HARP Features

HARP (Healthcare Accounts Receivable Processor), Quadax’s A/R management software, is a constantly evolving application with features designed to streamline the workflow and maximize profits. The following are some of the powerful features in HARP.

Reporting

The HARP reporting system offers a wide range of reports to help you manage your billing activity and accounts receivable. Some reports give high-level managerial statistics, while others provide details on transactions. The reports are concise and easy to interpret, and the process of creating them is simple. HARP’s architecture allows for many reporting options, which gives you the flexibility to create reports tailored to your business. The reporting system provides a mechanism for performing complex, in-depth analyses of your practice. Since the reports can be viewed from any PC with an Internet connection, vital information is always at your fingertips.

Ticket performance and collections management

Once charges are entered, HARP’s automated processes ensure that payment is received in an efficient and timely manner. The parameters that control the processes can be configured by account. The processes provide for:

• Patient statement production and dunning
• Automatic insurance review and follow-up
• Small balance management
• Workflow management with work lists
• Payment arrangements
• Overpayment processing
• Expected reimbursement comparisons
• Denial tracking
• Collection agency downloads

Master files

Virtual Master Code Files are defined across multiple accounts to provide simplified and uniform maintenance. Common files include:

• ICD-9 codes
• Insurance companies
• Operator setup and security
• Receipt sources
• Adjustment sources
• ZIP Codes

Customizable schedule for system processing cycles

HARP’s parameter driven architecture allows you to configure processing cycles that fit your schedules and unique requirements.

Security levels

Access to the system is controlled by passwords at the system, account, and operator level. Operator access is restricted or granted at the account, screen, and function level.

Built-in compliance tools

Claims are automatically edited for LCD/NCD and CCI, and Quadax maintains the most current data files, updating them when new policies are issued by CMS and local Medicare contractors. Unclaimed funds can be tracked and disposed of in accordance with laws in your state.

Patient records

Patient demographics can be entered into HARP from an electronic interface or by manual entry. Up to six insurances can be added per guarantor with fully automated billing to primary and secondary carriers. Encounter forms can be printed at time of service.

Charge Repository

The Charge Repository is a holding area for charges from an electronic interface that are missing required information, such as diagnoses or admission dates. Incomplete charges are flagged and can then be updated while still in the Charge Repository. Once the charge information is complete, the charges are released into HARP.

Work lists

Work lists provide a way to group tickets that require a specific type of work. Users access the work lists and perform the work from any of the major entry screens in HARP. Different types of work lists can be created, depending on unique business needs, and they can include workflow work lists, which automatically route tickets to a different department or business unit. Items can be added to a work list one at a time, by a mass selection process, or by an automated process. Work lists are a proven mechanism for making the billing process more efficient.

Integrated EDI

HARP is seamlessly integrated with Quadax's EDI operations. Claims, remittances, and eligibility verification requests are processed through our EDI service.

• Claims require no further intervention when they are electronically submitted to payers through Quadax's clearinghouse. Claims are edited for errors, and the errored claims are sent to a work list in HARP for resolution.
• Remittances are automatically posted to patient accounts in HARP.
• Eligibility responses from payers are loaded into a work list, ready for intervention if eligibility is not confirmed.

Image enabling

HARP can be image enabled with an Integrated Document Management system. Scanned images of documents, such as registration forms or remittances files, are then accessible from within HARP. Data entry fields and document images are viewable at the same time, so keying information into HARP is quick and easy.

Charges

Charges can be entered into HARP by electronic interfaces or by manual entry. Charge capture can be customized for specialties, such as anesthesia or ambulance, and for Fee for Service or capitated plans. Charge batches have several balance controls to ensure accurate entry. CPT Codes and fees are stored by physician and insurance groups.

Receipts/adjustments

Receipts and adjustments can be loaded electronically by the Remittance Processing system or manually entered. The Remittance Processing system automatically posts electronic remittances to patient accounts. Receipt posting can be to the ticket or to the charge line, and balance forward posting can be used. Line item information can include allowed amounts, paid amounts, deductibles, co-payments, and adjustments. After receipts are posted to the primary insurance, the secondary insurance is automatically billed.

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