Quality Assurance

Build a Clean Billing Pipeline

Ensure future charges are clean, complete, and compliant. Prevent revenue leakage through proactive controls and real-time monitoring.

Clean Claim Rate

95%+

Revenue Leakage

↓ 1%

Denials Prevented

80-90%

Four Pillars of Quality Assurance

Integrated controls working together to eliminate revenue leakage

Chargemaster Excellence

Quarterly CDM testing prevents system mismatches

Updated codes

Price compliance

Modifier accuracy

Charge Capture

Daily reconciliation stops 1% revenue loss

ER verification

OR reconciliation

Pharmacy audits

Pre-Bill Edits

Automated scrubbers catch errors early

Modifier checks

CPT validation

Documentation

Supply Accuracy

NDC/HCPCS alignment prevents errors

Unit conversions

Device codes

Drug billing

Your Transformation Journey

From reactive firefighting to proactive optimization in 90 days

Current State

85% clean claims

1-2% revenue leakage

10-12% denial rate

Pain Points

Manual processes, reactive fixes, compliance risks

Quick Wins

CDM cleanup, edit implementation

Day 30

90% clean claims

Controls activated

Day 60

93% clean claims

Dashboards live

Momentum Building

Real-time monitoring, proactive alerts

Excellence Achieved

Sustainable, scalable, compliant

Day 90+

95%+ clean claims

Near-zero leakage

<5% denial rate

Calculate Your QA Impact

See how Quality Assurance transforms your revenue cycle

Annual Revenue

$100M

Current Leakage (1%)

$1M

Potential Recovery

$900K+

Organizations typically see ROI within 60 days of implementation

Build Trust

Compliance Program

Ensure your revenue recovery is seamless and effective. Create a robust compliance framework with our expert guidance.