Frequently Asked Question & Answers
Explore our Frequently Asked Questions to find quick answers to common queries about QWay Healthcare services. From appointment scheduling to payment options, discover valuable information that enhances your experience and ensures seamless navigation through our healthcare solutions. If you can’t find what you’re looking for, feel free to reach out to our dedicated support team for personalized assistance.
What is QWay Healthcare, and what services do you offer?
QWay Healthcare is a mobile workforce company offering revenue cycle management services for healthcare providers all over the US. We focus on achieving higher rates of Accounts Receivables (A/Rs) and streamlining medical billing back-office operations by incorporating a mobile workforce. We offer end-to-end revenue cycle management services like medical billing, Multi-Specialty Medical coding, Payment and Remittance Posting, AR collection, Denial Management, Patient Demographics and Insurance Verification, Rejection Handling, Worker’s Compensation, Demographics and Charge Entry, and Provider Credentialing.
How do you integrate with our existing healthcare management systems or EHR/EMR systems?
Our team works closely with your Operations and IT departments.We begin by conducting a thorough assessment of your current systems and identifying the necessary integration points. Once the specific requirements are determined, we tailor our approach to meet your unique needs. We use established industry standards and protocols to facilitate data sharing, and our team collaborates closely with your IT department to ensure smooth integration.
How can we leverage mobile workforce offerings?
QWay Healthcare provides a mobile workforce for revenue cycle management that caters to administrative operations at low operational costs compared to in-house teams. We have a trained workforce that can serve your needs and offer you customized solutions. We aim to reduce the burden of minimum wage and the cost of medical other benefits (i.e PTO, insurance, pension) by employing dedicated personnel at a low cost starting as low as $10* at your disposal.
How many specialties QWay cater to?
Overall 40. specialties' mentioned below,
|Allergy & Immunology||Emergency Evaluation||Nephrology||Physical Medicine and Rehabilitation|
|Ambulatory Surgery||Endocrinology||Neurology||Physical Therapy|
|Anesthesia||FQHC||Observation Care||Plastic Surgery|
|Behavioral Health||Gastroenterology||Obstetrics and Gynaecology||Podiatry|
|Cardiovascular Surgery||Hemotology and Oncology||Radiology||Sleep Therapy|
|Chiropractic||Infectious Diseases||Pain Management||Urgent care|
|Critical Care||Internal Medicine||Pathology||Urology|
|Dermatology||Mental Health||Pediatry||Otolaryngology (Ear, Nose and Throat)|
|DME Billing||Naturopathy||Rheumatology||Physical and Occupational Therapy|
What software or products you are compatible with?/ What are the billing systems we use?
EPIC, GE Healthcare, Aetna, Oracle Cerner, Chirotouch, Collaborate MD, Cure MD, Dr. Chrono. eClinicalworks, Greenway Health, HST Pathways, Kareo, IMS, mdsynery, ImagineMEDFM, Medisoft by Microwize, Meditech Expanse, Micro MD, Nextech, Nextgen, NueMd, Office ally, perfect care, Practice EHR, sequelmed, Atelcor, WRSHealth, All Scripts, AdvancedMd, CGM Aprima, and others.
What geographic areas do you serve?
We serve all over the US.
How do you approach patient billing and collections?
The following steps are involved:
- Collect Patient Contact and Insurance Information Accurately
- Insurance Verification
- Identify Outstanding Balances
- Implement the Right Payment Policy
- Offer Payment Plans
- Accept Multiple Payment Methods
- Use Medical Billing Software
- Outsource Professional Collection Services If necessary.
- Provide Digital Payment Options
Can you provide case studies or client testimonials as evidence of your success?
What process do you use for ARs and Denial Management?
The following steps are involved:
- The charge entry with eligibility verification is undertaken.
- Claim scrubbing process is initiated to identify the possible denials. It is followed to prevent denial and expedite the reimbursement process.
- Well-trained data team fixes rejections and denials and updates the claim scrubbing team to eradicate the respective denials and prevent future occurrences.
- Any denial or rejections received from the payor will be addressed within 48 hours.
- Paperwork and appeals are being submitted through the payor’s web portal to expedite the reimbursement/claim processing.
- A dedicated follow-up team works on pending claims with the insurance companies.
- An updated status is attained through phone and web portals.
- A clarification log is maintained and is regularly followed up with the practice/provider to fix open issues.
How compliant you are with the standards and changes?
We are HIPAA & ISO 9001:2015 & ISO/IEC 27001:2013 Certified and, we keep updating the industry-required certifications.
What is the pricing structure for RCM services?
We provide customized packages to our clients, to know more please write at firstname.lastname@example.org
Do you offer customizable RCM packages, or is it one-size-fits-all?
