Business Excellence Through Quality Management
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.
Assurance · Control · Improvement
Organizational Capability Group
Accreditations
- ISO Standards (Implementation and Evaluation Management)
Perception Management
- Best Practice Management
- Customer Satisfaction Survey
- Taking relevant action based on Survey
Capability Enhancement
- Rules Engine
- Knowledge Management
Compliance and Quality Group
Compliance
- Statutory and Regulatory Compliance
- Contractual Compliance
- Adherence to Compliance Methodology
Audit
- Quality Management System
- Information Security Management
- Internal Audit
- Self-Assessment
Operations Quality
- Transaction Monitoring
- SLA Management
Continual Improvements Group
Continual Improvements
- Small Improvements / KAIZEN
- LEAN
- Diet Six Sigma
Training
- Process Trainings
- New Hire Trainings
- Client Trainings
- Training on Quality Concepts
Transition Quality
- Customer Interfacing
- Transition Assessments
- Tollgate Reviews
Our Quality Management Process
A statistically driven review process covering all aspects of work produced by operations, benchmarked against the highest industry accuracy thresholds.
Claims worked by an RCM unit
Each claim is processed by a dedicated Revenue Cycle Management unit.
Sample pulled for review
A statistically valid sample of claims is selected for quality audit.
Check action taken
QA team verifies coding accuracy, compliance, and completeness.
QA feedback provided
Detailed feedback is delivered to staff on findings and corrections needed.
All errors sent back to staff
Errors are returned to the originating staff for correction and learning.
Correct actions tagged on Quality tool
Remediation actions are logged in the Quality Management System.
Accuracy score calculated weekly/monthly
Performance metrics are calculated and reported to management regularly.
This quality framework is what keeps our clients' final claim rejection rate at 2.54%. See the results in our story or talk to our RCM team.
Read Our Story →