Quality

Noblecare uses the Six Sigma methodology primarily DMAIC in its process to reduce process variations and eliminate defects, which enables the Physicians increase their revenue constantly.

Industrial Standard Benchmark of Quality in Billing:

The total accounts receivable in the 0-30 day aging category should not exceed 70 percent of monthly charges.

•      The A/R in the 31-60 category should not exceed 15 percent of monthly charges
•      The A/R in the 61-90 day category should not exceed 10 percent of charges
•      The A/R in the 91-120 day category should not exceed seven percent of charges
•      The A/R above 121 days should not exceed 25 percent of monthly charges

Noblecare achieves the above mentioned benchmark by identifying the gaps by implementing the appropriate quality tools.

The following factors are determined in Noblecare for a successful deployment of Six Sigma.

•      Top-Down support
•      Dedicated Resources
•      Employee Incentive
•      Business Aptitude
•      Essentials of Training
•      Project Alignment
•      Communication Processes

Steps involved in measuring billing quality for Medical Practice.

•      Payment Timeliness: How long does it take to get 50% of claims paid? Keep in mind that national average is 40 days. A good quality billing process has relatively small median, e.g., half of the claims must be paid within 15 days
•      Completeness of Payment: What is the percent of accounts receivable beyond 30 days, 60 days, and 120 days? The actual amount of Accounts Receivable beyond 120 days is considered uncollectable and labeled as a provider's loss for write off