Intelligent Quality Audits (iQA)

Our proprietary audit algorithm

We follow the Five Rights of Billing  to assess all process points critical to revenue of compliance. 

This continuum starts with examination of charge capture workflows and actual chart documentation, continues through IT architecture, and finally extends through billing and purchasing databases. RCI's proprietary audit tools and holistic audit approach identify all potential failure points that can adversely affect optimal returns from the Revenue Cycle. 

iQA uniquely delivers detailed findings, prescriptive system-level corrective actions, and quantifiable gross revenue optimization, quality driven outcomes, and Rapid cycle improvement timelines.

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What are the Five Rights of Billing?

The Five Rights of Billing is our method of thinking to ensure EMR finance integrity. This thought process is baked into our proprietary audit tool, iQA and our core values. The five rights of billing are stated below:

• Cost Basis
• Unit of Measure
• Charge Multipliers
• Charge Units
• Associate Coding

Why are the Five Rights of Billing and iQA important?

Implementing or maintaining an EMR system is a huge investment; one with a lot of risks. Many factors exist that could possibly compromise financial integrity. The Five Rights of Billing ensures these factors do not affect your institution.  These failure factors stem from:

• size and complexity of medication billing data set
• continuous change introduced into the system
• inherent fallibility with build and maintenance efforts
• time and resource limitations

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RCI and iQA ensure performance improvement outcomes