Welcome to Quality Healthcare Systems
Durable Medical Billing & RCM Company in North Carolina
Quality Healthcare Systems (QHS) is a trusted US-based medical billing company that specializes in providing end-to-end billing, credentialing, and revenue cycle management services for Durable Medical Equipment (DME) suppliers and home healthcare providers.
What We Do
Custom Medical Billing Solutions for DME Suppliers
As a trusted DME billing company, we handle everything from patient eligibility verification to claims processing, denial management, payment collection, and A/R management. Whether you’re a small medical practice or a large supplier of medical equipment, our team is equipped to manage your billing needs with precision and expertise.
- Patient Eligibility Verification
- Accurate Claims Submission
- Denial Management
- Accounts Receivable (A/R) Follow-Up
- Financial Reporting
Our Process
Efficient Billing Process for Proven Results
At QHS, we use a streamlined approach to manage medicare medical equipment billing and revenue cycle management, making sure that every claim is processed efficiently. We aim to reduce administrative burdens on your team while increasing your practice’s revenue. Here’s how our process works
Initial Review
We begin by reviewing your current billing practices and identifying areas for improvement. Our team works closely with your practice to understand your specific needs and tailor a solution that fits your workflow.
Patient Eligibility and Insurance Verification
We make sure that every patient’s insurance is verified before services are provided. Our systematic approach minimizes the risk of unpaid claims and increases the likelihood of timely payments.
Accurate Coding and Claims Submission
Proper coding is essential for smooth claims processing. Our team accurately codes all medical services and equipment to minimize the chances of claim denials.
Claims Management
We submit your claims to the appropriate insurance companies and handle any follow-ups required to resolve issues or resubmit denied claims. Our focus is on getting your payments processed as quickly as possible.
Payment Posting and Reconciliation
We promptly post received payments to your accounts, addressing any discrepancies to maintain accurate financial records.
Ongoing Reporting and Support
We provide detailed financial reports, allowing you to monitor your practice’s cash flow, track performance, and make informed business decisions.
Our Specialties
Tailored Billing Services for Diverse DME Providers
In addition to being a reliable medical billing company for DME, QHS specializes in billing services for various DME suppliers and businesses. Our specialties include:
99%
Satisfied Clients
For more than 15 years
Why Choose Us?
At QHS, we believe that every medical equipment business, no matter the size, deserves a billing partner they can rely on. Our unique approach to medical billing and revenue cycle management focuses on delivering tangible results for suppliers. Here’s what makes QHS stand out
- Expertise in DME Billing: As a leading medical supplies billing company, we understand the complexities involved in billing for durable medical equipment. Our team stays up-to-date on the latest industry changes, ensuring compliance with all regulations and best practices.
- Customized Solutions: We offer flexible billing solutions that can be customized to meet the specific needs of your practice. Whether you’re looking for full-service billing or support in specific areas, we’ve got you covered.
- Dedicated Support: Our team is committed to providing personalized service. We’re always available to answer questions, provide updates, and ensure that your practice is getting the most out of our services.
- Transparent Pricing: At QHS, we provide clear and comprehensive pricing covering all essential services. Our offerings include everything from accounts receivable processing to denied claims follow-up and timely patient statement distribution.
- Transparent Reporting: We provide regular, detailed financial reports that help you understand your practice’s financial performance and make informed decisions.
Testimonials
Antonio Del Valle
"QHS has exceeded our expectations with their expertise and dedication. They not only help us collect revenue efficiently but also provide valuable insights to grow our business. I highly recommend them to any healthcare company."
Chris
"Our experience with QHS has been outstanding. Their staff is responsive and efficient, handling claims, appeals, and billing reports promptly. They always ensure accuracy by reviewing and correcting claims before submission. A reliable and professional billing company!"
Laurie Lugenbeal
"QHS saved my sanity and business. Their team is dependable, delivering on every promise. After 38 years in the DME business, I won’t go anywhere else for billing services. They’ve truly been lifesavers for me.”
J.F. Herlocker
“I want to express my gratitude to QHS for their outstanding professionalism, accuracy, and efficiency in handling our insurance claims and billing needs over the past four years. Their attention to detail and commitment to regulations have been invaluable to our business.”
Tammy Fox
"For over 11 years, QHS has provided us with exceptional Medicaid billing services. Their attention to detail, accuracy, and personalized support make them a valuable partner, streamlining our reimbursement process and ensuring compliance with the latest policies."
Desi Ramos
"QHS has allowed my business to run smoothly. Their expert billing team is always available, saving me time and money. They’ve supported my DME team for the last five years with patience, professionalism, and dedication."
Edwin Hernandez
"QHS has been a reliable partner, helping us achieve accreditation and state licensing with ease. Their industry expertise and precise billing have been invaluable. Outsourcing to QHS allows us to focus on growth, knowing we're in expert hands."
Ready to streamline your revenue cycle and grow your DME business?
Frequently Asked Questions
How do I choose the best DME billing company near me?
When choosing a medical billing company, look for one with experience in your field, compliance with industry regulations, and strong client reviews. QHS is a trusted DME billing company in North Carolina with nationwide services, making us a great choice for both local and national providers.
How much do DME billing companies usually charge?
Medical billing companies generally charge a percentage of your collected revenue, usually ranging from 4% to 9%. At QHS, we offer competitive rates and comprehensive services that ensure you get the most value for your money.
Are medical billing equipment agencies HIPAA compliant?
Yes, all medical billing companies should be HIPAA compliant to ensure patient data privacy. At QHS, we take compliance seriously and follow strict protocols to protect your patients’ sensitive information.
Is outsourced medical billing for DME worth it?
Outsourced DME billing allows suppliers to reduce administrative burdens, cut costs, and improve cash flow. By partnering with a reliable medical equipment billing agency like QHS, you can focus on patient care while we handle your billing needs.
Is DME billing different from medical billing?
Yes, DME billing involves more complex coding and payer requirements than standard medical billing. QHS specializes in both, ensuring that your claims are processed accurately and promptly.
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
Outsourcing your billing to QHS can have a transformative effect on your business. Here’s how
- 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.