RCMS+
What does the acronym RCMS+ stand for?
Revenue Cycle Management Services Plus
What does it mean to outsource your Credentialing to Qualifacts?
At Qualifacts, we’re able to manage existing payors as well as new ones. For the payors you’re already credentialed with, we would be able to maintain those as well as any new enrollments/payors you’d be adding in the future.
Which clinical note formats are currently available on iQ?
DAP, SIRP, BIRP, SOAP
*FUN FACT: We are looking to have configurable notes available by the half year point*
List 3 other Add-On services available with Qualifacts that were not mentioned in my summary.
BI, OnCall, Inovalon, eRX, ASAM, State Reporting, Lab Integration, MAT Module
Name both CDRs and their matching territories.
Ariana Angulo - East
Natacha Robinson - West
What does RCMS+ entail?
RCMS+ is an add-on service that we offer to qualifying customers and new partners where they can outsource their billing directly to Qualifacts.
With RCMS+ practices can optimize payments and collections, minimize average length of time in accounts receivable, and reduce “timely filing” errors.
How long does it take to get credentialed with a new payor?
90-120 days
How significant of a reduction in clinical documentation time can we save an organization?
50% decrease in overall documentation time
Who is a competitor in the AI clinical documentation space?
Eleos, Dragon Naturally Speaking, OpenAI, Nuance, Anthropic, Bells by Netsmart, Llama by Meta, Lyssn
Name 3 of our Account Managers
Leslie Ball / Matt Florento / Jenna Ball / Tracy McCann / Todd DeRossi / Eric Mendoza / Cassia Cramer / Tyler Fritz / Averi Orsatti / Tom Meade
What is an RCM Health Check? When will we order an RCM Health Check?
An RCM Health Check: when we order a level 2 assessment of the practice's billing records to review their aging report and collection rate in order to find the gaps in their revenue
This is ordered after an initial discovery call with the AM.
When do providers need to be recredentialed?
Roughly every 2-3 years.
What happens to the recording of the session? How long after the session can the provider listen back to the audio recording?
the recording is transcribed then instantly deleted once the transcription is completed.
the recording is never actually available for audio playback. the transcription is stored for 7 days within our Qualifacts servers.
T/F: iQ is available in English and Spanish
False. It's on the roadmap to have Spanish integrated into the system
Who is our product specialist for RCMS?
Tammy Selleck
T/F: A customer can only utilize our RCMS+ if they are billing through Inovalon.
False
What happens if a provider fails to maintain their credentials?
It can lead to delays, denials, and removal from insurance networks.
How accurate is our iQ transcription? How accurate is our iQ clinical note summary?
our transcription accuracy is 99.8%
our clinical note summary is 96% accurate
T/F: InSync integrates with SureScripts for eRX pharmacy connectivity
True
What is the difference between Account Managers and CSMs?
Account Managers oversee customer accounts, upsell/cross-sell, and in charge of renewals.
CSMs respond to incoming tickets from customers and help point them in right direction with their issues.
What is a collection rate?
What collection rate % do we consider eligible for RCMS+?
a collection rate is the percentage of the total amount billed by the practice that is actually collected
(total payments collected/total charges billed) x 100=
85% or lower
What is attestation?
is the process of periodically verifying information (roughly 90-120 days depending on the payor) such as qualifications, licensure, and certifications. This is required to confirm that a provider's information is accurate and up to date.
What makes Qualifacts iQ a more secure AI solution verses our competitors?
the PHI and all information remains exactly where it is currently within the Qualifacts environment, it never leaves the system unlike all other competitors.
What expansion plans do we have for our iQ offering long term?
We are looking to expand to agentic AI to automate workflows (ex: scheduling, eRX), treatment planning, and RCM automation
T/F: If an OnCall customer wants to explore switching to Credible for their EMR solution, then an Account Manager would handle that opportunity.
False. This would be considered New Logo and go to New Business AEs/RSMs