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Quantum Revenue Cycle

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Services

Analytical Dashboard Reporting

Workflow
Automation

Strategic Outsourcing

Efficiencies lower overhead and cost; increase your ROI

System Agnostic including CRM/EMR/Financials/PM/Call Center, etc.

Assist with identifying underperforming payor contracts and provide solutions to improve collections.

Project Mgmt. with New & Existing EMR & PM Systems to maximize system functionality.

INCORPORATE THE PROBLEM WE ARE SOLVING

  • Labor cost increases are 35% of the overall growth in hospital costs
  • Payer denials up by 20% and 84% of providers say they’re behind in cash collections
  • 68% of Physicians surveyed experienced symptoms of burnout
  • Rising Consumer Expectations + Patient Responsibility

1

Margin Challenges

Lower Reimbursements Increasing Costs

2

Increasing Regulations

Price Transparency Surprise Billing Act

3

Payor Issues

Increasing Denials More Audits & Underpymts

4

Labor Shortages

Physician Burnout Front-End Staff Shortages
  • Are you having problems with working your complete A/R because of lack of staff and technology solutions to increase efficiency?
  • Are you struggling to keep pace with the frivolous denials and do not have the software solutions to prevent based on historical analysis?
  • Payor lagged days for high dollar claims have consistently increased since the pandemic. Payers simply don’t have enough people to keep up with the influx of claims that require human intervention – so both payer and provider are experiencing increased reimbursement challenges.
  • From 2019 to 2023, there has been a nearly 40% increase in medical necessity denial rate for inpatient claims.

RCM OPTIMIZATION

Revenue Optimization

State-of-the-art RCM automation tools increases revenue and lowers cost.

RCM Training

VOB, Upfront Collections & Claims Follow-up Training.

Automated Medical Billing & Compliance Audits

Proprietary Software assists with managing regulatory and payor changes.

A/R & CONSULTING SERVICES

Quantum serves as a trusted advisor for medical practices by providing a Full Spectrum of advisory services for practice management to enhance growth as well as governance and compliance. Quantum consultants identify workflow gaps and training needed to improve the team’s efficiency and lower your attrition rates. Our integrated approach with working together with your organization’s cross functional team solidifies a roadmap of continuous improvement.

CUSTOMIZED SOLUTIONS

1. Our seasoned consultants can improve cash flow, decrease denials, and reduce bad debt. We help by implementing Financial Clearance programs to ensure demographic and financial are verified prior to the date of service.

2.  Quantum serves as a trusted advisor to healthcare systems, hospitals, and physician practices in promoting revenue cycle optimization through proven leadership and automation to enhance people, processes and technology throughout the entire revenue cycle experience.

3. We maximize EHR functionality by reviewing and developing training plans for staff and physicians to improve the Patient and Employee Experience.