Why QWay Healthcare
By combining latest technology with expert oversight, we simplify complex tasks to deliver faster results and better operational efficiency.
With decades of experience in the U.S. healthcare system, QWay Healthcare understands what your practice needs. We use the right tools and proven methods to improve your cash flow and manage your revenue cycle efficiently.
Our Approach to Serving You
Discovery and Assessment
We begin by aligning our approach with your organization’s goals through a detailed review of your current systems and processes.
Initial Consultation: Our sales team engages with you to understand your requirements across various service areas. We address key concerns and outline possible solutions based on your specific needs.
Strategic Planning: Our subject matter experts conduct follow-up discussions to define the strategic direction, develop a plan of action, and establish standard operating procedures (SOPs). We work together to define SMART goals—specific, measurable, achievable, relevant, and time-bound—forming the foundation of the project charter.
Process Review: We conduct a deep dive into your existing workflows, technology use, revenue cycle operations, and team structure. This helps us identify areas for improvement and suggest optimized, practical solutions.
Customized Solutions and Strategy Execution
Our experts work closely with your team to identify workflow challenges, align requirements with your strategic goals, and develop frameworks that deliver measurable results.
Requirements and Strategy Alignment
We begin by outlining the scope of operations, defining key factors, identifying gaps, and mapping solutions that match your current setup. Based on this, we build a strategy designed to meet your goals and performance benchmarks.
Design Review and Development
The proposed plan is reviewed with all stakeholders to ensure alignment before development begins. Feedback is incorporated into the final design along with risk assessments and implementation steps.
Implementation
Our team rolls out the approved plan, monitors progress closely, and measures outcomes using defined metrics. We make timely adjustments as needed to reduce risks and keep everything on schedule.
Reporting and Optimizing
Ongoing insights and performance tracking are essential for managing and improving your revenue cycle. We stay committed through the full implementation and optimization of every solution we provide.
Process Automation: A dedicated account manager oversees your operations and provides daily updates including volume tracking, completion reports, and clarification logs. Monthly executive summaries and business review meetings are held to report on progress and address any challenges.
Performance and Results: Our teams focus on improving both revenue and operational efficiency. We identify what works and apply those successful models across departments and clients to maximize results and long-term value.
Increase in Accuracy
A leading healthcare community centre with 9 locations across Florida faced ongoing challenges with inpatient (IP) coding. Despite generating over $8 billion in annual revenue from more than 120,000 inpatient discharges, the organization struggled with coding inconsistencies. IP coding accuracy averaged between 90% and 94%, and a weekly backlog of 25% resulted in approximately $2 billion in delayed or at-risk revenue each year.
QWay Healthcare resolved the issue by deploying experienced coding teams that reduced the backlog sixfold. We also implemented a structured accuracy improvement plan, increasing IP coding accuracy to 97% and ensuring more reliable, timely reimbursement.
Collection Rate and Payment Result
A large-scale healthcare facility in Texas, with over 70 years of service across 7 counties, was facing significant billing staff shortages post-COVID. This led to a growing backlog of uncollected revenue and pending claims.
The facility brought QWay healthcare on board to revamp its billing and collections process. By streamlining insurance pre-authorization, verifying patient eligibility, and implementing a more efficient workflow, we increased the facility’s collection rate and boosted payments received within 30 days.
Talk to us to optimize your revenue cycle
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Technology Platforms
We have the expertise on the below systems and can work on any inhouse software that you use
