Capabilities

Billing

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Increase efficiency.
Trade in your paperwork for a billing module that puts more time back into your day. Our electronic billing is 100% HIPAA-compliant and 100% devoted to maximum efficiency. Track claims by consumers and programs, generate and edit batches, view real-time financial metrics, and search by payers, providers, service types, and programs.

With integrated checks and balances, our system can proactively alert you about missing or incomplete information. You’ll have the visibility to prevent denials and correct claims before they go out to the payer. Build your best practices and activate a better way to bill.

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key strengths

1

Expedite your billing process.
Generate clean claims and send them to appropriate parties. No need to manually transfer client data or fill out paperwork—our system saves time by creating claims automatically after you provide services.

2

Level up to our 99% clean bill rate.
Increase your clean bill rate so nearly every claim is accepted in full by the payer. Our billing module optimizes your payment cycle with a 99% clean bill rate and runs limitless batches day or night.

3

Implementation that runs swiftly, smoothly, and securely.
Our implementation team is with you from the start—performing your configuration, payer testing, training, and even by guiding you through the closing of your first month’s books. Rate changes, payer changes, compliance updates? No problem, we keep things fluid and flexible.  

4

Outsourced billing. Outstanding results.
Achieve reliable, accurate, and timely billing by establishing Qualifacts as your billing partner. Our multi-disciplinary team uses proven best practices to maintain payer and state relationships and resolve issues with immediacy.

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“Happy workers as we all know are more productive workers, and with this came increased quality and revenue.”

Mark Thurman
CEO, Families, Inc.

Customer Benefits

Listening to our community 

We value the voices of our customers—and we pay close attention when those voices interact. Our customers gather inside an active community devoted to proactively improving the Qualifacts experience. By stimulating dialogue, collaborating online, and leading structured group meetings, this community functions as a frontline advisory board that helps us steer how innovation unfolds within our suite of solutions. We are grateful for their passion and participation, and we are always listening. 

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    Communities
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Getting Started

  • Solution Icon Solution Icon Implementation
    Implementation

    Our established implementation methodology, led by subject matter experts and experienced project managers, will support your EHR implementation. We work with you to migrate legacy data, configure the software to unique workflows, build standard and custom reports, and test the system before it goes live

  • Solution Icon Solution Icon Integrations and Interoperability
    Integrations and Interoperability

    Our experienced integration team works with you to build easy access to the data your teams need, so people across your organization can see it, analyze it, track it, and report on it. 

  • Solution Icon Solution Icon Support and Training
    Support and Training

    As your organization grows post-implementation, support the onboarding of staff with our extensive training resources, including videos and webinars, and our training certification classes. Our experienced customer support team, staffed with subject matter experts, always puts you first.

  • Solution Icon Solution Icon Qualifacts Community
    Qualifacts Community

    Whether you participate in a state user group, or join national discussion groups, including clinical users, and CCBHCs, the Qualifacts Community offers online peer leadership. Our forum provides a place to trade best practices, work collaboratively through challenges, and contribute suggestions for upgrades and improvements.

Resources

[Guide] CalAIM Guide for California County Behavioral Health and Human Service Departments Start reading
Simplify 21st Century Cures Act compliance with FHIR API and USCDI Support Start reading
RCM KPIs to Watch | Scaling Your Behavioral Health Practice Start reading

Trade in complexity for something truly empowering.