2019 MIPS & MACRA – Are Your Physicians Hitting the Medicare Mark?
MACRA (Medicare Access and CHIP Reauthorization Act of 2015) is U.S. healthcare legislation that provides a new framework for how Medicare pays for physician services by incentivizing those who successfully demonstrate value over volume in patient care. MACRA combines parts of the Physician Quality Reporting System (PQRS), Value-based Payment Modifier (VBM), and the Medicare Electronic Health Record…
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…
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…
Improving cash flow and physician compensation requires working hand-in-hand.
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…
Have You Struggled With Your Medical Billing?
If you have struggled with your medical billing, you are not alone. It is estimated that $125 billion dollars are left on the table in the U.S. every year. This money is either lost or ignored because of poor medical billing practices. As medical professionals and providers, your ultimate goal is to provide exceptional healthcare…
Top 30 Medical Billing and Coding Blogs To Follow in 2018
According to Feedspot.com, MEREM Health was recently recognized as one of the Top 30 Medical Billing and Coding Blogs, Websites and Newsletters To Follow in 2018 because we are actively working to educate, inspire, and empower our readers with frequent updates and high-quality information. These blogs selected in the list were ranked based on the following criteria:…
Five Practical Questions to Answer Before Your Next Revenue Cycle Assessment
Managing your practice’s revenue cycle requires an honest look at your current workflow. From front office pre-collections to denials management, MEREM Health wants to help you determine what is working and what isn’t by offering a Free Revenue Cycle Audit. Before you proceed, there are 5 practical questions you should answer to better prepare for your next…
Why Should I Consider Outsourcing My Medical Billing & Coding?
Time is money! Most practices lack resources and time necessary to ensure maximum reimbursement. You and your medical staff need to focus on treating patients and let MEREM Healthcare Solutions handle the rest. Outsourcing your coding, medical billing, collections, consulting, and credentialing, will allow your staff extra time to take care of patients more effectively…
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…
Texas May Deny Payments For Out-Of-Network ER Visits
As of June 6th, Blue Cross and Blue Shield of Texas implemented a controversial new program in which it will not pay any expenses for an out-of-network emergency room visit if they determine that a patient should have gone elsewhere for treatment. Under the new policy, which was announced in April, a medical director hired…
