Hospitals & Health Systems

Hospitals & Health Systems

Streamline medical billing, enhance visibility and control over financial operations, and mitigate compliance risks for maximum reimbursement.

Why Our Clients Choose Us

The Ohio State University Medical Center

“With Quadax as its partner, The Ohio State University Wexner Medical Center has been able to beat its target timing for claims processing. Currently staff are processing claims in 18 days, from date of service, against a goal of 30 days.”

— Eric Long, Associate Director of Patient Accounting

Unified Revenue Cycle Management Solution

More than a medical claims clearinghouse, Quadax’s revenue cycle management solutions help Hospitals and Health Systems simplify medical billing, and increase revenue and decrease bad debt. Our solutions manage the entire revenue cycle using a solid financial foundation by conducting a thorough and continuous analysis of front-end to back-end revenue processes to help deliver the best possible patient care without compromising reimbursement goals.

Patient Access

Claims Management

Reimbursement Management

Denials, Appeals & Audit Management

Patient & Client Engagement

Revenue Cycle Analytics

Eligibility

Insurance Eligibility verifies a patient’s insurance coverage and benefits in real time, providing copays, coinsurance and deductible information.

Verify Medicare and Medicaid Eligibility

Check HETS (the HIPAA Eligibility Transaction System) and Medicare and Medicaid eligibility in real-time and before a claim is submitted with Integrated Coverage Validation (ICV).

Advanced Claim Status

Advanced Claim Status (ACS) integrates a richer and more complete claim status response into your workflow to save your staff time and effort, and enable further automation.

Xpeditor

Add To Your Resources With Automation

Xpeditor—an application within Claims Management—automates workflow to quickly route claims to each biller based on client-defined criteria, and when necessary, routes claims internally to maintain an accurate audit trail to reduce the need to communicate through an external environment. Workflow automation between Claims Management and EHRs and/or billing applications result in streamlined processes that improve clean claim rates, reduce administrative costs and provide the insight and control to recover expected reimbursement with speed and efficiency.

XpressBiller

Detect, Assign, Correct & Minimize Errors

XpressBiller is a powerful rules and edit engine, designed to allow clients to build custom converts and edits they are unable to make in their hospital information system (HIS) to help detect, assign, correct and minimize errors in real-time before the claim is released to the payer.

A key component of Quadax’s Claim Management System, XpressBiller provides accurate, standard edits, plus edits custom to your organization. Quickly customize data conversions to overcome shortcomings in your claim generation routines, and enable auto-correct rules and advanced workflows to give you the greatest precision and control in your claims management.

RemitMax

Automatically convert EOBs to ANSI 835s

RemitMax by Quadax streamlines your billing office workflow and saves those hard-earned dollars by eliminating paper. 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.

Revenue Cycle Analytics

Intelligence By Quadax™

Intelligence by Quadax™ uses the most advanced, innovative tools and cloud services to continually collect and analyze your complex revenue cycle data from disparate systems into a single source of truth. You can identify contributing factors, investigate cause-effect relationships, reveal opportunities, and measure results against internal goals and industry benchmarks. Export reports or display visual representation of real-time data and analytics you can use during executive reviews or in summarization reports.

Don’t guess—know what payers require by examining payer data trends, account for revenue losses and time, and investigate areas where efficiencies can be realized. Know what’s working today, and know what’s working tomorrow, so your finance and billing teams can work more effectively with your commercial sales and payer relations group to create the synergy you need to drive to your desired reimbursement outcomes and achieve your cash collection goals.

Claims & Reimbursement Support Services

Rely on the Experts

Quadax revenue cycle experts provide routine, on-site visits to assist with event creation and resolution, continued training, reporting needs, best practices and general issue resolution. Quadax provides the perfect blend of sophisticated technology with reliable, expert, personal support.

We are at your side

Let’s take on the revenue cycle together!

Learn more about the revenue cycle solutions we provide for high-performing healthcare organizations.

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