The MMS Process

MMS uses a comprehensive system of integrated processes to ensure maximum reimbursement for you.

Charges

Charges are batched by day, including master schedule, add-ons and emergencies.

Documentation

Accompanying documentation includes patient demographic and insurance information, charge/encounter forms (superbills) and other supporting documentation as applicable.

Reports and Transcriptions

MMS codes from source documents, as applicable, such as procedure notes (operative reports), anesthesia records, ED records, T-sheets, and all other relevant reports. All documents are electronically transferred into our system and directly linked to patient account and encounter.

Coding

All coding is performed by Certified Professional Coders with full AAPC (American Association of Professional Coders) certification. Any process issues receive a full review from MMS management and team leaders before charge entry.

Claims

MMS processes claims daily: over 95 percent are filed electronically. We use EDI payer reports to verify acceptance of claims by each payer. When claims are not accepted, we take “front end” action for resubmission. This means a faster cash flow turnaround for you.

Cycle Statements

Cycle statements are processed daily. A separate follow up queue generates daily reports on accounts and encounters over 30 days old (insurance or patient responsibility). These accounts are reviewed for further action.

Insurance Payments

MMS verifies all insurance payments for correct allowances and amounts. Clients’ contractor payer rates are maintained in our system, so underpayments are flagged on entry. Underpayments are reviewed and appropriate measures are taken.

Adjustments

Adjustments aside from routine payment postings where allowed amounts are contractually correct must receive client approval. Accounts with bad debt status are written off in accordance with client instructions and approval.

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