Checking – Quality control

All charges are audited and checked by the Quality control  team. Checking team collects data on common errors and fix systemic problems that affects payment delays and bad debt. This long term perspective improves the collection rate and help to protect future cash flows by fixing problems that affect the patient-provider relationship. Meridian Medical services is unique because we strive to eliminate problems before they happen. All claims are reviewed for errors and risk of denial before claim submission.

Maintain a review log for billing claims

The most common reasons for claims rejections are logged  and the accumulated logs helps us to track rejection trends on remittance advice. We monitor and evaluate these trends in order to resolve the problems that are causing the denials and rejections for your practice. This way, you get increased revenue through reimbursements and reduce the risk of future claims rejections.

Eligibility, Referral and Pre-cert Verification

  • All patient’s insurance coverage are verified for primary and secondary payers
  • All verification are done by calling the payer or online portal
  • All referral required patients are identified way before the appointment and alert is created in PMS to along the front office on the appointment day
  • Weekly Email reminders sent for referral missing claims
  • Missing precertification numbers are obtained by calling, faxing, Emailing and through hospital/facility/insurance portals
  • Missing precertification claims are followed up every week
  • Weekly Email reminders sent for prior authorization missing claims