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QMCB is a Proud member of
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Qualitech Medical Claims & Billing Services (QMCB) understands the
sensitive nature of the Health care industry and the importance of defining and
abiding to a predefined code of ethics and professionalism. Providing support
services to health care professionals calls for the same level of care and
competency to achieve success and regard in the field. The handling of Medical
Billing, accounts management and other services for health care providers
demands a high level of ethical behavior based on the understanding that health
care billing and management are not merely business operations but are
professional services.
QMCB has pre-defined this Code of Ethics for all its employees as a guide for
exhibiting a professional presence as they grow and succeed in the
medical billing industry. QMCBs insistence on its employees to adhere to these pre-defined
ethics and conduct with clients, peers and patients will greatly improve the
image and reputation of the Medical Billing and management services industries.
It expresses the true definition of a "Medical Billing professional" and QMCB
employees.
The Medical Claims & Billing
Industry play a very unique role of being the liaison between the purchaser, the
supplier and the provider of healthcare services. In this role, QMCB believes
that it is our responsibility to abide by the following ethics:
Part 1: Code of Ethics
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Provide accurate and
honest information essential to our client.
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Maintain confidentiality
and protect the personal, medical and financial information supplied by
our client and use such information only to the benefit of our client.
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Be sure to obtain
written consent from the client or designee for the disclosure of any
personal, medical or financial information
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Only
provide
client information to insurers, governmental agencies, health care
providers, facilities or other entities specified by our client and
deemed necessary for the resolution and payment of health insurance
claims for our client.
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Be objective and completely
avoid any conflict of interest in all business activities.
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Perform all business
activities with the highest sense of integrity.
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Act in a way that will
honor the public interest and demonstrate a commitment to
professionalism and competence
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Improve the
quality and competence of services performed through continuing
education.
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Serve the clients with care
and due diligence.
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Be sensitive, professional
and exhibit a good moral judgment in all business activities.
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Do
not ever willingly or knowingly be party to the submission of fraudulent
claims information to insurers, governmental agencies or health care
providers.
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Comply with all
relevant Federal, State, and Local laws and regulations.
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Do not mislead or make
false statements about professional qualifications, experience,
performance or results that can be achieved.
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Always raise the standards of the Medical Billing and Coding profession by
abiding to the ethical conduct of the business, including the
explanation of services rendered and the disclosure of fees for such
services and fees for additional services prior to performing them.
Part 2: Principles
- Our
responsibilities
Medical Billing Professionals perform an essential role
in the health care industry. Consistence with that role, we
have the responsibility of providing competent and
professional services to those who retain our services.
Additionally, we recognize a continuing responsibility to
maintain and improve our services for the good of the
general public.
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Protection of the Public Interest
One of the hallmarks of our profession is the
recognition and acceptance of our responsibilities to the
public. These persons include our clients, patients, health
care providers, physicians, hospitals, nursing homes, and
others who may rely on the objectivity and integrity of the
medical billing profession.
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Maintaining Objectivity and Impartiality
The principles of objectivity imposes the obligation to
be impartial, ineffectually honest, and free of conflicts of
interest. Impartiality precludes relationships that may
appear to impair our objectivity in rendering services. We
just remain impartial and objective and are free of
conflicts of interest in discharging our professional
responsibilities. We should be independent in fact and
appearance when providing our services. Objectivity is a
state of mind, a quality that leads value to our services.
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Professional Due Care and Competence
We must observe our profession's technical standards continually to improve competence and the quality of
services, and discharge professional responsibility to the
best of our ability. Due care requires us to discharge
professional responsibility with competence and elegance.
Competence begins with an understanding of the basic
Knowledge required to provide our service. Competence
represents the attainment and maintenance of a level of
understanding and knowledge that enables us to render
service with facility and acumen. Diligence imposes the
responsibility to render services promptly and carefully, to
be through.
Part 3: Procedures and Guidelines
- Integrity and Objectivity
In the performance of any professional service, we shall
maintain objectivity and integrity, shall be free of
conflicts of interest, and shall never knowingly
misrepresent facts to our clients or the public.
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General Standards
We shall comply with these standards:
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(A) Professional competence-undertake only those
professional services that we can reasonability expect
to be completed with professional competence.
(B) Professional due care-exercise due professional
care in the performance of Professional Services.
(C) Professional Integrity- we will conduct our
business with the highest degree of integrity and in the
best interest of our clients and the general public.
- Confidentiality
We shall not disclose any confidential information
unless instructed to do so by the Provider.
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Fee's
Professional services shall be offered or rendered on
either a per-claim or percentage basis or under an
arrangement whereby no fee will be charged unless a specific
result is obtained. The rate and means of billing shall be
made explicit.
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