Welcome to Quality Healthcare Systems

Your Trusted Billing and Collection Service in the Healthcare Industry

Revenue Cycle Management and Consulting for All Healthcare Providers

Customized Medical Billing Solutions

Set Your Practice Up for Financial Success

When it comes to revenue cycle management, Quality Healthcare Systems in High Point, North Carolina offers billing solutions to custom-fit your practices’ needs. We can bill and collect for Medicare, Non-Medicare, and all commercial payers. Each proposal is created following an inquiry of your current billing and collections needs. QHS works hard to ensure that our QHS billing solution provides your practice with the most reliable billing and collections options available.

What We Do

We help our providers reduce costs and improve patient care with comprehensive and specialized packages. These include medical billing, coding, consultations, and reimbursement collections.

Durable Medical Equipment

One of our specialties is billing for Durable Medical Equipment (DME). Our billing specialists transmit electronic HCFA claims to the following:

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

We can assist you with all facets of the revenue cycle by providing resources in the following areas:

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.

Pharmacy Billing Services

For Pharmacies of all sizes, whether it's Brand Name Drugs, or Non-Preferred Drugs, QHS’ tailored pharmacy billing services will minimize rejection rates. We maintain a detailed pharmacy charge description master, meticulously listing billable items and quantities to prevent revenue leakage.

Home Health Billing Services

Your home care agency is in control of financial outcomes when outsourcing billing & collections to QHS. We can bill and collect for Medicare, Non-Medicare, or all payers. Each billing and collections proposal is created following an inquiry of your current billing and collections needs.

DME Billing Services

QHS is one of the best DME billing companies in the country to outsource your DME billing, and we’ve been in operation since 2010. Our team will make sure your DME billing is reviewed for accuracy, turn your account receivables into cash and take care of other vital tasks that drive results.

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

Aside from considering an agency based on their performance, it is also important to ask about the cost and its inclusions. Here are examples of necessary services that less expensive companies often exclude:

If you think you have the answers to these points, you’re ready to choose the right agency for your practice.

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.

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