Physician Groups Revenue Cycle Management Solutions

Physician Groups & Specialty Practices Revenue Cycle Solutions

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.

Advanced Claim Status

Advanced Claim Status™ (ACS™) reduces your cost to collect with automated, rules-based, data collection that can be directly integrated into your HIS/PMS, or feed Xpeditor’s automated rules engine for actionable results reporting.

Contract Management

Ensure revenue assurance with effective contract management that identifies underpayments, denials, and shortfalls—then takes action to stop revenue leakage.

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.

One Solution. All Payers. Total Coverage.

ICV All-Payer

Quadax’s ICV All-Payer goes beyond eligibility verification—uniting fragmented payer data into one intelligent platform that reduces administrative burden, eliminates guesswork, and accelerates reimbursement. Whether you’re handling Medicare, Medicaid, commercial, or managed care claims, ICV empowers your team with automation and insights to drive cleaner claims, faster payments, and stronger financial performance.

Add To Your Resources With Automation

Xpeditor

Xpeditor automates workflow to quickly route claims to each biller based on the criteria you define, and when necessary, routes claims internally to maintain an accurate audit trail reducing the need to communicate through an external environment. Integrated 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.

Create Custom Rules & Automate Your Revenue Cycle

XpressBiller

The path to improving clean-claim rates begins with an ounce of prevention. XpressBiller empowers you to automatically detect, assign, correct and minimize errors in real-time before the claim is released to the payer. It does this by preventing the key issues that derail claims and reduce profits.

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