624 5th Ave, New Hyde Park, NY 11040

Our Medical Billing Services

Comprehensive Revenue Cycle Management Solutions for Every Healthcare Provider

Revenue Cycle Management - MREP RCM

Revenue Cycle Management

Revenue Cycle Management (RCM) is the financial backbone of any successful healthcare practice. MREP-RCM offers comprehensive end-to-end RCM services that cover every step from patient registration to final payment collection.

What We Do

  • Patient eligibility verification and benefits confirmation
  • Accurate medical coding (ICD-10, CPT, HCPCS)
  • Electronic claim submission to all major payers
  • Real-time claim status tracking and follow-up
  • Payment posting and reconciliation
  • Denial management and appeal filing
  • Detailed financial reporting and analytics

Key Benefits

  • Reduce claim denial rates by up to 40%
  • Accelerate reimbursement cycles by 30-50%
  • Eliminate billing errors with dual-verification process
  • Increase net collection rate to 98%+
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Physician Billing Services - MREP RCM

Physician Billing Services

Our Physician Billing Services are designed to ensure that healthcare providers receive accurate and timely reimbursements for every service rendered. We handle all aspects of billing across all medical specialties.

What We Do

  • Specialty-specific billing expertise across 30+ specialties
  • Charge capture and entry review
  • Insurance verification before every visit
  • Superbill review and charge posting
  • Claims scrubbing and clean claim submission
  • Patient statement processing
  • Balance billing and collections management

Key Benefits

  • Specialists in 30+ medical specialties
  • Average 15-25% increase in collections
  • First-pass claim rate above 97%
  • Dedicated account manager for every client
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Medical Credentialing - MREP RCM

Medical Credentialing

Medical credentialing is a critical but time-consuming process that directly impacts your ability to bill insurance companies. Our credentialing team manages the entire process so you can start seeing patients and getting paid faster.

What We Do

  • Provider enrollment with all major commercial payers
  • Medicare and Medicaid enrollment
  • CAQH profile setup and maintenance
  • Hospital and facility privileging
  • Re-credentialing and updates management
  • NPI registration and management
  • Payer contract negotiation support

Key Benefits

  • Average credentialing completion in 60-90 days
  • We track all deadlines so you never miss a renewal
  • Enroll with 100+ payer networks
  • Avoid coverage gaps that lead to claim denials
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Hospital Billing Services - MREP RCM

Hospital Billing Services

Hospital billing is one of the most complex areas of healthcare revenue cycle management. Our team specializes in both inpatient and outpatient hospital billing, ensuring every service is captured and billed correctly.

What We Do

  • UB-04 claim preparation and submission
  • Inpatient (IP) and outpatient (OP) billing
  • DRG optimization and audit
  • Revenue code and HCPCS code assignment
  • Charge description master (CDM) review
  • Observation versus inpatient status management
  • Medicare cost report support

Key Benefits

  • Reduce hospital AR days by 20-35%
  • Optimize DRG assignment to maximize reimbursement
  • Capture missed charges with comprehensive charge audit
  • Dedicated hospital billing team
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Revenue Transformation - MREP RCM

Revenue Transformation

Revenue Transformation goes beyond traditional billing to fundamentally improve your practice's financial performance. We identify revenue leaks, optimize workflows, and implement strategies that create sustainable long-term growth.

What We Do

  • Comprehensive revenue cycle assessment
  • KPI benchmarking against industry standards
  • Workflow optimization and process redesign
  • Denial root cause analysis and prevention
  • Payer contract analysis and renegotiation support
  • Patient financial experience improvement
  • Technology integration and EHR optimization

Key Benefits

  • Identify and recover previously uncollected revenue
  • Reduce cost to collect by 20-30%
  • Improve patient payment rates with better financial communication
  • Build a sustainable, scalable revenue cycle
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HIPAA Compliance Services - MREP RCM

HIPAA Compliance Services

HIPAA compliance is not just a legal requirement — it is a fundamental duty to your patients. MREP-RCM helps healthcare organizations achieve and maintain full HIPAA compliance through expert guidance, training, and ongoing monitoring.

What We Do

  • HIPAA risk assessment and gap analysis
  • Privacy and Security Policy development
  • Business Associate Agreement (BAA) management
  • Staff training and compliance education
  • Incident response planning
  • PHI audit and breach prevention
  • Ongoing compliance monitoring and reporting

Key Benefits

  • Avoid HIPAA penalties ranging from $100 to $50,000 per violation
  • Protect patient trust and your practice reputation
  • Streamline compliance documentation
  • Expert guidance through all HIPAA audits
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Medical Coding Services - MREP RCM

Medical Coding Services

Accurate medical coding is the foundation of successful billing. Our certified coders ensure every procedure and diagnosis is coded correctly the first time, maximizing reimbursement while maintaining compliance.

What We Do

  • ICD-10-CM/PCS diagnosis and procedure coding
  • CPT and HCPCS Level II coding
  • Evaluation and Management (E/M) coding
  • Specialty-specific coding expertise
  • Coding audits and compliance reviews
  • Query management for clinical documentation improvement
  • Coder training and education

Key Benefits

  • Certified coders (CPC, CCS, RHIA credentials)
  • Coding accuracy rate above 99%
  • Reduce documentation-related denials
  • Stay current with annual code set updates
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