Practice Management

  • 1.  QMACS coding service

    Posted 09-08-2020 10:25

    Hi All,
    Our institution has signed a contract with QMACS, a coding company, that we have been told will be taking over our billing/coding oversight, with a special focus on MFM billing.  Our practice had an audit through SMFM, which was very helpful, and our institution is seeing this as the next step for our office.

    Does anyone have any experience with QMACS for MFM billing? They clearly do everything else, but not sure how familiar they are with what we do.


    Clark Johnson

  • 2.  RE: QMACS coding service

    Posted 09-10-2020 10:30
    I do not know anything about this company and their website gives no specifics. In my experience these companies have limited to no MFM experience. I would get from them what their experience is how many practices in MFM they are currently servicing. and call those practices to see how they have done. What % of collections do they take? Also would direct this to the coding committee for their comment. Best Dan

    Dan O'Keeffe, MD
    42530 N. 108th Street
    Scottsdale, AZ 85262

  • 3.  RE: QMACS coding service

    Posted 09-10-2020 17:37
    I'm with Dan - I've never heard of this company.  Hopefully someone else in this group has - also, yes please post in the coding committee forum too - there may be coders in that group who have worked for or with this company before.

    Vanita Jain, MD
    Chair, SMFM Coding Committee

  • 4.  RE: QMACS coding service

    Posted 09-12-2020 07:43
    I echo the above sentiments.  Unfortunately, it seems they have now been hired by the C suite and the decision is done.  I would recommend working with this company to have them understand billing and collections in the MFM space.  I would believe there are going to be large growing pains. Nonetheless. you have to work with them and document your issues.   What comes after this is more the issue: 1) they create barriers to billing that lower RVU, and then your salaries and bonuses suffer and the administration gets inaccurate numbers, 2) they suggest billing for things you cannot properly bill for due lack of understanding.   I think the former is much more likely and hence the need to work with them and maybe even suggest a short consult with our SMFM team in PM.

    Brian Iriye