Quadax Blog

A Year in Review: Pella Regional Health Center

CASE STUDY

CLIENT: Pella Regional Health Center (Pella, IA)

CLIENT INFORMATION: Pella Regional Health Center is a private, non-profit provider of health care, named one of the Top 20 Critical Access Hospitals in the country for overall quality. Pella Regional is one of only twelve 5-star hospitals in the state of Iowa, staffing 25 acute care beds and over 90 physicians.

OPPORTUNITY: In the summer of 2020, Pella Regional Health began evaluating clearinghouse vendors, seeking improvement in product functionality and in service support. Karri Woody, Pella Regional Director of Revenue Stream, had four key priorities:

  • Decrease days in AR
  • Decrease denials and gain efficiencies with secondary claims
  • Streamline the remit process
  • Partner with a vendor whose products are matched by their level of service and support

After evaluating several vendors, Pella ultimately chose Xpeditor by Quadax, the Best in KLAS Claims Management solution. Pella Regional officially launched with Quadax in November 2020.

Xpeditor offers impressive claims management capabilities, including a library of edits that results in a 99.6% first-pass acceptance rate. But, it’s the way Quadax collaborates with people that really stands out. As Karri Woody observed, “We chose Quadax because they are able to provide us with the solution we were looking for and a dedicated staff to help us get there.”

ACHIEVING SUCCESS: Each of Pella’s priority areas saw direct improvement!

15% decrease in days in AR:

  • Xpeditor reports offer Pella Regional visibility previously unattainable, facilitating a more proactive approach to managing the revenue cycle.

Decrease denials & gain efficiencies with secondary claims:

  • Xpeditor’s Denial Management systems organizes the denials that do occur for efficient follow up and effective revenue recovery.
  • Xpeditor’s superior claim edits and other management tools enable Pella to send cleaner claims, leading to fewer rejections and denials.
  • Xpeditor automates secondary claim creation and processing.

Streamlined remit process:

  • Increased volume of electronic remittance advice (ERA) to 98% of all remits received, for faster posting with less chance of manual error.
  • Standardized reports and EOBs based on payer ERA allow Pella Regional representatives to review them quickly and easily.

Partnered with a vendor whose products are matched by their levels of service and support:

  • Through implementation, the system was tailored to Pella Regional’s needs, and end-user training was provided to the entire Pella Regional team.
  • Ongoing service enables Pella Regional to continue to make the most of the Xpeditor system.

Testimonial from Client: “All of our staff was trained by Quadax; they provided multiple follow-up sessions that allowed our staff to ask questions. We communicate with our Quadax service team multiple times a month on various questions relating to opportunities or missing remits. I would describe the Quadax support team as amazing!”