Claims Management / Revenue Reconciliation
At the heart of any practice, billing and collections is the main artery of your revenue flow. Unfortunately, it is also the source of the most frustration. Currently, 30% of all claims are challenged and denied, and 40% of those claims are never followed up on for payment.
Meritus Health Group offers much more than a one-tiered approach to improving your claims management, revenue cycle and cash flow. Not only will our experts provide the necessary education and training for you to remain at the forefront of all the upcoming changes, but our unparalleled solutions in finance and technology will help you stay ahead of the curve.
Claim Management Services
- Real-time Electronic claims submission
- 835 ERA files and data management
- Hybrid, payer-specific and standard edits
- On-line editing/reprocessing (optional)
- Claim history/status (from upload to adjudication)
- Claim Assignment (by user)
- Payer Response reporting
- Analytics and Benchmark reporting
- Paper to 837 EDI Claims Generation
- Paper to 835 Remittance Processing
- Payment Posting
- A/R Aging Reporting
Revenue Reconciliation
- Bank Deposits - Revenue Reconciliation
Reporting Solutions
- AR Aging
- AR Aging Distribution
- Payer Mix
- Charges
- Payments
- Average Reimbursement by Payer
- Referral Sources
- Procedures Mix/ Top CPTs (Current Procedural Terminology)
- Collections / CPTs (Current Procedural Terminology)
- Provider productivity / RVUs (Relative Value Units)
