Quality
National Valley Medical Management has adopted the following initiatives to assure quality work to our clients:
- Professional Staff
- Quality Service
- Customer Relationship
Professional Staff
Our professionals have extensive experience in multiple specialties. They are well trained with billing logistics. All personnel understand the requirements of the quality policy and abide by the requirements outlined in the Quality Manual. Training and development is also provided to our employees to educate them on latest updates and career growth. An aptly skilled workforce dedicated to back-office processes, results in higher service levels in terms of accuracy, efficiency and productivity.Quality Service
Our Quality Assurance team monitors and evaluates of all the processes and implementation of improvements to ensure that our client receives appropriate and high quality services as committed.Reconciliation Methodology
- Billing Reconciliation: We have adopted dual reconciliation methods to the billing functions to overcome human and non-human errors. The first level of reconciliation involves cross-checking the charge sheets between different coders before the charges are approved. This is followed by Master Reconciliation Report in which all the functions are re-checked before the claims are filed to the insurance companies.
- Payment Posting Reconciliation: This process determines whether the payments (insurance or patient) are posted correctly. Batch Payment and other useful reports are generated and reconciled with the deposit.
Monitoring Updates
- The key to increase revenue and reduce denials is keeping an eye on all updates. Our research team keeps vigil of updates to LMRP / LCD, Articles and Announcements for all drugs, CPT codes, list of deleted, revised and newly added ICD 9 and HCPCS codes and modifiers. Our Collection Team keeps abreast of updated Fee Schedule and Contracted Rates from every insurance company to keep track of underpayments. We inform the client and work jointly to assess the impact of the updates.
Audits
- Apart from day to day audits conducted by the Account Managers, we also have a Monthly Auditing process in which each task of an account is analyzed.
Analysis
- Any hindrance to the quality of our work is discussed and a root-cause analysis is performed.
Customer Relationship
We encourage open communication with our clients to ensure that their needs and expectations are determined and fulfilled with the aim of achieving customer satisfaction.Documentation
- Each process is documented and reviewed by the client.
- We provide online chat support for our clients to resolve questions and queries on prompt.
- Reporting is done for all the functions on daily basis with queries.
- Monthly Reporting and Practice Analysis Report is submitted to our client to let them know the output.
- We have an effective Query Tracking System to track all outstanding queries and their resolution.
A single contact point will be assigned to each client. This is conducive for effective communication. This Account Executive will communicate with the client on a regular basis and implement major policy decisions both at client office and at NVMM to smoothen the process flow.
