical-credentialing-services-for-your-practice/">medical credentialing services for your practice</a>. </p>



<p>&nbsp; </p>
<p>The post <a href="https://www.meremhealth.com/idtf-credentialing-tips/">Tips For IDTF Credentialing</a> appeared first on <a href="https://www.meremhealth.com">MEREM Health</a>.</p>
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		<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>
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<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>
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