Below, our professional biller and coders have provided some information about the benefits of outsourcing your medical billing and coding.

Medical Coding and Billing Services – Why Outsource?

One reason to outsource your medical coding and billing is that it frees you and your staff up to care for your patients.

When your staff are rushed because you’re clinic is busy or running behind, it is easy to make mistakes. Your patients will be taken care of more effectively at your practice with billing and coding taken off of your staff’s plate. Outsourcing this time critical solution to our certified medical billers and coders will be able to dedicate their time fully to coding and following up on unpaid claims, resulting in more claims being processed in a timely manner with fewer errors.

Accountability for Coding Errors

The CMS modify codes on a quarterly and annual basis. Incorrect coding, or miscoding, is likely for any medical practice that does not implement ongoing CPT code training for their medical coders.  Medical coding errors may lead to major delays in payment reimbursements and payer audits, which hurts your practice. Failure to provide correct coding can cause these payments to be delayed, denied, or limited.

MEREM Healthcare Solutions has found that an alarming majority of claims are rejected or denied upon initial submission. The reimbursement for denied claims depends on a practice’s efforts for correcting and resubmitting claim denials. You can avoid this problem by outsourcing your medical coding to certified professionals who have already become familiar with the new coding system and pursue ongoing training for relevant CPT code changes that directly affect our practice specialties.

When practices utilize outsourced medical coding solutions,

1. fewer mistakes are made
2. better care is given to patients
3. and billing cycles run smoothly.

Certified Coders Do More Than Just Submit Claims

It’s not uncommon for people to have multiple insurance companies. A professional, certified coder will make sure that each claim is submitted properly. Our expert coders have the correct software and expertise necessary to submit claims to all of the responsible payers while staying compliant with CMS and payer guidelines.

If any of your claims are denied, our billers can also handle the appeal process. Outsourcing your medical coding will ensure your revenue cycle is always running as smoothly as possible. (Did you know in-house medical coding costs more? Outsource!)

Ready to Outsource Your Medical Coding?

MEREM Healthcare Solutions, located in Birmingham, Alabama offers medical coding, billing, and revenue cycle management services to clients across the nation.

We are familiar with all of the ICD-10 and ongoing CPT changes upheld by CMS and MEREM Health will provide you with superior service for a fraction of the cost of our competitors! Contact MEREM Health today or request a FREE revenue cycle audit to find out how your medical coding can be enhanced with our dedicated expert medical coding team.

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Did you know that physician compensation only increased for 37% of all independent physicians in 2017?  That’s a sobering thought that compensations have remained relatively flat for many physician specialties year over year.  And couple that with a decrease in overall practice cash flow and constantly changing coding rules, and you’ve got unhappy physicians and a financially precarious practice.

Clearly, the need to automate manual practices in the back office within a physician clinic is the key to improving cash flow and physician compensation.  And the industry trend appears to be that more and more practices are outsourcing their revenue cycle management (RCM) for just this reason.

Here are some of a practice’s revenue cycle challenges that can be resolved by using an outsourcing team to assist your practice:

Rework how your backend efforts are operating

Many practices that are outsourcing their revenue cycle challenges are able to implement backend efforts to process and reconcile their bills earlier and faster.  This obviously improves a practice’s ability to collect AND speed up reimbursements from payers.

Shore up inefficient billing practices

It is estimated that outsourced medical companies help physician practices experience fewer rejected claims and less time to receive payments from a payer within the first two months of outsourcing.  This fact clearly shows that money spent outsourcing can be recouped by a physician practice in a short period of time.

Take on newer technologies and processes unfamiliar to your practice

Many physician practices are unprepared and inexperienced at implementing technology-driven care.  An outsourced medical billing, coding and RCM company already has experience at what today’s latest tools can accomplish and can implement these best practices for you by either doing partial or full managed business office services.

Becker’s ASC reports that RCM outsourcing and extended business office services are expected to report a 42 percent overall growth rate from the fourth quarter of this year through the first quarter of 2019.  This means that outsourcing has become the norm as opposed to something only a select group of physician practices gamble on.

Here at MEREM Healthcare Solutions, we’d love the opportunity to show you how much we can improve your practice’s RCM so that your specialty practice is thriving financially.  Improving cash flow and physician compensation requires working hand-in-hand with an outsourced healthcare solution.

Is your medical facility leaving money on the table? Contact the professionals at MEREM Health today to learn how we can ensure you are getting paid what you deserve every time!  

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