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Turning Denials into Dollars

Expert Management for Optimal Revenue

Prevent, Resolve, and Maximize the efficiency and financial benefits of your services.

At Merit Maxx Healthcare 24/7, we expertly manage claim denials on behalf of our clients, ensuring a smooth and efficient revenue cycle. Our team takes a proactive approach to prevent denials from occurring, and when they do, we manage the entire process—from initial analysis to final resolution. We handle all necessary communications to minimize disruptions and expedite payment.

Our Denial Management Solutions Include:

  • Denial Prevention & Management Strategies: Customized strategies designed to prevent claim denials and reduce their frequency.

  • Root Cause Analysis: In-depth analysis to identify and address the causes of denials, ensuring long-term solutions.

  • Predictive Analytics: Advanced data analysis to predict the likelihood of claim approvals or denials, improving decision-making.

  • AI-Powered Workflow: Our use of artificial intelligence optimizes denial management processes, increasing efficiency and accuracy.

Key Benefits of Our Denial Management Services:

  • Reduced Denials: Fewer denials through proactive prevention measures and expert management.

  • Expedited Resolution: Swift and efficient resolution of denials, leading to faster reimbursement.

  • Healthy Cash Flow: Maintain steady cash flow with fewer interruptions from delayed or denied claims.

  • Increased Revenue: Maximize revenue by reducing denials and ensuring timely payments.

Medical Coding Course Curriculum

  • Comprehensive review of the anatomy and physiology of each organ system
  • In-depth understanding of medical terminology associated with each system
  • Interactive learning through scenarios, exercises, quizzes, and assessments
  • Overview of ICD-10-CM coding system
  • Understanding ICD conventions, general guidelines, and chapter-specific instructions
  • Hands-on practice with case scenarios, chapter-based quizzes, and assessments
  • Introduction to CPT coding and AMA guidelines
  • Detailed exploration of Evaluation & Management, Anesthesia, Radiology, Surgery, Pathology, and Medicine sections
  • Explanation of modifiers, Local Coverage Determinations (LCDs), and medical necessity
  • Coverage of Category II & III codes
  • Extensive practice with case scenarios and specialty-specific exercises, followed by quizzes and assessments
  • Introduction to HCPCS coding system and its guidelines
  • How to identify codes for supplies and drugs in different sections
  • Practical application of coding skills through real-world case studies and scenarios
  • Review of medical records and the application of coding guidelines to patient charts
  • Extensive practice with exam-style questions and mock tests
  • Tips for effective exam preparation and time management strategies
  • Guidance on how to approach coding certification exams
  • Corporate etiquette and professionalism
  • Communication and behavioral skills development
  • Career orientation and corporate readiness training
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