MiraMed Global Services provides coding, billing, and revenue cycle management services for emergency medicine and radiology physician groups. Their specialized team has extensive experience managing the back-office operations for these industries, including coding, eligibility verification, claims submission and follow up, payment posting, denial management, and accounts receivable services. They aim to take over the administrative workload so physicians can focus on patient care.

1. Emergency Medicine
and Radiology
MiraMed Global Services (MMGS) provides emergency medicine and radiology
coding services. Emergency medicine and radiology physician groups require
specialized approaches with regard to practice operations, billing, coding,
staffing, efficiency and cash flow. Let our many years of experience make your
work easier.
Our specialized team has knowledge of the CPT codes and modifiers used in
these industries.Let us recoup yourunpaid and underpaid collections today.
• Focus on your patients and we’ll focus on your back office.
• We’ll manage the business, you focus on care. We’ll become a seamless extension of your
team, providing you with as much, or as little, assistance as you need.
• Focus on what matters most—your patients.
www.miramedgs.com

2. • Coding
• Source Coding - Insurance Mapping
• Demographic Updates for Paper Charges
• Billing Rejections: Pre-Bill Reconciliation of Visits
Inflow to Billing System and Discrepancy With
Visits Due to Errors in Billing. Ensure All Visits are
Reconciled and Billed Timely.
• Provider Holding: Communicate with Provider
Enrollment Team Weekly and Place Provider Charges
on Hold for Unenrolled Termed Providers.
• Eligibility & Authorization Verification for Specific
Payers Based on Historical Demographic Denial
Percentage
• HL7 Update/Validation for Updated Demographic
• Claims Spooling & Edits Rejection
• Claims Transmission/Submission and EDITS
Scrubbing Process
• EDI Rejections and Resubmittal of Claims
• Cash Posting Services
» ERA and Manual Posting
» Deposit Reconciliation
» Lockbox Maintenance for Correspondence Files
handling
» Credit Card Processing
» Direct Payment Communication to Collection
Agency
» Suspense/Unpostable Process
• Denial Management - ERA Denials
• Denial Management: Correspondence Paper EOB,
Provider Communication and all Correspondence
Files Review
• AR Review of Claims Through ERA, Websites, Claims
Follow-up for Denied and Unpaid Claims. Secondary
AR review and Follow-up
• Underpaid/Allowable Process: Ensure all Claims
are Paid According to the Contracted Rate, Report
Discrepancies and Work with Payers or Appeal
• Refunds/Credit Balance Work With Both
Governmental and Commercial Refunds
• Self-Pay Services
» Patient Inquiry Review: Update/Correction of
Demographic, Patient Disputes etc.
» Pre-collection & End-of-Life reviews
» We used to handle Outbound Patient follow up
for statement follow up, bill reminders. This was
moved to MedDirect (M+)
• Report Payment posted for Collection Accounts to
Agencies and Accounts Moved to Collections
• Manage overall AR, Review AR Metrics and Ensure
DAR and 120+% Aging Meets Requirements. Work
Toward Cash Collections Goals, Shortfall Review
are Done Bi-monthly and Monthly. Coding Profile
review (ED), Monitor Visits vs Budgets, Payer Mix and
Provide Feedback to Clients. Provide Aging Review,
Cash Projections for Group and Payer, Track Ongoing
Denials and Maintain Drill Listing of Recurring issues.
Provide Denial Management Trending and Practice
AR Status summary.
• Website Administration Enrollment and Maintenance
of Payer Websites
• Claims and Appeals Printing and Mailing Process
• New Practice - Transition & System QA Verification and
validation of Data/information entered in system and
Dictionary set up, recommendations based on Payer
and Billing guidelines.
866.544.6647 info@miramedgs.com www.miramedgs.com
A MiraMed Global Services Company
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The MiraMed Global Services, Inc. Family of Companies
A List of the Services We Provide: