Auditing / Compliance
Assess medical records for completeness and accuracy
Assess documentation accuracy
Assess compliance with respect to coding and billing
Enhance revenue
Discover lost revenue
Look for coding irregularities
Review of entire billing process, including software
Coding practices and billing methodology
Unbilled charges and services
AR characteristics and type of denials
Revenue flow and A/R recovery
Dead AR recovery
Ageing review
ICD-10, CPT-4 and HCPCS coding
Modifiers usage
Under-coding E/M visits or vice versa
CCI and NCCI Edits
Accurate, ethical and compliant coding
Contracted amount vs. payment collected
Drugs P&L Analysis
Underpaid and undervalued charges
Contract negotiation
Out of Network payment analysis and negotiation
With the growing need for an electronic medical record (EMR) system, Merger RCM can support your
practice transition rollover with support in transitioning patient data from physical charts into the EMR
system quickly and efficiently.
Transition from old to new Practice Management Software (PMS)
If you are planning to change your PMS, we can assist you in moving the data from the old PMS to the
new PMS. Important data such as active patient demographics, recoverable patient balances, and
collectible AR will be transferred, allowing you to be back in business in minimal transition time.
Provide full-featured licensed PMS free of cost
Merger RCM can provide an in-house Practice Management Software (Medisoft Version 12 SP2) which
also includes an appointment scheduler via VPN at no additional cost to the practice.
Setting up a gateway is both one of the most important and most daunting tasks for a practice. We can
guide clients in selecting and configuring the right gateway for their needs.