Welcome to Quality Healthcare Systems
Your Trusted Billing and Collection Service in the Healthcare Industry
Customized Medical Billing Solutions
What We Do
Durable Medical Equipment
- Commercial
- Medicaid
- Medicare
- Durable Medical Equipment Regional Carriers
- Private Payers
Outsourced Medical Billing
This service provides an outsourced business model allowing your team to use our software solutions in managing your transactions. With an inhouse billing team, you gain access to claims data and patient eligibility instantly.
Audit and Appeals Assistance
We offer audit relief service packages that provide you with the knowledge and key insights to navigate the multitude of DME audits from numerous contractors.
Patient Collections
Our all-in-one solution allows your staff to concentrate on higher payoff activities. With our complete patient collections service, you can improve efficiency and develop an upfront policy in getting paid.
Special Projects
- Assisting in Open Sales Orders (Backlog of Unconfirmed Orders)
- Cleanup of Old Accounts Receivable (From All or Specific Payors, Product Lines, etc.)
- Cleanup of On-Hold Files
- Conversions of Software
- Obtaining CMNs / PARs
- Payment Posting
Denials and Rejection Analysis
Our Claims Analysts help reduce costs and improve collections by analyzing each claim on the front end. This service effectively minimizes claim rejection rates and denials to get you paid faster and remove the burden of collections and claim resubmission.
Electronic Claim Submission
Reduce time spent filling out tedious forms and help your facility get paid for the services rendered as quickly as possible by submitting your claims electronically.
How to Outsource my Billing and What Is Included?
QHS assumes all of the provider’s in-house billing staff responsibilities.
The provider will do all intake reviews for claims to be worked and submitted by QHS.
After the claim has gone through the compliance review and other intake functions, QHS will provide the following:
- Review all claims prior to submission for billing errors (ie: HCPCS codes, Modifiers etc.)
- Transmit claims (after review)
- Work front end rejections
- Work A/R and Denials
- Post payments
- Conduct calls to provide staff feedback
- Conduct executive calls and billing analysis to measure productivity
The agency you choose affects your profit, so it is important to study your options to stay ahead of the competition.
Competitive Pricing
- Accounts Receivable Processing
- Denied Claims Follow Up
- Low Ticket Claims Follow Up
- Pursuing Provider Proactively for Incomplete Information
- Timely Patient Statement Send Out
Contact Us
The Need for Specialized Billing Agencies
We have collaborated with Pedors Shoes with the billing process for providers in the diabetic footwear sector. Through an interview, company President Stephen O’Hare shared his opinion on the need for billing agencies based on his experience with his business.
Many qualified and critical Pedorthists have gone out of business due to the recession. On top of this, there were recent additions to documentation requirements for diabetic shoes and inserts that made providers discontinue the business because of their fear denials and audits. As result, patients needing diabetic shoes no longer have access to this product.
For Pedors Shoes, our expertise in DMEPOS billing can help in addressing the shortfall in the number of qualified providers which can reduce the denial of claims drastically.