QuickCode by Radformation is an automated billing QA platform designed to streamline and verify oncology billing workflows. It analyzes plan data, treatment data, documentation, and billing codes to ensure each charge is clinically supported before it leaves the Oncology Information System (OIS). QuickCode provides instant, automated feedback, saving time and reducing the stress of billing audits. The platform intelligently identifies extraneous and missing charges by reviewing every captured charge in the OIS. It includes customizable, pre-built templates to standardize billing across departments and teams. QuickCode simplifies the billing review process, transforming what was once a manual, multi-step task into a fast, accurate, and compliant workflow.

Features

• Automated Charge Analysis:
  • Reviews planning and treatment data.
  • Flags extraneous and missing charges.
  • Verifies every charge captured in the OIS.
• Documentation Verification:
  • Checks for required OIS documents.
  • Analyzes signatures and approvals.
  • Validates documentation against charge data.
• Account Number & Date Checks:
  • Verifies charge account numbers.
  • Analyzes associated account dates.
• Plan Approval Validation:
  • Matches charge date of service with plan approval date.
• Coding Conflict Detection:
  • Identifies charge pairs not permitted on the same date of service.
• Physician Presence Verification:
  • Confirms the approving physician was on-site for associated capture codes.
• IGRT Approval Status:
  • Checks IGRT image approval before next treatment.
• Diagnosis & MUE Checks:
  • Validates course diagnosis and associated captured charges.
  • Checks for charge date of service limits.
• Workflow Simplification:
  • One-click QA review.
  • Reduces end-of-treatment audit time from 10 minutes to under 1 minute.

Benefits

• QA Accuracy:
  • Ensures correct procedure codes and documentation.
• Compliance:
  • Standardizes coding across departments and teams.
• Efficiency:
  • Enables review of large data volumes in just a few clicks.
• Time Savings:
  • Dramatically reduces audit time and manual review steps.
• Financial Impact:
  • Helps uncover missed and incorrect charges.
  • Case studies show savings of $425,000 to $550,000 annually.
• Peace of Mind:
  • Provides transparency and confidence in billing practices.