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Process Management

Accurate information is critical to resolving claims quickly and efficiently. Our system provides our account representatives with instantaneous access to the information necessary to a meaningful first conversation with your patient that concludes with a payment resolution.

Collection System

Our collection system was designed and developed by MRSI. Our account representatives have immediate access to every piece of information available on accounts assigned to them, including client notes, carrier detail, clinical and billing information. All client notes and bills are scanned for reference and when necessary, claim re-submission. Our office is virtually paper-less!

Our system has several features that are unique and facilitate our effectiveness:

Cross Referencing

Our system is capable of cross-referencing accounts by patient name, guarantor name, account number, Social Security number and third-party payer within a hospital or within entities which are grouped together as a system.

Insurance Carrier/Patient Filtering

Enables account representatives to isolate all accounts in their queue for the same carrier and/or patient/guarantor. One telephone call can resolve several accounts.

Immediate Letter Submission

Letters are pre-formatted (English or Spanish) within the system and incorporate all the payer information related to the account.

Imaging Interface

All account information submitted, including 1500s, UB92s, notes, EOBs, etc., are scanned and available within seconds, enabling our account representatives to immediately respond to the needs of each account. All confidential documentation is shredded after scanning or is maintained in a locked cabinet.

Integrated Phone System

Carrier table information, including phone numbers, is interfaced with our system. There is no need to look up a number and dial; just “Point & Click” to dial an insurance carrier, employer or insured.

CPT, ICD-9-CM Codes

Our system provides instant access to CPT Codes and ICD-9-CM Codes, which are loaded into our database. The account representatives can input the code number, a description of the procedure code, or diagnosis and review it with the payer.

Predictive Dialer

No matter what the balance, all accounts are worked effectively by experienced representatives to ensure maximum recovery.

Client Support Functions

Client support is the most critical function for all hospital outsourcing processes! A MRSI client service representative will be assigned to your facility to handle the retrieval of 1500s, UB92s, itemized bills, and other documentation required by our account representatives to get the account paid. Our assigned client service representative and our Manager of Client Services will be responsible for maintaining the relationship with your staff. A list of operational contacts to handle your inquires regarding referred accounts will be provided to your Patient Account Services staff. It is our goal to limit the involvement of your staff, enabling them to focus on accounts not being worked by MRSI.

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