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Quality Assurance
Quality checked at every stage — not sampled after the fact.
A structured, multi-level QA framework runs across every function of the revenue cycle, with findings routed back into training and process improvement.
QA Coverage
Where quality is checked
Coding QA
Sampled review of coded claims for accuracy, specificity, and compliance.
Billing QA
Review of billing workflows for completeness and payer-specific accuracy.
Claim QA
Pre-submission validation against payer edits and formatting requirements.
Documentation QA
Review of supporting documentation against coding and billing requirements.
Compliance QA
Ongoing review against regulatory and payer policy requirements.
Payment QA
Reconciliation checks on posted payments and adjustments.
A/R QA
Review of follow-up activity and aging inventory management.
Reporting QA
Validation of reporting accuracy before client delivery.
Quality Workflow
A multi-level review process
SpecialistWork is completed by a trained, certified specialist.
QA ReviewA structured quality review is performed on sampled or flagged work.
SupervisorFindings are escalated to a supervisor for correction and coaching.
Client ReportingQuality metrics are compiled and reported to the client.
Checkpoints Across the Cycle
Quality checkpoints embedded throughout the RCM lifecycle
Get Started
Curious how our QA program applies to your specialty mix?
Our quality team can walk through our review methodology in detail.