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QUALITY REVIEW

QUALITY REVIEW

We make sure there are no inconsistencies and give timely quality reports and analytics that help you understand the scope of improvement as we perform quality audit at every step of the process. Analytics are shared internally everyday with the staff that is helpful during a client review meeting.

We have years of experience in serving the medical practitioners (our clients). Each of our client has a designated account executive to monitor progress, check for problems and offer immediate call to action when required. Our well trained staff at 24×7 Medical Billing Services provide necessary updates to clients and generate the review report after in depth analysis at every step.

Looking for Quality Review Service? Contact Us Today.

We help you overcome challenges:

Our quality review team makes sure that patient information and clinical information is collected perfectly and we monitor the accounts strictly. Healthcare industry is mounted with numerous challenges like reducing costs, optimizing performance, patient care, dealing with denials and a lot more.

24/7 Medical Billing Services offer quality review that is helpful for the clients to review their performance. So, when it comes to payment posting they monitor that payments are posted in the system within 24 to 48 hours via ERA or EOB. For claim entry and submissions, they maintain 99 percent clean claim standard by integrating new systems and deploying innovative solutions to monitor the progress. They maintain the efficacy of revenue cycle management by monitoring each process of the RCM cycle. In case of a denial, the denial is analyzed carefully and root cause is identified so corrective actions can be taken to fill the gap.

For AR follow up we check with the insurance companies for outstanding claims that are over 30 days. We do AR calling for this and finally send a monthly report with financial summary to the client and share it with the internal team too. This keeps our client aware about the improvement areas and changes that helps them to execute their medical practice properly.

Benefits of our quality review services:

The quality review helps our clients to focus on improvement activities. We have internal benchmark of 98% working with several practices like cardiology, pediatrics, nephrology, ophthalmology and much more that helped the practice to discover the problem areas, implement an immediate call to action and finally generate more revenue. Our quality review team serves you to get endless benefits like:

  • Improve clinical and financial performance
  • Risk management assessment
  • Improve reporting with customizable benchmarking data
  • Improve productivity of the staff
  • Make better strategic decisions
  • Helps to cross check the execution of each process
  • Compare performance and meet challenges.
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