Compliance & Quality Assurance
Compliance is the foundation of Medlyne Tech operations. We deliver secure, ethical, and fully compliant RCM solutions to protect patient data and maintain billing accuracy
Our Process
HIPAA & PHI Protection
Adherence to HIPAA Privacy & Security Rules
Mandatory confidentiality agreements
Role-based access controls
Encrypted communication
Continuous monitoring of PHI access
Our Values
Regulatory Compliance
01.
HIPAA / HITECH
02.
CMS guidelines
03.
ICD-10, CPT, HCPCS coding standards
04.
OIG compliance frameworks
05.
Medicare & Medicaid billing requirements
06.
Payer-specific compliance rules
Ethical Billing Practices
Accurate documentation-based coding
Zero tolerance for upcoding or unbundling
Internal audits for integrity
Transparent audit trails
Internal Audits & Quality Control
Multi-level quality checks
Pre-billing and monthly audits
Corrective action plans
Random sample audits
98% accuracy assurance
Staff Training & Certification
HIPAA & security training
Annual compliance refresher courses
Certified medical coders (CPC, CCS)
Role-specific training for all RCM functions
Secure Infrastructure
Encrypted servers and controlled access
Multi-factor authentication
VPN-secured operations
Regular vulnerability testing
Disaster recovery & backup systems
Compliance Monitoring & Reporting
Audit reports
Security and access logs
KPI dashboards for accuracy, TAT & denial trends
Monthly review meetings
Commitment to Confidentiality
NDA agreements
Vendor compliance checks
Confidential handling of all sensitive information
No offshore data transfer without explicit approval