DELIVERING QUALITY, USER FRIENDLY, COST EFFECTIVE SOLUTIONS

QualT Solutions
QualT Solutions

About us

We are a solution provider committed to providing high-quality, compassionate healthcare services to clinics, practices, and the health care communities. With an overall healthcare experience of 40+ years and state-of-the-art facilities, we offer a wide range of medical services to meet your healthcare needs 

Services we offer

Revenue Cycle Management

Revenue Cycle Management

Revenue Cycle Management

  • Schedule management & reconciliation 
  • Claim submission / billing
  • Charge capture
  • Remittance processing
  • Audit reviews
  • Denial management
  • Re-admissions / appeal submissions
  • Patient collections

Accounts Receivable

Revenue Cycle Management

Revenue Cycle Management

  • Denial and appeal follow ups
  • Ensuring timely resolution and payments

Credentialing

Revenue Cycle Management

Data Management

 

Experience fast and efficient credentialing that allows you to complete your application at your convenience. Our Credentialing team is fully compliant with National Committee for Quality Assurance (NCQA) standards, ensuring a smooth and reliable process 

Data Management

Health Care Information

Data Management

Digitize data electronically in this digital age. With our data analytics, and web portal operations, you can focus on delivering quality care  

Remote Coding

Health Care Information

Health Care Information

  • Certified / experienced coders for inpatient claims
    • Concurrent coding
    • Coding audit

Health Care Information

Health Care Information

Health Care Information

  • Coding
    • Inpatient
    • Outpatient
    • Audit
  • Clinical documentation
  • Utilization management
  • Insurance
    • HEDIS
    • Claim Processor
    • Claim Adjustors 

Desk services

Desk services

Desk services

  • Help desk / front end staffing
  • Centralized appointment scheduling 
  • Desktop support
  • Project management
  • Infrastructure
  • Network management
  • IT security

Claims

Desk services

Desk services

We handle all professional claims with strict adherence to regulatory guidelines, ensuring accurate and timely payments. We utilize advanced electronic processing software to digitize claims to streamline the process and eliminate the inefficiencies of paper claims 

Analytics

Desk services

Virtual Back Office Assistance

  • To provide the accurate one touch data chart of the Physician group/Clinic performance.
  • We use integrated approach of Data Science with human intelligence to predict and forecast the performance consistently

Virtual Back Office Assistance

Virtual Back Office Assistance

Virtual Back Office Assistance

  • Eligibility verification
  • Authorization
  • Referral management
  • Home Health
  • Palliative Care
  • Surgery Centers
  • Acute Care Hospitals
  • Emergency Medicine
  • Pharmacy / DME

Customized Services

Virtual Back Office Assistance

Customized Services

  • In-house built “Doc Connect”, a tailor made Charge Capture Solution for Medical Professionals
  • Tailored claims processing software solutions for medical group/ individual clinics
  • HIPAA compliance and HL7 standards
  • AI template creations & testing services
  • AI integrations
  • Real time access to the client’s data
  • Seamless automated workflow set up in revenue operations

Other Services

Virtual Back Office Assistance

Customized Services

  • Practices can use our development, support & hosting services and own their data
  • Customized Patient communication platform and Telemedicine services
  • Inventory control solutions
  • Utilization management services

Audit

AI Powered Systems

AI Powered Systems

  • Independent documentation Audit on Physicians/clinical staffs, FTEs and certified coders to meet the CMS standards
  • To make the documentation as complete as possible and to bring to medical group attention the possible areas of improvement in capturing RAF and HCC
  • Quality Check (QC) and Quality Audits (QA) as separate services for billing companies throughout sourcing model
  • Process Audits to identify gaps and provide solutions

AI Powered Systems

AI Powered Systems

AI Powered Systems

AI-powered systems can analyze patient data (such as electronic health records, lab results, and genetic information) to assist clinicians in diagnosing diseases, predicting patient outcomes, and recommending treatment plans

AI algorithms can identify patterns and biomarkers indicative of disease onset, enabling early detection and intervention for conditions like cancer, cardiovascular disease, diabetes etc

By leveraging our expertise in using AI tools, healthcare providers can enhance patient care, improve operational efficiency, and advance medical research, ultimately leading to better health outcomes for individuals and communities

Contact Us

Drop us a line!

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