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…
Category: Outsourced Medical Bil…
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…
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.
Medical Auditing
Have you found yourself thinking of ways to improve your healthcare organization? Updating your clinical documentation through medical auditing is the best way for improvement. An audit assists in detecting incorrect coding practices and it could be considered by federal agencies when questioning if steps were taken to avoid and detect fraud and abuse. What…
Medical Credentialing Services For Your Practice
Medical credentialing is painfully boring and time-consuming, but absolutely crucial. If medical credentialing is done poorly, it wreaks havoc on a practice. Common credentialing errors cause scheduling delays, fluctuation in revenue cycle, and much more. It’s important to take the appropriate amount of time necessary for credentialing, instead of waiting a month before a new…
ICD-10 and Radiology: What to Expect
Radiology relies heavily on correct front-end data to prevent back-end delays. With ICD-10 implementation approaching, it’s important to address what type of effects these changes will have on radiology. Increases in Billing Codes In a recently published article from the Journal of the American College of Radiology, it was noted that in addition to a…
ICD-10 Is Almost Here! Are You Ready?
ICD-10 implementation is around the corner and the healthcare industry is buzzing. Is the industry ready for such a huge change? What will happen when thousands of providers are all attempting new codes? Will there be a delay in receive payments for claims? Will claims be accepted at all? (Find out what happened when Australia…
Implement ICD-10 Smoothly: Learn From Australia
With less than a month away from the nationwide implementation of ICD-10, it’s important to be thoroughly prepared. Perhaps one of the greatest ways to plan for a perfect implementation is to take a look at the history of ICD-10 around the world. (Save Money: Assess Your Medical Revenue Cycle Before ICD-10) In 1998-1999, Australia…
Medical Billing Services – Assess Your Medical Revenue Cycle Before ICD-10
Medical practices everywhere need to take a good hard look at their medical revenue cycle. The implementation of ICD-10 is around the corner and it’s expected to have a major impact on how revenue cycles are managed. Accounts receivable delays, rejections, and denial rates are all expected to peak. Payment variations that were once small…
The Importance of Correct Compliance Training for Your Practice
For virtually any medical practice, the word ‘compliance’ is – or should be – taken very seriously. The entangling and exhaustive web of regulations and statutes make compliance a must for any practice – which means it’s crucial to have everyone caught up on the latest rules and regulations. The alternative isn’t anything a practice…
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