Solutions

Today, healthcare providers are faced with increasingly difficult business and financial challenges—and to succeed they need to continuously uncover new ways of improving the bottom line while maintaining a high level of quality care.

MiraMed address our client’s issues by providing a set of modular solutions that mitigate poor performance with superior strategies and resources focused on specific areas of the revenue cycle. We utilize a customized methodology that employs assessment analysis and the latest diagnostics and cross-functional benchmarking, as well as six sigma and lean operational processes to optimize the return of revenue cycle activities.

We deliver a complete array of enhanced revenue cycle management solutions that enable hospitals, health networks and large multi-specialty physician practices to achieve this much sought-after financial success without compromising their primary mission—providing high quality services to the people under their care.

MiraMed partners with its clients to tailor solutions to their own unique business environment, which includes everything from short-term targeted revenue cycle assignment to long-term, complete outsourced solutions.

Business Process Outsourcing Solutions

MiraMed pairs healthcare industry experts with world-class processes, infrastructure and technology to deliver meaningful and measurable results for outsourced business processes.

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HIM & Coding Solutions

Since 1979, MiraMed has provided HIM coding solutions to a wide variety of healthcare providers, including physician groups, ancillary services and outpatient surgical facilities. MiraMed is the industry leader in medical coding, delivering onshore, offshore, outsourced and blended coding solutions.

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Risk Adjustment & HCC Solutions

MiraMed is experienced with the CMS-mandated criteria for risk adjustment. Successful adherence to rick adjustment protocol allows for the moderation of payments and the balancing of disproportionately high-risk patient populations with lower-risk patient populations, minimizing the effect of the health status of the covered population. MiraMed can aid providers in understanding and providing the required documentation according to risk model methodology. MiraMed has the ability to maximize the potential patient risk based on the clinical documentation and diagnosing, for each high risk patient according to a strict protocol of necessary information needed required for reimbursement.

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MACRA MadeEasy

The Quality Payment Program (QPP) Platform for Compliance. The co-sourced MACRA MadeEasy platform guides clients through these changes and provides a structured and practice-specific platform to ensure that a practice is not only protected from penalties, but puts itself in line for incentive payments.

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Accounts Receivable Management

MiraMed’s accounts receivable management solutions help providers cut costs, increase performance and improve financial outcomes through our enhanced revenue cycle services. MiraMed offers the solutions needed to deliver superior performance and results that meet your needs.

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Self-Pay Solutions

With the onset of the Affordable Care Act, the financial obligation for healthcare services has shifted from government and commercial payers to the patient. Patient responsibility, commonly known as self-pay, is now the third largest payer with most health providers.

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Oncology Data Management

MiraMed has built a solid reputation on superior customer service and client satisfaction. We believe that superior customer service begins with the right people and that client satisfaction is maintained with highly trained professional account managers and recruiters who have experience within the health care industry.

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Trauma Registry

MiraMed provides support for Trauma Centers designated by the American College of Surgeons (ACoS), who are qualified as definitive care centers for adult as well as pediatric patients. Our trauma registrars are required to maintain a designation of Certified Specialist in Trauma Registry (CSTR) and Certified Abbreviated Injury Scaling Specialist (CAISS) a trauma scoring system vital to trauma research, as recognition of their knowledge of basic trauma registry.

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