Areas of Service
business strategy
Qualic Health will help you gain a strategic view of your practice. We will compare your financial and productivity performance to the industry benchmarks. Our team will assess your current status, identifying waste and inefficiencies which impact your practice’s bottom-line. We will work closely with your team to develop a plan to optimize your revenue and grow your business — all without sacrificing patient care.
practice startup
Qualic Health helps navigate the startup process for practices of all sizes. We understand that it is much easier to appropriately establish the foundation of your practice, than to try to fix mistakes after they have occurred. We will help with credentialing and contracting and designing efficient and effective workflows. Qualic Health will work with you to identify your goals, streamline your processes, and select the right tools to achieve maximum growth.
credentialing services
Qualic Health knows that your reimbursement is contingent upon your relationship and agreement with third-party payers and insurance companies. To receive timely reimbursements, your practice must not only render pre-approved services and collect the appropriate information for your patients, but you must also have a contract with the insurance companies. Our team will help collect and submit the pertinent information for your providers to the respective insurance companies on your behalf.
Revenue Cycle Management
Our team of professionals at Qualic Health understand that revenue cycle management is crucial to the financial health of your practice. We will help you navigate your contracts with your payers to ensure appropriate billing levels are being reflected. Knowing that your revenue cycle depends on accurate charge capture, we suggest a more conducive workflow to maximize the revenue of your practice without additional barriers..
Insurance eligibility inquiries
Our team understands the importance of knowing the various nuances of the revenue cycle. Appropriate revenue cycle management begins with the capturing the most accurate information from the patient. However, Qualic Health professionals will help your practice navigate this cumbersome process. We will ensure that your patients are eligible for third-party payer reimbursement for the services your practice renders.
fqhc/fqhc-lal support
Federally Qualified Health Centers (FQHCs) and Federally Qualified Health Center Look-alikes (FQHC-LAL) are non-profit, healthcare organizations that garner federal support to provide health services to individuals. Qualic Health has professionals who are well-versed in the nuances of FQHCs. We will help your organization with practice transformation, credentialing services, workflow redesign, and achieving various quality metrics. Qualic Health helps you work towards solving an infinite problem with finite resources.
quality & utilization management
Utilization management is the evaluation of the medical necessity, appropriateness, and efficiency of the use of health care services, procedures, and facilities. The Qualic Health team will use a set of techniques to manage health care costs by influencing patient-care decision-making through case-by-case assessments of the appropriateness of care prior to its provision. Our process improves patient care coordination and quality scores.
Dme - same/similar inquiries
Qualic Health is dedicated to saving you time and resources in all aspects of your healthcare practice. Our team is able to perform various eligibility checks that are necessary for the smooth operation of your practice. In the Durable Medical Equipment (DME) industry, same or similar denials occur when the patient's Certificate of Medical Necessity (CMN) history indicates a piece of equipment is the same or similar to the equipment being billed. Qualic Health will perform these inquiries.
BI & KPI Dashboards
Qualic Health wants your practice to have actionable information that you can use to make valuable decisions. One of the most effective ways for our team to do this is through the use of business intelligence (BI) and key performance indicators (KPI) dashboards. A healthcare KPI or metric is a well-defined performance measurement that is used to monitor, analyze and optimize all relevant healthcare processes to increase patient satisfaction, regulatory compliance, and productivity.