Reimbursement Management

Reimbursement Management

Automate the remittance and payment process workflow while identifying underpayments to help improve financial results.

Reimbursement Management

Collect more with greater control, fewer resources and less work

At Quadax, our clients respond to declining reimbursement pressures in various ways. At one end of the spectrum, they pursue consolidation or outsource their revenue cycle management to us. Others reduce personnel and use a hybrid solution of software and outsourcing services. And at the other end of the spectrum, we see administrators use our software in-house to manage revenue cycle management on their own.

Regardless of the delivery model clients choose, our reimbursement management tools accurately predict reimbursement as services are processed, and monitor achievement of those results. You can analyze trends to develop reimbursement strategies that minimize your DSO and maximize your recovery. With Reimbursement Management by Quadax, you have the control to fine-tune your entire revenue cycle operation for optimal results.

Leaders need to strategize to maintain a pulse on their financial health, and they need access to their revenue cycle data in order to make sensitive and immediate business decisions that support revenue growth and organizational goals. Intelligence by Quadax™ is a critical reporting and analysis solution to help achieve those goals. Gain insight into your data, achieve efficiency gains and improve financial performance. Components of Intelligence by Quadax™ include: Decision Intelligence, Predictive Intelligence and Data Intelligence.
Smart, reliable remittance processing allows for accurate and organized posting, adjustments and follow-up in coordination with Claims Management, Denials, Appeals & Audit Management, and our Business Analytics Solutions.

Working with your lockbox EFT and ACH payment services, our system efficiently reconciles your deposits against your accounts receivable. Using automation and labor-saving tools to post ERAs and hardcopy EOBs, the Quadax Reimbursement Management solution helps reduce the need for manual payment posting.
Implementing automation and smart informatics is one of the best ways to improve labor utilization while also expanding the efficiency, capabilities and down-stream impact.
Configurable rules can be applied at various data levels to tailor processing and optimize workflow for greater automation, more connections and control.
Identify and resolve payment inadequacies, drive efficient creation of secondary and tertiary claims, detect claim and line denials to maximize revenue efforts. Ensuring proper accounting practices and controls are in place, automated and manual entry of deposits are handled accurately and efficiently with cash management tools that systematically match payments to remittance data.
Save time and money, eliminate paper and its associated hassles—lost documents, human error, storage and retrieval costs. Use Quadax solutions to convert paper checks, remittance documents, forms, notices and other payment-related documents to electronic workflow with conversion to ANSI 835 format.
Organize images by systematically routing document types to your operation’s workflow. Convert manual processes of paper documents, making them electronically relevant through methodical indexing—optimized using a multitude of keywords. Make document management and user retrieval a snap.
Intelligent splitting of electronic remit files—using standard and client-built protocols—ensure your files are automatically posted for fast, error-free processing at a lower cost.

Reduce Errors & Manual Labor

Record Payments Using Electronic Remittance Processing

Quadax’s electronic remittance advice feature saves time and improves the accuracy of billing records by automatically adjudicating payments, overpayments, underpayments, write-offs, chargebacks, patient transfers, and secondary insurance transfers. Using the ERA feature, staff will spend less time recording and balancing an insurance check.

Streamline Workflow and Eliminate Paper

RemitMax

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

To remain competitive, leaders need to be able to strategize to maintain a pulse on their financial health, and they need access to their revenue cycle data in order to make sensitive and immediate business decisions that support revenue growth and organizational goals. Intelligence by Quadax is a critical reporting and analysis solution to help achieve those goals. Gain insight into your data, achieve efficiency gains and improve financial performance. Components of Intelligence by Quadax include: Decision Intelligence, Predictive Intelligence and Data Intelligence.

Consulting & Reimbursement Support Services

Rely on the Experts

While we offer an industry-leading purpose built 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.

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.

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