The fundamental goal of the quality assurance process in healthcare documentation businesses is to produce accurate, understandable, and consistent patient care documentation.
In the quality assurance process, the senior transcriptionists complete the gaps left by the first transcriptionist, make modifications as needed, and evaluate the submitted reports for accuracy and adherence to the required format.
Healthcare-providing facilities are increasingly looking for ways to improve quality while reducing costs, and that's why Avernus’s team is here to help!
Determining the quality assurance scope and the resources required to successfully and efficiently perform it. Understanding the clinical staff involved, payer mixtures, and staff make up for billing and coding is included in this process.
Evaluating the billing and coding environment to identify troubling trends or high-risk areas. The frequency of these services is also examined regarding how the billing staff and doctors use CPT codes.
Improving revenue cycle management and care outcomes by taking corrective action and using quality assessment results as strategic information. This entails establishing realistic improvement goals, dealing with any discovered internal problems, and applying pressure on payers to strengthen areas where they have been proven deficient.
Observing and practicing the procedure will make future quality checks simpler and easier to complete.
At each stage of the whole billing process life cycle, Avernus implements efficient quality checks. We guarantee a greater and quicker realization of claims by assuring accuracy and efficiency in data entry, coding, claim filing, AR calling, rejection analysis, appeals, managing account receivables, and providing periodic reports. As a result, we can provide you with improved cash flow.
Avernus’s team is the perfect partner for quality assurance of your healthcare processes because we:
