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.
ACCUMED is the first and only ISO-certified RCM organization in the region, holding DNV ISO 9001 Quality System Certification.
Accreditations
Perception Management
Capability Enhancement
Compliance
Audit
Operations Quality
Continual Improvements
Training
Transition Quality
A statistically driven review process covering all aspects of work produced by operations, benchmarked against the highest industry accuracy thresholds.
Each claim is processed by a dedicated Revenue Cycle Management unit.
A statistically valid sample of claims is selected for quality audit.
QA team verifies coding accuracy, compliance, and completeness.
Detailed feedback is delivered to staff on findings and corrections needed.
Errors are returned to the originating staff for correction and learning.
Remediation actions are logged in the Quality Management System.
Performance metrics are calculated and reported to management regularly.