Privacy & Policy
Please read these terms and conditions carefully before using MRM Healthcare's website, tools, portals, and professional services.
Welcome to MRM Healthcare's Privacy Policy
At MRM Healthcare, we take your privacy seriously. This policy outlines how we collect, use, and protect your personal and health-related information when you interact with our website, client portals, or professional services. By using our platform, you agree to the terms described below.
Our commitment to safeguarding your data is rooted in our respect for your trust. As a leading revenue cycle management provider, we handle sensitive healthcare information daily and maintain the highest standards of data protection. Please read this policy carefully to understand how we manage your data.
Information We Collect
Information You Provide Directly
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Client Account Information: When you sign up for our services or contact us, we collect your name, practice name, email address, phone number, NPI numbers, and professional details.
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Patient Health Information (PHI): In the course of providing medical billing and coding services, we process patient demographics, diagnosis codes, procedure codes, insurance details, and claims data as defined under HIPAA.
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Financial Information: We collect billing details, payment records, bank account information for EFT/ERA setup, and fee schedule data necessary for claims processing and invoicing.
Automatically Collected Information
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Cookies and Tracking Technologies: Our website uses cookies and similar technologies to enhance your experience. These collect data about your browsing behavior, device type, IP address, and more.
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Server Logs: We automatically log information about your interactions with our portals, including pages visited, timestamps, session duration, and referral URLs.
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Analytics: We use analytics tools to understand user behavior, traffic patterns, and system performance metrics.
Third-Party Sources
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Insurance Payers: We receive eligibility responses, ERA/EOB data, and claims adjudication information from insurance carriers and clearinghouses.
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Credentialing Databases: We access CAQH, NPPES, and state licensing databases during provider credentialing and enrollment.
Sensitive Data
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We handle protected health information (PHI) exclusively as a business associate under HIPAA. All PHI processing is governed by executed Business Associate Agreements (BAAs) and strict compliance protocols.
Children's Data
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Our services are designed for licensed healthcare providers and practice administrators. We do not knowingly collect personal information from individuals under 18.
Purpose of Data Collection
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We collect data to process medical claims, perform coding and auditing services, manage credentialing, conduct denial management, communicate with clients, and comply with federal and state healthcare regulations.
Remember, your privacy matters to us. If you have any questions or concerns, feel free to reach out using the contact information provided below.
How We Use Your Data
Claims Processing & Revenue Cycle Management
We use your data to submit, track, and manage medical claims across all major insurance payers, perform payment posting and reconciliation, and conduct denial management and appeals.
Medical Coding Services
Patient encounter data is used for accurate code assignment using ICD-10-CM, ICD-10-PCS, CPT, and HCPCS Level II classification systems, ensuring compliance with payer-specific guidelines.
Credentialing & Enrollment
Provider information is used to complete CAQH profiles, submit payer enrollment applications, and maintain active provider status with insurance networks.
Compliance & Auditing
We use claims and coding data to conduct compliance audits, identify billing discrepancies, and ensure adherence to CMS guidelines, OIG recommendations, and state regulations.
Service Improvement
De-identified and aggregated data is used to benchmark performance metrics (clean claim rates, denial rates, days in A/R), improve our platforms, and develop better RCM strategies.
Communication
We use contact information to send service updates, regulatory alerts, performance reports, and respond to client inquiries.