BOSS is an ambitious back office billing service provider in the healthcare industry. Quality analysis and control is part of setting up the operations, BOSS has initiated required quality and security controls in accordance with the Health Insurance Portability and Accountability Act (HIPAA).
Quality Analysis: Accuracy in transcription, coding and claims charge information is critical for obtaining timely and accurate payment. Insurance companies will easily deny a reimbursement due to incorrect information. In fact, it is estimated that as many as 80 percent of rejected claims are due to clerical errors.
BOSS follows TWO TIRE quality check on all billing work.
Level I- Floor QC: The entire demo and charge entered is quality checked by field by field for errors and checking for client specifications error by the floor QA team.
Level II- Random QC: BOSS senior QC team who monitors entire operations randomly picks demo and charge entered by the each billing staffs every half hour and quality checks for error and reporting back to the account manager and billing staffs.
Quality Control Check Points.
- Check for typo error
- Billing error
- Specification error
- System error
Weekly quality audit reports are submitted to each team, performance of each billing staffs are monitored and appraised periodically.
Error level @ BOSS: BOSS has impeccable error record of 0.99, with combined knowledge of operation and QA team we have crossed mile stones in quality deliverables and satisfied clientele relation.
“We always spell sUccess with Uâ€
Want outsource your Insurance Verification, Patient Answering, Medical Transcription, Medical Coding, Demographic Entry, Claims Entry, Submission of Claim, Payment Posting, Denial Management, Accounts Receivables service and Revenue Cycle Management.