Tag: Medical Billing and Coding Services

Technology: The Good and The Bad

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…

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…

Does your staff know how to correctly bill patients?

Incorrect medical billing issues and misleading claims ranked in the top 10 complaints on the Consumer Federation of America report released on July 27th, 2017. The specific complaints related to patients receiving an incorrect bill for:  services they did not receive services that weren’t billed to their insurance company services that should have been covered…

You Need a Medical Billing Firm – Have You Considered These Qualities?

The financial success of any healthcare practice is related to how effectively the compliance, collection, and follow-ups are handled throughout the medical claims process. Medical billing is extremely complex and time-consuming, requiring considerable oversight from your medical practice team. Electing to outsource your billing to a firm can mean more quality time spent with your…

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…

Is Your Healthcare Facility’s Revenue Moving in the Wrong Direction?

The more patients you have, the more revenue you are bringing in, right? Wrong. While you would think more patients should mean you are improving your revenue within your medical practice, this is not the case. In fact, if healthcare practices are not careful, they could be losing revenue even as more patients come walking…

National Correct Coding Edits – Effective April 1

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

Identify and Overcome Billing and Coding Reimbursement loss

Spine and orthopedic surgery practices often face revenue building challenges due to billing and coding errors. The culprit is simply confusion in changes to procedure or misunderstanding of the strict guidelines and CPT coding criteria. MEREM Healthcare Solutions offers insight for practice administration to improve their revenue through detailed coding and accuracy in the billing…

Billing for Mid-level Providers

There is a lot of confusion and questions about how and when to bill for mid-level providers.  If you have a new mid-level in your practice for the first time, then you might not know what “incident-to” billing is. You may not even know what the difference is between billing for a mid-level provider versus…

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%…