Our mission is to identify and implement industry relevant trends to maximize both the authorization of treatment days and reimbursement from payer sources.
In our industry, 80% of all treatment is paid for by private insurance. Instead of treating insurance companies as an adversary, you want to align your company with the payers. We identify and implement
Locating trends establishes parameters for obtaining what is reasonably foreseeable as the maximum amount of treatment days to be authorized, without being negligently ambitious in the pursuit of excess treatment days. This is how we’ve cultivated respected relationships with different insurance carriers.
We Set Your Team Up for Success
At Meru Billing, we have recognized that the “medical necessity” criteria
Our Training Process
This process is based around teaching clinicians how to obtain the information needed for excellent documentation. We train clinicians on translating what they see in the examination room into an attractive medical record document that supports continued stay criteria. This type of communication with the clinical teams allows our UR team to have the best information needed for continued stay reviews. Throughout this, our team works to ensure providers have excellent documentation in place when medical records get requested by payer sources.
We are passionate about what we do and utilize every conversation, medical record request, reimbursement, and denial of services as an opportunity to grow and change the outcome for our customers.