Reimbursement Management

Reimbursement Management

Automate the remittance and payment process workflow while identifying underpayments.

Automate Payment Reconciliation for More Control with Less Work

Collect More With Greater Control, Fewer Resources & Less Work

Remittance Management by Quadax facilitates faster, easier and more reliable revenue cycle processing.

Consistently successful remittance begins in Xpeditor with clean, reliable ERA files, which Quadax remittance experts confirm by proactively monitoring retrieval routines and identifying issues at payers—at times before the payers themselves are even aware of the issues. Quadax then speeds COB billing by integrating claims processing and automatically creating secondary and tertiary claims. Once claims are paid, Quadax ensures faster, more accurate cash posting including custom file splitting, tailored to your unique cash posting configuration.

Expect to reduce the risk of mistakes and human error, improve collections, reduce days in A/R, and enable staff to spend less time posting and reconciling and instead, focus on the revenue cycle and collections process.

Full Integration

Faster, easier COB billing.

  • Fully integrated with Xpeditor and Claims Management
  • 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.

  • 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

Why Clients Choose Quadax

Since implementing RemitMax by Quadax, a paper to electronic process adoption solution, we’ve gone from posting 100% of paper remits manually to posting more than 90% electronically. We’ve reduced the insurance correspondence follow-up backlog from more than 90 days to less than 14. And with 99.5% of paper payer correspondence now available for online viewing, our follow-up is so much easier!”

— Sharon Miller, Hurley Medical Center, Flint Michigan

Automatically Convert EOBs to ANSI 835s

RemitMax

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.

Collect What You’ve Earned

Contract Management

Identify expected reimbursement and workflow underpayments, and pursue revenue recovery with Contract Management by Quadax. Our contract modeling feature accommodates all net patient service revenue contracts and all payment terms and conditions for multiple years—including Medicare/Medicaid schedules, professional and institutional claims, fee schedule, percent of charges, percent of Medicare/Medicaid, carve-outs, outliers and more. Actionable workflow enables staff to pursue priority claims during pre-billing based on expected revenue versus total charge. With Contract Management by Quadax, you can calculate cash flow with confidence and decrease days in A/R while adding to your bottom line.

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.

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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