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QuintAna

QuintAna has taken over our billing and AR functions, and everything in between. QuintAna is a comprehensive suite of custom-built BOTs that provides a holistic solution for Revenue Cycle Management and represents a significant step forward for all healthcare service providers with their RCM capabilities. The advanced technology of QuintAna eliminates the need for humans to carry out mundane and repetitive tasks, resulting in significant improvements in speed, accuracy, and precision thereby reducing the chances of errors and freeing up valuable resources. By leveraging the power of automation, we are confident that we can exceed our clients’ expectations, achieve greater operational efficiency, and stay ahead of the curve in an ever-changing healthcare landscape.

How does QuintAna work?

Our BOTs for RCM are designed to be integrated into your existing billing system without the need for exhaustive changes or revamps. We write BOTs to work on your system, using the meticulous step-by-step know-how of the process. The BOTs are trained much like how staff are trained, with all possible scenarios, exceptions and decision making. As a result, this RPA Automation tool work as the best biller in your team, with speed and accuracy, minus the fatigue and breaks.

Downloading records from the hospital system

This BOT is majorly used for the appeals process. Using the patient demographics and the date of service this BOT retrieves the Medical records from the hospital systems.

Medical Record Mapping

All the claims that require appealing will be pulled by the BOT for which cover letters will be auto-generated, following which the retrieved medical records will be attached.

Faxing Documents to the payer and attorney

The prepared appeals will be automatically faxed by the BOT to the respective payer. It will also update the successful transmission of the same in the billing system.

Claim status check and workflow toll update

This BOT will automatically pull the claim status from the payer portal and update the same in the billing system. Wherever applicable this BOT will also take the next step toward any denials.

Litigated claim status and workflow toll update

We have a separate BOT that pulls the status of litigated claims from the judicial website.

Download rejection report from clearing house & take action

Claims that are rejected at the clearing house are fetched by this BOT and wherever applicable the BOT will automatically send the corrected claim.

Eligibility Verification

The eligibility BOT will check the eligibility and will automatically update the status in the billing system. For some of our clients, this BOT is also programmed to submit claims to the payer upon successful verification of benefits.

Charge Capture

Not all providers or billing companies have their billing software and HER interfaced. This BOT is implemented in such scenarios. The BOT acts as an interface between the platforms and automatically captures the charge and the demographics from the EHR and updates the same in the billing software.

ERA Posting

This BOT reconciles the ERAs received at the bank with the billing system. It will also run the ERAs and find any exceptions or mismatches.

Downloading EOB from the payer website

The working of this BOT is best explained with an example. While posting payments there may be a cheque that does not match with any of the EOBs. The BOT uses the cheque number & date and pulls the EOB from the payer portal.

Why QuintAna?

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EASE OF PAYMENTS

As a medical billing company, accuracy, speed and exception handling are core to the success of your business. QuintAna does just that and also helps streamline and automate the billing processes, ensuring there are minimal delays in getting your bills settled. This improves cash flow and helps handle typical staffing challenges.

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AGILITY AT ITS BEST

‘Change is constant’. This is probably a phrase that perfectly suits the RCM industry. Processes change and client requirements vary, while legalities keep fluctuating frequently and with no forewarning. That’s why our RPA automation tool is designed to be easily tweaked or modified without a lot of maintenance time or effort.

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FUSS_FREE IMPLEMENTATION

Tired of tools and installations that require you to make extensive changes to the existing process? We get you. That’s why QuintAna is designed with pre-programmed configurations. All you need to focus on is getting need-based customizations done and you are set! The deployment time is minimal and by the end of the transition phase, we will ensure our BOTs for RCM are in place, ready to take over your billing system.

3rd Party BOTs

QuintAna is designed to be implemented across various PMS. However in the case of certain PMS we observe technical road blocks in deploying QuintAna. In such situations we have deployed 3rd party BOTs that have the requisite features to work through the access challenges. We have working partnerships with other tech firms that are automation leaders in the industry. These partnerships helps us break such barriers and create BOT-solutions with the same capabilities of QuintAna that can be integrated across specialties, scopes and PMS, without loss of accuracy or efficiency.

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