Loading...
Revenue Cycle Management Services
in New Haven, CT
Qualigenix runs the full revenue cycle for New Haven practices, from HUSKY Health eligibility checks to the posted payment, with one team on every step.
Request a Callback
Speak with our RCM specialists today.
How Qualigenix Serves New Haven Practices
Qualigenix owns the money side of every patient visit for New Haven practices, through Qualigenix revenue cycle management services that start before the appointment and end when the payment posts. Revenue usually leaks in five places: front-end eligibility and authorization errors, coding and charge capture gaps, unworked denials, patient balances and payer underpayments. We work all five for HUSKY Health, Medicare and commercial patients. Statewide rules live on our revenue cycle management services in Connecticut page. This page covers what changes for New Haven: how HUSKY Health handles eligibility and authorizations, which Medicare and dual-eligible plans New Haven County patients carry, and how Connecticut's payment deadlines and billing protections shape A/R follow-up. One team handles all of it, so a denied claim never sits between a billing vendor and a separate coding vendor.
What revenue cycle management services does Qualigenix provide in New Haven?
Qualigenix handles eligibility and benefits checks, prior authorizations, coding, billing, payment posting, denial management, A/R recovery and credentialing for New Haven practices. Those eight services run as one cycle inside your EHR, with a 98% claim accuracy rate and a 6-day average onboarding. Pricing is a percentage of collections
We work HUSKY Health, Medicare through National Government Services and every commercial plan, inside your current EHR, for a percentage of collections.
Revenue Cycle Management Services for New Haven Practices
Qualigenix connects eight services for New Haven practices under one revenue cycle management team, so each step hands clean data to the next.
Benefits Confirmed Up Front
Coverage and benefits for HUSKY, Medicare and commercial patients are checked before the visit through insurance verification and benefits.
Authorizations Secured Early
Requests go out with documentation through prior authorization services and are tracked to the payer's decision deadline.
Certified Coding Every Chart
Certified coders apply current CPT and ICD-10 rules through medical coding services, so claims leave compliant.
Charges Billed Through Payment
Charge capture, scrubbing and submission run through medical billing services, with a 98% claim accuracy rate.
Payments Posted And Reconciled
Every payment is matched to its claim through payment posting, and underpayments get flagged against your contracts.
Denials Traced To Causes
Root-cause review, rework and resubmission run through denial management services, so the same denial stops coming back.
Daily Unpaid Claim Follow-Up
Every unpaid claim gets daily follow-up through AR recovery until it's resolved, not just flagged.
Enrollment Kept Active
Provider enrollment stays current with every payer through credentialing services, so claims don't deny for participation gaps.
PROVEN RCM PERFORMANCE
Results New Haven Practices Can Expect
These are company-wide results across Qualigenix client practices, not New Haven-only figures.
98%
Claim accuracy
4.8%
Denial rate
97.7%
Net collections rate
Reduced from 54 to 36
Days in A/R
Reduced to 38%
A/R over 90 days
79%
Denials overturned
29-32%
Cash-flow improvement
$1.6B+
Total charges handled
$923M+
Accounts receivable recovered
1,400+
Providers set up nationally
PROVEN TRACK RECORDHIPAA-Compliant Revenue Cycle
275+ Clinics6-DAY ONBOARDING
How Onboarding Works
Qualigenix takes New Haven practices live in four steps, with billing running by day six on average.
01
Onboarding Call And Plan
We review your billing setup, denial trends and revenue leaks, then build a plan for HUSKY, Medicare and commercial payers.
02
Software And Portal Setup
We work inside your existing EMR or EHR, set up payer portal access and learn your specialty's procedures.
03
Open Account Clean-Up
Specialists handle open eligibility issues, coding gaps, unscrubbed claims, pending denials and unposted payments.
04
Live By Day Six
Billing runs live in 6 days on average, and payment usually starts landing within three weeks.
Loading Integrations...
WHY CONNECTICUT PRACTICES CHOOSE QUALIGENIX
Why New Haven Practices Choose Qualigenix
One team managing the full cycle, direct operation in any EHR, monthly reporting by payer, and six-day average onboarding.
One Team, Full Cycle
Qualigenix handles eligibility, authorizations, coding, billing, posting, denials and A/R with one team, so no step waits on another vendor's queue.
Fits Any EHR
We work inside 133 EMR and EHR platforms. Your practice keeps its system, and our team works from it with no data migration.
Monthly Payer-Level Reporting
Each month you see collections, denials and A/R broken out by payer, including HUSKY Health and NGS, with every metric defined.
Live In Six Days
Practices go live in 6 days on average, with account clean-up done during onboarding instead of after go-live.
CONNECTICUT RCM FAQS
Frequently Asked Questions
Frequently asked questions regarding HUSKY Health eligibility checks, CHNCT prior authorizations, NGS Medicare claims, and RCM onboarding in Connecticut.
Qualigenix is a revenue cycle management company that serves independent practices in New Haven and across 48 states. It runs eligibility through payment as one cycle, with a 98% claim accuracy rate. Book a meeting to walk through your current setup.
It includes insurance verification and benefits, prior authorizations, medical coding, medical billing, payment posting, denial management, A/R recovery and credentialing. All eight run inside your EHR under one team.
Yes. Qualigenix submits HUSKY prior authorization requests with documentation attached and tracks each one against the 7-day standard decision deadline. Behavioral health requests go through Carelon Behavioral Health Connecticut.
Qualigenix checks HUSKY eligibility before every visit and flags coverage lapses to your front desk. Starting January 1, 2027, HUSKY D adults renew every six months, so checking at each visit prevents eligibility denials.
Qualigenix scrubs claims before submission, follows up on every unpaid claim daily and appeals denials with corrected documentation. Across client practices, days in A/R dropped from 54 to 36.
Qualigenix charges a percentage of collections. The exact figure depends on specialty, volume and payer mix, and a revenue cycle specialist can quote it after reviewing your setup.