Quality Assured

@ ATLANTIC CODING Quality is all about meeting the needs and expectations of customers concerning functionality, design, reliability, durability, and price of the services.

ATLANTIC CODING is an ambitious back office billing service provider in the healthcare industry. Quality analysis and control is part of setting up the operations, ATLANTIC CODING has initiated required quality audits and security controls in accordance with the Health Insurance Portability and Accountability Act (HIPAA). .

Quality Audits: Accuracy of Claim must be good in order to get Payment in timely manner. If the information on claim is not correct then insurance may easily deny the claim. It has been observed that most of the denials / rejections occur due to such clerical errors in claims. To avoid this we follow a strong Quality Audits.

We follow two way quality Audit check on all the billing work.

• Level1 Audit : Self Audit - onces the biller is done by entering charges he do have to pass through a process of self audit. He will check each details of all claims like Date of services, CPT's, Diagnosis coding , and make sure the information is entered in a correct manner.
• Level2 Audit: QC Audit- In this audit a senior client Executive pull a random samples and do check all the information mentioned above. He does this error checking and send those reporting to the Account Managers.

Quality Control Check Points

• *>Check for typo error
• *>Billing error
• *>Specification error
• *>System error