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Reduce compliance risks. The potential for fraud and abuse begins with the patient visit and continues through the documentation of that visit in the patient’s medical record. While cases of accidental fraud may place your ED practice under close federal supervision for several years—an unpleasant and laborious situation—true fraud can lead to exclusion from federal insurance programs in the future or even land your providers in jail. In some scenarios, inappropriate coding of your patient records means having to repay insurers every overpayment made over a span of years—sometimes with penalties and interest added.
Non-compliance is simply not worth the risk. Through our coding, compliance, auditing and consulting services, MMR helps you ensure the soundness of your practices and dramatically reduce your liabilities. We employ only highly trained coding professionals to handle your records and are diligent about keeping them abreast of state and federal guidelines as well as payer coding rules. What’s more, MMR offers coding education and workshops designed to enhance the documentation skills of your staff so they can chart the patient encounter with proficiency. Supported by rigorous methodologies and policies developed by coding expert Caral Edelberg, CPC, CCS-P, CHC, MMR is committed to assuring your coding compliance in all aspects of your operations.
Generate more legitimate revenue. From payment denials resulting from improperly coded claims to the justification of ancillary tests and procedures, the ED reimbursement process has become an administrative nightmare. Successfully navigating it requires an intimate knowledge of bundling and unbundling procedure changes, current coding and compliance initiatives, payer-specific requirements and more. Each day, revenues fall through gaping holes in the system as a result of unskilled coding professionals, lack of coding education for physicians, and efforts to avoid fraud charges by down-coding. For hospitals in particular, poor coding has severely compromised the revenue stream, to the tune of millions of dollars every year.
Whether we’re making sure your patient records are meticulously coded or developing an appropriate fee schedule, MMR’s services are designed to directly and positively impact your bottom line. With extensive expertise in emergency medicine coding and reimbursement, our professionals work with you to identify sources of revenue leakage and stop further loss before it starts. This means more health care dollars in your pocket, where they belong.
Get your coding completed accurately and on-time. Despite the fact that timely, accurate coding is essential to the reimbursement process, it has become increasingly difficult for physicians and hospitals to find, train and retain competent ED coding professionals. As a cost-effective solution for time-pressed providers, MMR offers comprehensive professional and facility coding services catering exclusively to the specialty of emergency medicine. Our certified medical coders, specially trained in the vast complexities of ED coding, receive continuous education on the latest policies, rules and regulations affecting the process. Their skilled attention to detail, coupled with MMR’s rigorous compliance program and random pre- and post-billing audits, means fewer denials, fewer delays and enhanced revenue for your practice. Fast, accurate and reliable, our outsourced coding services are your key to obtaining maximum reimbursement while ensuring full compliance.
Interested in learning more about our services? Contact MMR today at 1-800-226-4889 or by using our secure online form.
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9485 Regency Blvd. Suite 200
Jacksonville, Florida 32225
T. 800.226.4889
F. 904.725.9757
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