AlphaQuest Discovery
"Chart-to-Bill" investigative audit designed to evaluate the integrity and effectiveness of an organization's coding and billing practices:
- Discovery examines both the integrity (compliance) and the effectiveness (revenue capture) of an organization's documentation, coding and billing practices.
- DiscoveryC is a compliance audit focused on an organizations' overall compliance with their compliance plan and / or compliance with prevailing Federal and State regulatory requirements.
- DiscoveryRC assesses the effectiveness of revenue capture.
AlphaQuest RC Re-Design - AQ RCD
The AQ RCD team works with hospitals and physicians on revenue cycle management workflow process analysis.
- AQ focus is on decisions made by staff when accessing, using, or entering information critical to receiving optimal payment for services rendered.
- Create blueprint of a human decisions and systems interface enhancement plan for senior management.
- Provide focused, external guidance for implementating change management plan, if desired.
AlphaQuest Master Coder
AQ Master Coder program provides expert competency-based assessment, teaching and mentoring of coders.
- Pre-testing establishes coder specific training requirements.
- Training methods include: individual learning plans targeted to improve areas identified as needing improvement; didactic teaching; "hands on" coding mentoring and re-testing to quantify improvement.
- Accountability reporting includes periodic evaluation of coder's achievement of targeted competency.
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