Overview
Automate your back office with a billing system that improves revenue cycle management so you can increase collections and expedite claim processing.
Speed claims processing
Integrate with your RIS for immediate access to patient information needed for claims.
Increase collections
Minimize denials and ensure optimal claim acceptance rates with built-in auto coding.
Achieve shorter days in accounts receivable
Identify the right claims to ensure payment, track claims and follow up on denials and low pays.
Features
Charge Reading Location
Field that allows you to record a doctor’s location if they are reading film in a location other than where a procedure was done, ensuring that you meet the CMS (Medicare) location requirement.
Early Out
The Early Out feature helps accelerate collection efforts and maximize hard-to-collect dollars by, very early in the collections process, designating that certain charges be handled by third-party collection agencies.
Patient and Charge Management
Download information from a hospital, scan from paper reports, enter patient information and post charges. In addition, because of the integration between Merge RIS and Merge Financials, any information entered in Merge RIS can automatically be populated in Merge Financials.
Charge Splitting
Through a rules-based engine, Merge Financials can automatically split charges and send separate bills to, for example, a patient for the portion they owe and a provider for the portion they owe. This functionality saves coding time at the practice.
Coding Director
A rules-based engine that enables specific charges to be processed internally and other charges to be transmitted to an external coding vendor. This allows the practice to work simple charges internally, which can be faster and less expensive than using an external partner; while still allowing the coding partner to process more complex charges.
Patient Records Audits
Review system activities for every user in the Merge Financials system for HIPAA compliance.
Charge Processing
Quickly review and post "green-lighted" charges, queue and review exceptions, place charges on hold, void charges, release charges.
Billing
Create, review and release insurance claims and patient statements. Insurance claims can be printed to paper or generated into ANSI electronic claims files. Patient statements can be printed in-house, to a print image file, or generated in an electronic file that can be submitted to our statement vendor PSC Info Group.
Payments, Refunds and Collections Management
Payments and refunds processed, non-payments followed up and collected. Payments can be imported and automatically posted from insurance remittance files and patient auto pay files produced by our patient portal vendor, Instamed. Insurance EOBs can be scanned and through OCR-ing technology a payment is created and posted. Users can manually enter patient and insurance payments.
Reports
Merge Financials comes with a set of basic reports to track things like month-end and year-end data, accounts receivable reconciliation and other activities. More robust reporting is available by integrating the Merge Dashboards module with Merge Financials as well as Merge RIS.
Upcoming Events
RBMA Radiology Summit
May 19 – 22, 2013
Colorado Springs, CO
Booth #201
Attending any of these shows?
Click here to request a demonstration >>