Why is Quintessence different and better than other RCM Partners?

Because we are not vendors. Not one of our customers call us that. We are their partners. Here’s why.

Quintessence prefers to avoid traditional models. Instead, we go five steps beyond the current revenue cycle management practices:

1. Propose engagement & pricing models that put our earnings linked to performance.

2. Build technology for operational optimization to take productivity and transparency to a higher level, enabling a lower cost to code, bill, and collect on claims.

3. Provide greater visibility on delivery by offering our client’s operational teams complete access to our production processes and systems.

4. Construct transactional measures to capture every data point that allows meaningful and timely interventions.

5. Show real analytics to enable better decision-making.

The results are transparency, professional delivery experience, predictability in output, and a higher probability of desirable outcomes, but more importantly, it cuts down surprises (what clients hate the most) of undesirable events.

All of our customers use at least two of our innovative processes and systems and have taken advantage of the benefits, putting them several steps ahead of their competition.

The usual risks in making a change to a new or different service provider are:
a. Loss of knowledge in transition
b. Revenue dip during the switch
c. Performance erosion

A. Capturing and Preserving Business Knowledge
We understand the time sensitivity of your business and the detailed nature of your processes honed over years of experience. To protect this our years of process transition and knowledge transfer experience comes into play. We capture every bit of your process nuances and validate our understanding with your teams. We obtain existing documentation on policies, guidelines, and manuals, recreate an updated account manual as a ready reckoner that is hosted on our learning portal with search functionality.

B. Arresting Revenue Leakage
Your revenues are subject to outcomes, and we understand there can be no drop or dip in reimbursement during the transition. We are confident of our people, experience, and transition processes and we support this confidence with transition and performance guarantees, that mimic your SLAs with your customers.

C. Performance guarantees
Based on the financial analysis of the past data, Quintessence will propose a plan to improve collections over the base period. We have delivered on such performance guarantees with existing clientele, and this is a unique value proposition that they enjoy.

Such guarantees are highly evolved compared to the basic QA and TAT-based guarantees our competition signs. This is a game-changer for your business and has helped our customers win new business opportunities.

Cliché it is indeed.! Our platform offerings are unmatched in the industry. The process enhancement products that we deploy to make workflows seamless are path-breaking and come as added value in our relationships. Every client of ours uses some technology that we have developed exclusively or have customized for their business needs.

Our software team includes RCM and Software experts. They have working experience with most practice management systems, billing software, EMR systems, hospital interfaces, HL7, and other supplementing products. Our software offerings are a part of the service and are sometimes bundled offerings too. As a customer, you exercise the option of hosting our tech within your networks or in US-based HIPAA, Soc2 Type II certified data centers.

Our delivery operations are housed in three modern buildings located in two growing and vibrant cities in India. Both Chennai and Coimbatore are top knowledge and educational centers. Chennai is even considered the healthcare capital of India for its network of healthcare facilities and the evolved ecosystem.

That locational benefit also drives cost differential (helped by a favorable exchange rate) and assures a takeoff cost savings of up to 50%. In addition, that low overhead cost base allows more resources and investment for high-value solutions and services that, in turn, leave a higher share of the profits with you.

Our operations are modeled on a competitive and variable cost base, providing you flexibility in deployment, exceptional skill, and quick reaction times – all so important for the vagaries of your business that we so well understand.

Notwithstanding the geographical advantages, the time difference is another enabler. It means your business doesn’t stop at sunset, and your claims are on the move 24 hours of the day. The claims are entered, coded, and posted during your night hours, and the follow-up happens in your daytime creating a non-stop processing environment.

A partnership is born when both entities share the risks and rewards of the business. That is why we mimic your contracts and deliverables with your customers. This helps build relationships holistically. This is unlike a path less trodden by our competitors, who are just “vendors” connected by a transactional agreement.

The Quantum difference with Quintessence as your RCM partner
Here are what businesses with traditional vendors comprise of:

1. Transaction and headcount-based services
2. Old world SLAs – TAT, Quality
3. No risk to the vendor for acceptable error limits
4. Low cost from location-based advantages only
5. High overhead to manage vendor performance
6. Cumbersome transition, unpredictable ramp up, inconsistent performance

Here’s what you can expect with Quintessence as your RCM partner:

1. Business relevant solutions
2. Outcome-linked SLAs
3. Risk and reward-based engagement
4. Performance and reimbursement linked pricing
5. Three-tier savings – Global model, automation & analytics drive, and additional savings
6. Minimal partner oversight overheads
7. Sustainable and competitive advantages

Contingency fee model
Working on a full-cycle model assuming responsibilities for as many processes as feasible, Quintessence brings substantial savings to your collection costs while increasing reimbursements. The combined impact of this is that the savings will pay our fees over time!

