Quality Assurance Program
HIMG goes to great lengths to ensure the quality of its processes and procedures. Our rigorous employee training and extreme attention to detail set us apart from the competition.
Medical Record Processing QA
- Comprehensive training; all work is monitored for quality assurance.
- Requirement of 95 percent or better training score to graduate to higher responsibilities.
Coding QA
- Comprehensive training; all work is monitored for quality assurance.
- Requirement of 95 percent or better training score to graduate to higher responsibilities.
Data Entry QA
- Comprehensive training; all work is monitored for quality assurance.
- Requirement of 95 percent or better training score to graduate to higher responsibilities.
Insurance (Electronic And Paper) QA
- Internal tracking and system mechanisms monitor claims to ensure they are error-free.
- Follow-up reports automatically generated for accounts with no action after 45 to 60 days.
- Management checks reports for accuracy.
Patient Statement QA
- Return mail checked for verification.
- Statement status generated directly from our Accounts Receivable Management system is checked for accuracy.
- Follow-up reports automatically generated for accounts with no action after 45 to 60 days.
- Management checks reports for accuracy.
Posting QA
- Internal tracking mechanisms within our system monitor claims sent and EOMBs monitored randomly by Management.
- Intensive training encompasses all aspects of posting process.
- Balancing and closing procedures closely monitored.
- Account Managers strategically located in production areas.
Telephone Etiquette QA
- Random monitoring of calls and Supervisory Staff strategically located in production areas.
- Intensive training encompasses all aspects of our computer system and patient relations.
Provider Enrollment QA
- Credentialing done by Account Managers.
- Claims on hold monitored for accuracy of release date.
- Client is contacted if a provider does not return complete information on time.
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