Billing and Collection Services

MRI Specializes In:

• Early-out programs
• Accounts receivable clean-up projects for commercial and managed care payors
• Denial appeals using experienced RN case management staff
• 3rd party bad debt collection services
• Zero-value asset purchasing program
• Physician accounts receivable collection services
• Project and temporary staffing

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Early-Out Program:

• Less expensive and more effective than doing the same work in house
• All money collected is sent directly to you by the debtor
• Maximize your cash flow while lowering your internal billing and collection costs
• Accounts are assigned to experienced MRI collectors based upon our clients major payors mix and the well established business relationships of the collectors
• Smaller claims receive the same level of attention as larger claims

Accounts Receivable Clean-Up Projects:

• Proactive intervention on accounts
• Effect “Best-practice” protocols used to maximize reimbursement
• Follow-up performed in the hospital's name
• Remittances received and processed at the hospital with daily electronic updates
• Accounts worked along a flexible processing cycle
• Contractual adjustments verified and contract provisions enforced
• Payer practices analyzed and problem claims resolved through early intervention and delinquency reporting
• Comprehensive account documentation provided
  

Denial Appeals – RN Case Management:

• Review claims along with medical records for medical necessity
• Identify the services rendered and validate that the appropriate levels of care are billed correctly
• Address issues regarding documentation, lack of medical necessity and plan of care
• Provide effective appeal letters to improve claims recovery
• Provide complete follow-through on denials from 1st Level to 2nd Level to achieve the desired results
• Provide comprehensive reports to assist prospective prevention

3rd Party Bad Debt Collection Services:

• Experienced health care collectors
• Compliant collection processes
• Competitive pricing
• Superior results

Zero-Valued Assets Purchasing Program:

• Receive immediate cash for written-off and un-collectible accounts
• MRI will create a flexible system that works for you
• Add instant cash to your bottom line
• Let us assist you in reaching your revenue goals
• Eliminate the legal costs and administrative hassles from dormant accounts
• All accounts will be treated in a manner that will be consistent with your internal collection guidelines

Physician Services:

• Billing and follow up
• Documentation review
• Coding (CPT/HCPCS/ICD-9-CM)
• Payment posting
• Credentialing

Project and Temporary Staffing:

• Billers, collectors, analysts, refunds processors
• Certified coders
• PFS directors, managers and supervisors
• Collector training/ revenue cycle improvement with guaranteed results