By: Bill Stone Meridian Medical Management has announced a major initiative in Robotic Process Automation (RPA) as part of its Revenue Acceleration Program (RAP). Key medical billing processes have been developed that are transforming work force efficiency and production for both short term and long term gains.   For recent Meridian medical billing customers, RPA has identified thousands of patients who are eligible for healthcare coverage. This finding alone has driven a significant increase in patient satisfaction and...

The Merit-Based Incentive Payment System (MIPS), a component of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), will change how clinicians (previously known as Eligible Professionals) are reimbursed for Medicare beneficiaries. This new payment system is scheduled to go in effect 1/1/2017 as outlined in the proposed law. The final rule is expected to be published no earlier than November 1, 2016. The MIPS combines several federal quality programs including Physician Quality Reporting System...

Medical Billing Meridian’s VertexDr solution, working in collaboration with Medfusion, is pleased to offer the Patient Payment Portal. It's an integrated payment solution that will help your practice get paid faster while delighting your patients with a variety of convenient ways to pay bills. Access the 32-minute webinar link below to see how you can supercharge your collections capabilities with features like: eStatements New online bill pay solutions Streamlined point of sale options One consolidated reconciliation dashboard And...

Author: Caryn Kleckowski On October 1, 2016, ICD-10 code updates will go into effect. This is also the date that there will be an end to the prior flexibility regarding specificity of ICD-10 coding. The first non-essential ICD-10 code update since the code freeze will include 1943 new ICD-10 codes, 422 revised ICD-10 codes, and 305 deleted ICD-10 codes. Effective for 12 months after the October 1, 2015 ICD-10 implementation date, CMS indicated no denial of claims would occur...

By: Harry Purcell The Medicare Access and CHIP Reauthorization Act (MACRA) of 2015 continues to steam ahead toward a Merit-based Incentive Payment System (MIPS). This creates a new program focused on Clinical Practice Improvement Activities (CPIA) and combines the Value-Based Payment Modifier (VBPM), Physician Quality Reporting System (PQRS), and Meaningful Use (MU). According to the Medicare proposed rule – physicians, physician assistants, clinical nurse specialists, nurse practitioners and certified registered nurse anesthetists will begin 2017 as the...

WYOMISSING, Pa., Aug. 08, 2016 (GLOBE NEWSWIRE) -- PrecisionBI, a division of Meridian Medical Management, announced today it will unveil its new Accountable Care Organization (ACO) module for Allscripts TouchWorks™ Reporting clients at the Allscripts Client Experience (ACE), August 9-11 in Las Vegas, NV. PrecisionBI is a leading healthcare analytics engine used by over 50,000 physicians at some of the largest healthcare delivery systems and integrated delivery networks (IDNs) in the United States. PrecisionBI has added...

Major Issues Impacting Healthcare By: Harry Purcell The Medicare Access and CHIP Reauthorization Act (MACRA) of 2015 continues to steam ahead toward a Merit-based Incentive Payment System (MIPS). This creates a new program focused on Clinical Practice Improvement Activities (CPIA) and combines the Value-Based Payment Modifier (VBPM), Physician Quality Reporting System (PQRS), and Meaningful Use (MU). According to the Medicare proposed rule – physicians, physician assistants, clinical nurse specialists, nurse practitioners and certified registered nurse anesthetists will begin...

John Sicignano has recently joined the Meridian Medical Management team to fill the role of VP of Operations. John will work out of the CT office and will be responsible for leading the Revenue Cycle Management Operation activities of both the CT and MA regions (or Practices and Academics).

Healthcare Coding

ICD-10 Changes go into effect October 1, 2016 The first non-essential ICD-10 code update since the code freeze, will take place on October 1, 2016. Changes will include 1,943 new ICD-10 codes, 422 revised ICD-10 codes, and 305 deleted ICD-10 codes.

Q:   What constitutes an overpayment under CMS guidelines? Since overpayments should be returned within sixty (60) days, when does the 60 day clock start? A:   In the final rule published Feb. 12, 2016, the Centers for Medicare & Medicaid Services provided guidelines on the Patient Protection and Affordable Care Act’s 60-day repayment requirements for self-identified overpayments will be interpreted and applied as follows: