About Accumed

Our Commitment to Quality

ACCUMED is committed to business excellence, including the systematic use of Quality Management principles and tools in Revenue Cycle Management and medical claims processing that improve performance and lead to enhanced customer experience. Our business excellence framework is designed to achieve Assurance, Control and Continual improvement of services provided to our clients.

We are committed to detecting, correcting and preventing fraud and abuse in insurance and medical billing, as we conduct our business ethically, with integrity and in compliance with applicable legislation and regulations.

We implement ISO International Standards aimed at building and developing more efficient and effective business practices, respecting all laws, requirements and commitments.

Assurance

Organizational Capability Group

Accreditations

ISO Standards (Implementation and Evaluation Management)

Perception Management

Best practice Management
Customer Satisfaction Survey
Taking relevant action based
on Survey

Capabality Enhancement

Rules Engine
Knowledge Management

Compliance and Audit Group

Compliance

Statutory and Regulatory Compliance
Contractual Compliance
Adherence to Compliance Methodology

Audit

Quality Management system
Information Security Management
Internal Audit
Self - Assessment

Control

Quality Group

Operations Quality

Transaction Monitoring
SLA Management

Transition Quality

Customer Interfacing
Adherence to Transition Methodology
Transition Assessments
Tollgate Reviews

Improvements

Continual Improvements Group

Small Improvements/KAIZAN
LEAN
Diet Six Sigma

Training

Process Trainings
New Hire Trainings
Client Trainings
Training on Quality Concepts

We also have a robust Quality Management system, which identifies and catches errors before claims are delivered to the payer for processing.

Our statistically driven review methods ensure that we cover all aspects of work produced by operations, while our quality performance is benchmarked against the highest level of industry accuracy thresholds.

AccuMed’s gap analysis and recommendations through this system not only helps our internal teams and external clients increase their process efficiencies, but also reduce non-conformities and proactively identify risk areas.

Following is our quality management process:

Quality Management System

Claims worked by an RCM unit

Sample pulled for review

Check action taken

QA feedback provided

All errors sent back to the staff

Correct actions tagged appropriately on the Quality tool

Accuracy score calculated weekly/montlhy based on all errors

Claims worked by an RCM unit
Sample pulled for review
Check action taken
QA feedback provided
All errors sent back to the staff
Correct actions tagged appropriately on the Quality tool
Accuracy score calculated weekly/montlhy based on all errors

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