Emerald Health
Find answers to common questions about our services and learn how Emerald Health can benefit your practice.
Our Medical Billing Solution covers the entire billing cycle, including claim submission, follow-ups, payment posting, denial management, and patient billing services. We also provide regular reporting and analytics to help you monitor your financial health.
We utilize advanced technology and a team of certified billing professionals to ensure accurate coding and timely claim submission. We also conduct regular audits to minimize errors and reduce claim denials.
Yes, our Medical Billing Solution is designed to seamlessly integrate with your existing EMR/EHR systems, allowing for smooth data flow and reducing the need for manual entry.
RCM services manage healthcare organizations’ financial processes, from patient registration to final payment. Effective RCM services help improve cash flow, reduce claim denials, and ensure regulatory compliance.
Our RCM services streamline your revenue cycle, reduce billing errors, and enhance collection rates. We offer comprehensive solutions, including claim submission, denial management, and patient follow-up, to optimize your practice’s revenue.
We provide detailed financial reports, including key performance indicators (KPIs) like claim denial rates, days in accounts receivable (AR), and collection rates. These insights help you make informed decisions to improve your financial operations.
Staff augmentation in healthcare involves temporarily bringing in skilled professionals – such as billing specialists, coders, or administrative staff – to support the existing team during busy periods or when specialized expertise is needed. Emerald Health (EH) offers tailored, flexible solutions that integrate seamlessly with a clinic’s workflow, providing extra capacity without the long-term commitment of hiring.
Staff augmentation offers multiple advantages for medical practices, including:
– Swift access to trained professionals when demand increases
– Cost-effective support without permanent hire overhead
– Ability to scale workforce up or down based on clinic needs
– Seamless integration into existing processes and systems
– Emerald Health ensures staff are carefully matched by specialty and skill to meet each clinic’s specific requirement
Emerald Health’s staff augmentation model differs from traditional outsourcing in that professionals are fully integrated into the client’s internal team and workflows, rather than handed off to a third-party provider. EH personnel work under your management, allowing direct oversight and collaboration, while still offering the flexibility to scale based on needs. This combines external expertise with internal control and alignment.
Emerald Health can augment healthcare teams with a wide range of roles, including:
– Medical billing & coding specialists
– Revenue Cycle Management (RCM) analysts
– Patient intake and front-desk staff
– Credentialing & compliance coordinators
– Remote administrative support
– EH carefully vets each professional and provides ongoing support to ensure a smooth, productive fit with the in-house team.
MIPS (Merit-Based Incentive Payment System) is a CMS program that links Medicare reimbursements to how well providers perform across four categories: Quality, Cost, Promoting Interoperability, and Improvement Activities. Accurate MIPS reporting helps your practice stay CMS-compliant, avoid penalties, and potentially increase reimbursement rates.
Your eligibility depends on factors like your provider type, the number of Medicare Part B patients you treat, and your annual billing volume. At Emerald Health, we assess your eligibility and guide you on the most appropriate reporting path whether that’s as an individual or part of a group practice.
Emerald Health’s staff augmentation model differs from traditional outsourcing in that professionals are fully integrated into the client’s internal team and workflows, rather than handed off to a third-party provider. EH personnel work under your management, allowing direct oversight and collaboration, while still offering the flexibility to scale based on needs. This combines external expertise with internal control and alignment.
Missing the deadline can result in up to a 9% reduction in your Medicare reimbursements. Our team ensures timely, accurate, and CMS-approved submissions, helping you avoid penalties and stay on track with your revenue goals.
We manage every stage of the MIPS reporting process from selecting the right measures and collecting data to submitting securely and maintaining detailed documentation. Our reporting framework ensures that your practice is fully prepared in the event of a CMS audit.
Yes. We analyze your past performance data and help you choose the most strategic quality measures for your specialty. Our goal is to help you perform better year over year and maximize your Medicare incentive payments.
We provide continuous support throughout the year not just during the reporting season. This includes performance tracking, strategic planning for future years, and personalized guidance to help your practice stay compliant and competitive under CMS’s Quality Payment Program.
At Emerald Health, we take HIPAA compliance very seriously. We are committed to safeguarding protected health information (PHI) and adhere to all requirements outlined in the Health Insurance Portability and Accountability Act (HIPAA) and our Business Associate Agreement (BAA).
To maintain the confidentiality, integrity, and availability of PHI, we implement the following safeguards:
Administrative Safeguards:
Technical Safeguards:
Physical Safeguards:
Emerald Health Support can be reached via eh*******@**************lc.com or bi************@**************lc.com. We aim to respond to all email requests within 24 hours and ensure a maximum response time of 48 hours.
Contact Information:
Response Times: