Hospital & Health Systems Reimbursement Solutions
Automate the remittance and payment process workflow while identifying underpayments using analytics to achieve faster reimbursement.
Hospitals & Health Systems Reimbursement Solutions
Collect Revenue Accurately & Efficiently
Quadax Reimbursement Management helps healthcare organizations identify process breakdowns, reduce manual work, and improve collections. By automating workflows and predicting reimbursement outcomes, it streamlines operations and enhances the patient experience.
Our solution monitors payer performance, flags issues, and delivers actionable insights to reduce DSO and maximize recovery. With expert oversight and real-time rule updates, you stay compliant and in control of your revenue cycle.
Automation
Faster, easier COB billing.
- Automation and smart informatics to improve labor utilization for greater efficiency, faster appeals, and improved cash flow
- Fully integrated with Xpeditor and Claims Management
- Configurable rules can be applied at various data levels to tailor processing and optimize workflow for greater automation, more connections and control
- Enables coordination of benefits (COB) claim processing with automatic creation of secondary/ tertiary claims
- Enables Denial Management
- Integrates with RemitMax for converted paper documents
Management Tools
Faster, more accurate cash posting.
- User-friendly interface displays check numbers, dates, and dollar amounts for each ERA, with intuitive filter and search capabilities
- Configurable settings give you full control over raw 835 archival, and all calculations impacting remit reports and EOBs
- Activity log of all activities performed for each ERA
- Wide array of reports available, opening in Microsoft Excel for optimal flexibility
Better Data
Faster reimbursement.
- Analytics to Identify and correct root causes of denials, improving your first-pass clean-claims rate
- Pulse Alerts to be alerted to payment inadequacies so you can drive efficient creation of secondary and tertiary claims, and detect claim and line denials to maximize revenue efforts
- Payment data posted to claims in Xpeditor’s Claims Management history database
- Proprietary universal EOB for use with all payers provides ultimate clarity
- EOB permanently attached to claims in history for easy access
- File splitting available to better fit your workflow and posting needs
- EHR posting and comment records available
RemitMax
Eliminate Paper EOB & Correspondence Bottlenecks
Streamline your billing office workflow and saves those hard-earned dollars by eliminating paper with RemitMax by Quadax.
Adding RemitMax to your remittance management strategy allows you to get control of all your remittance and correspondence documents—even patient payments—that you or your lockbox now receive on paper. And, the 835s created by RemitMax are subject to the same automation that’s afforded within the Claims Management and Denial Management solutions, such as automated COB claims, denial management workflow and robust data analytics allowing for a more accurate picture of the entire revenue cycle.
Rely On The Experts
Full Support
Quadax’s expert remittance team proactively monitors retrieval routines to identify ERA issues at payers—and notify clients—before the payers themselves are aware. As your partner, expect the perfect blend of powerful tools to track remittance processes and search inside ERA for specific checks with reliable, expert, personal support.