MAE Health Care Solutions

RCM driven by Six Sigma

MAE Health Care is one among the very few end to end health care business process outsourcing companies that offers credentialing and complete RCM services. You can be confident that the services are rendered by experienced professionals in their respective fields. MAE Health Care has the expertise needed to deliver quality service to the physicians and their healthcare professionals in a well-timed manner.

It is our obligation to perform, and manage the assigned process to convert your business to a different height for the better. Our process is well proven and encompasses contingency plans for systems, communications and protection of critical data. We have the potential to scale up within a short period of time to meet your expectation.

What is Six Sigma?

MAE Health Care have adapted Six Sigma methodology to eliminate error in Medical billing process completely. In any manufacturing industry, we may be able to sell the product if any small error occurs in production process. In the worst case we can even sell it as a scrap. On the contrary, if something goes wrong in the healthcare industry we cannot collect a single penny from the payer within the limited time frame which includes filling & appealing limit.

The thumb rule for Six Sigma is to satisfy the customer as best in the industry.

Below are the five parameters of Six Sigma:

• Define
• Measure
• Analyze
• Improve
• Control

Define:

• Identify projects that are measurable
• Define projects includes the demands of the customer and the content of the internal process
• Identify projects that are measurable with the help of advanced technology we can measure each and every steps involved in medical billing process.

Measure:

• Define performance standards.
• Measure current level of quality into Sigma. It specifically pinpoints the problematic area.
• Identify all potential causes for such problems.

Analyze:

• Establish process capability
• Define performance objectives
• Identify variation sources

Tools for analysis

• Process Mapping
• Failure Mode & Effect Analysis
• Statistical Tests
• Design of Experiments
• Control charts
• Quality Function Deployment (QFD)

Analyze

• First we analyze process capability and identify various sources for the process with the help of above tools.
• We drill down till we get the final answer.

Improve:

• Screen potential causes
• Discover variable relationships among causes and effects
• Establish operating tolerances
• Pursue a method to resolve and ultimately eliminate problems. It is also a phase to explore the solution how to change, fix and modify the process.
• Carryout a trial run for a planned period of time to ensure the revisions and improvements implemented in the process result in achieving the targeted values.

Control:

• Monitor the improved process continuously to ensure long term sustainability of the new developments.
• Share the lessons learnt.
• Document the results and accomplishments of all the improvement activities for future reference.

We monitor the improved process continuously to ensure long term sustainability. We then share the lessons which we learnt to the resources who are all involved in the RCM. We document all trials against the result.