Transaction Pricing model
Some businesses prefer to partner with us on specific processes, or a combination of processes. We configure impactful services & tools suite to deliver immediate and expected outcomes.Our services are designed modularly, so you can either take them all or choose scopes that you need additional resources for.

Cafeteria-style, smart sourcing
Depending on your selection of processes that need external sourcing, Quintessence can demonstrate process-level benefits. Each process will have metrics and SLAs defined and linked to reimbursement. On such discreet process models, the compensation paid to Quintessence could be on a per-transaction basis (per chart/ line item) or per FTE/ per hour basis. We agree with the clients on productivity norms, so our clients don’t pay for resources we don’t use, or for inefficiencies. There are no hidden fixed costs or commitments either.

Hassle-free and effective transition guarantees
One of the most significant decisions medical billing companies have to make is letting an RCM services company take over their existing in-house RCM processes. Such transitions are initially doubted and questioned internally for a variety of reasons. The management fears privacy issues, the expense of hiring such a company, and the initial loss of revenue. The existing employees may worry about having to work with new teams and adapt to new processes.

All these concerns are valid. However, with Quintessence as your RCM partner, you can rest your fears. We start with extensive groundwork to understand our client’s existing businesses and their requirements and demands.

We have a separate transition team that works with the client from day one, in accordance to pre-set SLAs that assure our client of specific reimbursement ranges, so that you will start generating revenue from day one.

Training as a differentiator
Quintessence is not just a leader in medical billing and coding services but also a leader in training. Training is often identified as one of the top reasons why employees choose to start their careers with Quintessence. It is also the most appreciated part of their career even after they leave our services as per our exit surveys.

There is no dearth of human resources in India. Abundant resources, unless trained well, don’t make a difference. Successful organizations have the ability to identify, harness, and train to suit their your business specifics. This again is an area of strength in our model, allowing ample training and ramp- up overheads. This means the talent deployed for your account is exclusive and, trained on your specific billing system and business rules.

Quality as a philosophy
The correlation between higher accuracy and financial health of the business is highest in Medical Billing. This is such that even transactional errors and error rates of less than 1% still result in negative financial impact. Nowhere is a mistake so unforgiving as in RCM. Hence we drive Quality as a primary key responsibility area for every employee right from their boot camp training.

The Quality Assurance and Control teams in Quintessence are drawn out from the best performers amongst the operational staff. The significance attached to Quality is such that the Head of Quality has a direct reporting relationship to the COO.

Compliance reassured
Quintessence, as well as our top-of-the-line data centers, are SOC II Type 2 certified. As part of our technology solutions, we do interface with customer data, but all that resides in your network or within the United States.

Our systems and processes are designed, and people- trained for compliance with the HIPPA Act provisions, certified by an external auditor. All our delivery centers have network, physical, and application layer security.

Business continuity
Quintessence is not just a leader in medical billing and coding services but also your right partner to handle continuity challenges.

Geographically, we work out of three offices in India – two in Coimbatore and one in Chennai. Coimbatore and Chennai are two of the fastest-growing cities in the state and are well-connected through air, rail, and roadways. We make sure our clients’ work is carried on in all these three locations. This way, even if there is a problem in one of the locations, the remaining two offices can continue their tasks, and there will be minimal or no stalling from our end.

Network issues won’t be a problem because of our ability to access the servers of all three locations remotely. As a result, we can handle network downtimes and infrastructure failures without skipping a beat, and services can go on unaffected.

You might be an established medical billing company or a startup trying to wade through the industry. Both ways, marketing and pre-sales are two vital factors that your success will depend on.

Knowing this well, Quintessence as an RCM partner, helps our clients set up expansive and rigorous marketing bases, helping them grow vertically and horizontally to achieve their goals.

You could be trying to reach out to specific healthcare providers or expand your business across the country. We will support you with data and create campaigns that make your effort more effective and worthwhile. Do you have a specific marketing or pre-sales requirement in mind? Do get in touch with us, and our team can customize a strategy that will work.