One of our goals for Qualifacts customers is to help ensure all claims are accepted in full by payors, so no money is left on the table. If you want to achieve an up to 99% clean bill rate, consider optimizing with our comprehensive Revenue Cycle Management Services (RCMS). Here are just a few of the benefits:

• Automated billing processes with accelerated payments and revenue
• Automated claims processing following service provision, eliminating manual data transfers, and maintaining smooth claim progression.
• Increased performance and efficiency to maximize revenue, regardless of your specialty or practice size
• Effortless implementation that optimizes configuration, conducts payor testing, provides thorough training, and guides you through initial financial closures
• Proven best practices to nurture payor and state relationships, promptly resolving issues for seamless operations
• Streamlined authorization handling for multiple visits, facilitating the creation of realistic and comprehensive treatment plans
• Weekly calls with a dedicated account manager, reviewing revenue cycles, payment trends, and CMS changes

Stay compliant, avoid billing complications, and minimize revenue leakage with our Credentialing and Enrollment Services. Let our team of IT and service professionals, with more than two decades of experience, do the heavy lifting for you.

Qualifacts’ high speed enrollment services include:

• Provider & Group Enrollment for Commercial, Medicare (PECOS), Medicare Advantage, and Medicaid Provider
• Payor Enrollment Maintenance Services
• New Practice Setup and Roster Management Services (Tax ID, NPI and State License)
• CAQH Setup and Maintenance Management
• Complete Enrollment AI Platform

Benefits of outsourcing enrollment services with Qualifacts:

• Cost savings with increase in workflow efficiencies and quality levels
• Transparent application processes
• Certified with the National Committee for Quality Assurance (NCQA) and compliant with the Utilization Review Accreditation Commission (URAC), The
• Joint Commission (TJC) and the Centers for Medicare & Medicaid Services (CMS)
• Contact center support, videos, and FAQs

Meet your clients’ digital needs and stay competitive by integrating Virtual Care into your Qualifacts EHR platform. Our comprehensive Virtual Care offering goes beyond telehealth, with:

• Customized, fully-branded client engagement portal for all devices (web, iOS, Android)
• Instant messaging and video appointments for up to 50 individuals
• Automated appointment reminders
• Digital client payments and e-Signatures
• Automated patient self-scheduling, form completion, and insurance verification

Customer Success Consulting (CSC) is a Service Offering available for highly complex, strategic-style customer needs typically in the midst of major business adjustments for which the EHR best practice configuration and workflow is critical. The CSC service is provided by highly experienced Customer Success Consultants who initiate an engagement discovery, and design a scope of work and project plan that aligns with the customer business objectives. CSC includes as many meetings as necessary to execute to the design plan/scope. The goal of this service is to provide dedicated Consultation (combination of project management, training, support, implementation, industry style expertise) to assist the customer in best meeting its major business objectives using our platform(s). The discovery commences with a System Health Check and customer agendas are defined by the project plan. The CSC service is designed to support customers’:

• Merger and acquisition activities
• Major system optimization efforts
• New feature adoption/implementations
• New line of business/program implementations
• CCBHC configurations
• VBR configurations
• System administration management
• …and any other intensive, time-bound administrative, clinical, or billing customer initiatives!

Enhanced Support Services (ESS) is a Tiered Support Service Offering available to supplement the standard customer support experience. In addition to the exceptional standard support we provide daily, ESS includes a weekly 1 hour meeting to review open support tickets and other support/best practice needs driven by customer-defined agenda. The engagement commences with a System Health Check to diagnose areas for optimization in the customer system and is managed by a Senior Customer Support Principal. The goal of this service is to provide live status of support tickets and live expert assistance for any system support/configuration best practice needs. Customers drive the agenda, with the intent to provide an additional layer of administrative, clinical, and billing support to your agency for continuous best practice use of the system and increased self-sufficiency with troubleshooting techniques by our expert Senior Customer Support Principals. The ESS offering can be purchased at a fixed fee for 3, 6, or 12-month packages.

Let our Report Writing Services team help you improve clinical decision-making with robust real-time data. We’ll help your organization maximize efficiency, revenue, and transparency with actionable data and comprehensive insights.

Timely, data-driven insights will drive confidence and productivity among your clinicians, giving them more time with clients/patients, and less time on the computer manually creating reports.

Connect your Qualifacts EHR with key partners including HIEs, RHIOs, local hospitals, primary care and patient engagement systems, labs, and more using our Integration Services.