Physician & Specialty Practices

Physician & Specialty Practices

Optimize medical billing and achieve a higher percentage of your practice’s earned revenue.

The Quadax Advantage

Unified Revenue Cycle Management Solution

More than a medical claims clearinghouse, Quadax’s revenue cycle management solutions help Physician & Specialty Practices 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.

Physician Groups, Ambulatory Surgery Centers, Post-Acute Care, Home Health, Hospice, Emergency Transport, Long Term Care, Skilled Nursing Facilities, Home Health Agencies, Hospice, FQHC, Physical and other Therapy Clinics, County Health Departments, Ambulance Companies—every manner of care provider has benefited from the insight we provide into business operations like yours.

Unified Revenue Cycle Management Solution

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.

Contract Management

Avoid unplanned and unexpected cash outflow. Apply contract management for actionable revenue assurance and control. Protect cash inflow; monitor and act on payment variances. Prioritize workflows to maximize expected revenue results.

Discover Patient Responsibility

Insurance Eligibility and Enrollment

Insurance Eligibility confirms payer coverage and benefits information (including copays, coinsurance and deductibles) electronically to more than 800 payers, in real time or batch throughout the billing process—from scheduling, pre-registration, registration to discharge. The solution provides enhanced services surrounding the request, response and review of a patient’s insurance eligibility and benefit levels for third party coverage.

Verify Medicare and Medicaid Eligibility

Integrated Coverage Validation (ICV)

Integrated Coverage Validation (ICV) for Medicare and Medicaid, enables Quadax to check HETS (the HIPAA Eligibility Transaction System) in real-time and before a Medicare claim is submitted, and check Medicaid eligibility in real-time with the Medicaid state. Staff can correct preventable errors up-front and submit cleaner claims the first time to avoid payment delays and extra work often required through claim follow-up. Examples include subscriber verification, active HMO/MCO, Part A/B coverage, and MSP liability. With ICV, our clients have seen up to a 78% reduction in eligibility related denials on Medicare and Medicaid claims.

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.

Detect, assign, Correct And 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.

Claims & Reimbursement Support Services

Rely on the Experts

While we offer an industry-leading RCM solution, Quadax’s greatest strength is our experience around implementation and ongoing support given our extensive history of meeting a variety of billing, reimbursement and industry challenges. The client service team is supplemented with various dedicated resources within Quadax to react quickly to client needs, not only during implementation but throughout the engagement.

Client Success Story

The Ohio State University Wexner Medical Center

“In addition to supporting claims processing, Quadax serves as a failsafe for The Ohio State University Wexner Medical Center’s EHR (electronic health records) system. “We don’t have all the logic that Quadax has been able to build into its system. It’s comforting to know the logic is being built and we can rely on Quadax to strengthen our operation from a control and compliance standpoint.”

—Eric long, Associate Director of Patient Accounting

We are at your side

Let’s take on the revenue cycle together!

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

Quadax Resources