Yes. We offer customizable RCM packages to suit your needs.
How do you ensure data security and HIPAA compliance in your RCM processes?
We have secured infrastructure with advanced firewalls and encryption to protect sensitive patient data. We ensure data encryption during transmission and while at rest to prevent unauthorized access. Regular security audits and risk assessments are conducted to identify and address vulnerabilities. Our team undergoes comprehensive HIPAA training, and we use healthcare-specific software that complies with HIPAA standards.
What is your response time for addressing client inquiries or issues?
24 working hours
Can your billing system interface with our EMR?
Certainly, our billing system is designed to seamlessly interface with your Electronic Medical Record (EMR) system. This integration ensures a smooth flow of data between the two systems, minimizing manual data entry and reducing the risk of errors.
For a group our size does your company provide on-site staff? If yes how many? If not what are our alternate options?
We don’t provide on-site staff, but we do assign a full-time employee as per your requirement.
Once a contract is signed, how much time would be required to be able to bill out claims?
Generally, we take 3 weeks to go live for any project. But, it depends on our client's requirement, write to the helpdesk
Does your company perform periodic audits of your employee's coding and how often?
Usually, the audit for the users will be done daily in two scenarios: First for New staff and second for Experienced candidates.
New Staff: The Audit will be done on a daily basis with 100% Audit and the production target will be increased on a weekly basis he/she will achieve the target within 60 days, till 60 days 100% audit will be done. After 60 days If she/he reaches more than 95% then they will be released from 100% audit and the audit will be reduced to 75% to 50% to 25% on the next consecutive weeks and finally, 10% audit will be done on daily basis after 3 months (This method is for the users who maintain 95% and above quality)
For Experience Candidates: The production target will be 50% on the very first day and the audit will be 100% done for the first month if he/she reaches a quality of 95% and above then they will be released from 100% audit and the audit will be reduced to 75% to 50% to 25% on the next consecutive weeks and finally 10% audit will be done on daily basis after 3 months( This method is for the users who maintain 95% and above quality)
What is your experience in specialty billing?
Qway Healthcare has 13 years of experience.
What metrics are used to monitor employee productivity or job function?
Our team follows industry standards metrics and is also equipped to follow client specifications if any are needed
Why should we choose QWay?
At QWay Healthcare, we ensure our clients experience the simplified Revenue Cycle Management and Medical Billing processes. We are based out of Cranbury, NJ, with 4 back offices in southern India. We specialize in multi-specialty revenue billing cycles for hospitals, physicians, group medical service providers, EHR companies, and medical billing companies.
Do you provide any reference for FQHC?
Please drop your query here at email@example.com
How are you different from other healthcare companies?
We go the extra mile to tailor solutions to your unique needs. Our focus is on enhancing efficiency, reducing costs, ensuring compliance, and ultimately improving patient outcomes. With a track record of proven results, a team of dedicated experts, and a deep understanding of the evolving healthcare landscape, we stand out as the go-to partner for healthcare providers looking to thrive in an ever-changing industry.
How secure is Qway?
We prioritize robust confidentiality through a combination of security measures, such as access control systems to prevent unauthorized entry, biometric tracking for monitoring sensitive department access, secure file transfer through SFTP, vigilant oversight of internet use, NDAs signed by all employees, and a secure infrastructure to safeguard sensitive data. We also conduct external audits through TUV SUV twice a year, and a vulnerability and penetration test.
Can you provide samples of monthly business reviews and weekly status reports?
Yes, we do provide samples of the reviews and status reports.
What is the number of clients you have served to date?
We have served over 6000+ providers.
How do you handle staff moving around?
When staff members move or transition within your organization, we follow a well-defined process to ensure a smooth transition. This process includes updating access permissions, reassigning tasks, and providing necessary training for their new roles if required. We aim to minimize disruptions and maintain operational continuity during these transitions.
How many shifts do you work here and how long you are open in a day?
We work in two shifts i.e. IST Day Shift and EST Night Shift. We are open from 8 am to 3.30 am.
Credentialing - how do you take care of it?
With a custom-built system, QWay’s provider credentialing workflow is simpler and even more accessible for healthcare providers. We approach Provider Credentialing as a process that requires complete and constant maintenance and management. We offer Provider Credentialing as a solution and as a service and cater to the end-to-end management of the credentialing process.
Read the entire process here: https://qwayhealthcare.com/provider-credentialing/
How does your transition and implementation process work?
We collect end-to-end details like the start date, specialty, coding, eligibility, patient follow-up, pre-collection follow-up, patient statement, and other information to determine the course of action to be followed for onboarding. Here is the sample checklist we use for the transition and implementation process.