Leading Medical Billing Services
When you choose QHS Health Medical Billing Services, you choose a team that holds a decade long experience in medical billing and revenue cycle management (RCM) services. The process of medical billing is stated as the process of communication between the medical provider and the insurance company.
We firmly believe in updating ourselves in technology and with trends. We have certified multi-specialty expertise in services. We have a satisfied clientele who have been with us for long and have recommended us to their associates. Trust us with handling your billing for our knowledge, experience, skills, and last but not the least, friendly professionalism.
We help in maintaining a smooth patient influx and operating the clinic in an efficient manner. Reduce patient waiting time by fixing appointments in an organized manner.
Medical Eligibility Verification
We assist you to know the exact amount a patient owes in the form of Copays / Coinsurance / Deductibles. This also helps reveal the patient’s payment history.
Traditional & Latest Coding
Our certified coders (CPC, COC, CIC, CPC-P, CPM, CPMA, CPCO, CPC-H, etc.) take care of specific Specialties and ICD-10 coding. They assist in documenting with appropriate CPT and ICD codes and Modifiers.
The specialist billing experts take care of the demographics & charge entry. They let the medical practice track when and where the claims go and also make them aware of whether they are filed within 24 – 48 hours.
The Quality team monitors every process of the RCM cycle. Quality reports and the analytics are shared internally with the team every day and with the client too during the Client Review meeting
We maintain a 99% clean claim standard. The trends and analysis are shared with the Coding and Claims entry teams along with the client as per the client’s convenience / during the Review meeting.
The Payments received through ERA / EOB are posted on the system within 24 – 48 hours and the reports are reconciled on a daily basis. Denials are captured & moved to the Denial Analysis team
Denial Analysis & Resolutions
Claim Denials are analyzed carefully and the root cause is defined for each problem. It is then escalated to the concerned teams to make sure the Denials are fixed & also ensure they don’t recur in future. Denial analysis is shared with the client once a week
Accounts Receivable follow-up
QHS Health runs behind every dollar on the table. We have collected millions of untapped dollars when we took over new projects. We check with the insurance companies for outstanding claims over 30 days through AR calling. The trend and details of the Report are shared with the practice once in a week or a month.