Capabilities

Revenue Cycle Management

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Full-Service Revenue Cycle Management specializing In Behavioral Health And Integrated Primary Care

Your organization’s financial health is our top priority so consumer care can remain yours. With Qualifacts’ Revenue Cycle Management (RCM), your practice gains access to a dedicated account manager. They provide insight into your revenue with weekly calls to review your revenue cycle, payment trends, and any changes from the Centers for Medicare & Medicaid Services (CMS).  

Once you learn more about how we are solving financial problems with RCM processes that are consistently reducing claim denials and collecting payments, you will see why Qualifacts’ Revenue Cycle Management are more comprehensive than a simple billing service. 

Which Specialties Does Qualifacts Revenue Cycle Management Services Work With? 

ALL of them. From community behavioral health, CCBHCs, inpatient psychiatric centers, detox, occupational, speech, and physical therapies to integrated primary and/or ambulatory care; regardless of your specialty or practice size, we can help you achieve increased performance and efficiency. Our highly rated behavioral healthcare RCMS team can apply expert methodologies to your practice without hindering current operations. With proven business practices and a growing team of seasoned professionals, no specialty is too special for us. 

 

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key strengths

1

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 and subject matter experts optimizes your payment cycle with a 99% clean bill rate and runs limitless batches day or night.

2

We proactively work with practices of all specialties and sizes to communicate financial information consistently and transparently

To ensure you are not leaving money on the table, our team of expert RCM Account Managers, overseeing the team of Billing and Account Receivable Specialists, will meet with your key stakeholders via weekly calls to share financial health reports.

3

Implementation that runs swiftly, smoothly, and securely
Our RCM implementation team is with you from the start – optimizing your configuration, payer testing, training, and even 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 Revenue Cycle Management Services partner.Our multi-disciplinary team uses proven best practices to maintain payer and state relationships and resolve issues with immediacy. 

 

5

Eligibility Checks 

We handle your client eligibility checks with the clearinghouse based on demographic information. 

6

Authorizations 

Our RCMS staff will run authorizations for multiple visits so you can build a realistic treatment plan. 

7

Statements 

We will deliver your statements no matter the medium, such as mailing paper statements on behalf of your practice or securing statements on a client/consumer portal. 

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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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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 go-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, 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

[Webinar] California’s Behavioral Health Payment Reform Start reading
QUALIFACTS ANNOUNCES COLLABORATION WITH NATIONAL COUNCIL FOR MENTAL WELLBEING’S PARTNERSHIP PROGRAM Start reading
SAMHSA Releases New CCBHC Criteria Start reading

Trade in complexity for something truly empowering.