Category: Revenue Cycle Management

Are your patients receiving inaccurate bills from your billing office?

Over the past year, at Merem Healthcare Solutions, we have had coworkers, family members, friends, and even doctors ask us to look at their personal medical bills to see if they were accurate. To our surprise, only around 60% we have reviewed recently were accurate. A friend of mine had a bill from a lab…

Is Your Practice Getting Paid?

After talking to over 100 orthopedic surgeons in the last month (mostly at AOSSM this past weekend), there seems to be some commonality that many are experiencing in their practices…..increasing accounts receivable. Since 2005, High Deductible Health Plans [HDHP] have become increasingly more popular among employers. So much so, they have increased by almost 600%…

Making Sense of MACRA/MIPS

If you are like many providers, you were probably just getting used to the CMS programs PQRS and Meaningful Use when they passed their latest payment reform policy—MACRA. Now, you may find yourself confused and concerned with how this new program will affect your practice. 

Deductible Season: How to conquer your Cash-flow

It is that time of year once again and, while the New Year may bring new patients and new cases to your practice, it comes with a caveat: Deductible Season. If your practice does not already have a strong system in place for collecting Place-of-Service (POS) payments, you may have noticed an increase in your…

Revenue Cycle Management: Fee Scheduling (Part 6)

Fee schedules are the most subjective things in all of healthcare and can swing wildly from provider to provider, as well as facility to facility. It’s also one of the most mystical things for patients to understand. In fact, it’s is one of the most frequent patient questions we get as a medical billing service…

Revenue Cycle Management: Days In A/R (Part 5)

Revenue cycle management is becoming increasingly important as practices find their income numbers dropping after the switch to ICD-10. The drop could also be explained by changes in different insurance policies. Whatever the reason, physicians everywhere are working hard to make sure claims are sent correctly, and payments are being received. For the fifth part…

Revenue Cycle Management: POS Collections (Part 4)

The medical revenue cycle begins at patient registration. Up to 70% of the data a practice needs for billing is giving at this moment. It’s no wonder then, that with the consistent increase in patient payment responsibilities, and rising amounts of bad debt, providers in the healthcare industry are finding it more and more important…

Revenue Cycle Management: Charge Lag (Part 3)

As we continue our series on medical revenue cycle management, we want to highlight the importance of understanding your charge lag. This is especially important as the new ICD-10 coding has come into play. As a company who offers electronic medical billing services, we often see charge lag being overlooked. If you are experiencing a…

Revenue Cycle Management: Credentialing (Part 2)

If you think of revenue cycle management like building a house, payer credentialing is the foundation. If you can’t get the payer credentialing right, you simply can’t get paid. Keeping your credentialing up to date is imperative to getting you paid for your services. As a whole, it’s the payer’s role to challenge and manage…