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Radiology Billing
and Coding
MiraMed Global Services (MMGS) provides Radiology billing and
coding services. Radiology physician groups require specialized
approaches with regards to practice operations, billing, coding,
staffing, efficiencies, and cash flow.Let ourmanyyears of experience
make yourwork easier.
Our Radiology billing and coding program provides:
•	 AAPC/AHIMA certified staff
•	 Expert knowledge of Radiology CPT codes, modifiers, and specialty specific regulations
•	 Seamless integration with your team, providing as much, or as little, assistance as you need
www.miramedgs.com
•	 Coding – over 3 million Radiology charts coded
per year
•	 Demographic Updates for Paper Charges
•	 Pre-Bill Reconciliation of Visits to Ensure that All
Visits are Billed Timely
•	 Provider Enrollment and Credentialing
•	 Eligibility & Authorization Verification
•	 HL7 Update/Validation for Updated Demographic
•	 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 – Follow up and Appeal of both
Technical and Clinical Denials
•	 Correspondence Management
•	 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
	» Call Center Activity
	» Early Out Self Pay Follow Up
	» Bad Debt Collection Services
•	 Manage Overall Accounts Receivable
	» Ensure that all Key Performance Indicators and
Service Level Agreements are being met 	
	» Detailed reporting that includes both high level
dashboard type reporting as well as drill down
reporting
•	 Website Administration Enrollment and Maintenance of
Payer Websites
•	 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
Virtual Recovery, LLCVirtual Recovery, LLC
O n C a l l
The MiraMed Global Services, Inc. Family of Companies
A List of the Services We Provide:

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Radiology Billing and Coding Specialized Services

  • 1. Radiology Billing and Coding MiraMed Global Services (MMGS) provides Radiology billing and coding services. Radiology physician groups require specialized approaches with regards to practice operations, billing, coding, staffing, efficiencies, and cash flow.Let ourmanyyears of experience make yourwork easier. Our Radiology billing and coding program provides: • AAPC/AHIMA certified staff • Expert knowledge of Radiology CPT codes, modifiers, and specialty specific regulations • Seamless integration with your team, providing as much, or as little, assistance as you need www.miramedgs.com
  • 2. • Coding – over 3 million Radiology charts coded per year • Demographic Updates for Paper Charges • Pre-Bill Reconciliation of Visits to Ensure that All Visits are Billed Timely • Provider Enrollment and Credentialing • Eligibility & Authorization Verification • HL7 Update/Validation for Updated Demographic • 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 – Follow up and Appeal of both Technical and Clinical Denials • Correspondence Management • 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 » Call Center Activity » Early Out Self Pay Follow Up » Bad Debt Collection Services • Manage Overall Accounts Receivable » Ensure that all Key Performance Indicators and Service Level Agreements are being met » Detailed reporting that includes both high level dashboard type reporting as well as drill down reporting • Website Administration Enrollment and Maintenance of Payer Websites • 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 Virtual Recovery, LLCVirtual Recovery, LLC O n C a l l The MiraMed Global Services, Inc. Family of Companies A List of the Services We Provide: