Comprehensive RCM for Improved Efficiency

As a leader in RCM, Quadax offers comprehensive solutions that go beyond traditional claims processing. We empower healthcare organizations to maximize revenue, minimize bad debt, and improve operational efficiency. Our deep industry expertise and data-driven approach ensure optimal financial performance while prioritizing patient care.

• Claims Management
• Reimbursement Management
• Denials & Appeals Management
• Revenue Cycle Analytics

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.

Integrated Coverage Validation (ICV)

Utilize HETS (the HIPAA Eligibility Transaction System) to confirm eligibility and verify Medicare and Medicaid coverage using Integrated Coverage Validation (ICV) for efficient claims processing, enhanced compliance, and accelerated reimbursements.

Automated Workflows for Increased Efficiency

Quadax’s Xpeditor software streamlines workflow by directing claims efficiently to designated billers based on your criteria, ensuring a precise audit trail, and eliminating reliance on external communication channels. By integrating workflow automation between Claims Management and EHRs or billing applications, processes are optimized to enhance clean claim rates, reduce overhead costs, and empower you with the tools needed to swiftly and effectively recover expected reimbursements.

Auto Fix and Scrub Claims with Custom Rules & Edits

To improve clean-claim rates, start with proactive measures. With XpressBiller, Quadax’s cutting-edge rules and editing system, automatically pinpoint, address, and reduce errors in real-time before submitting claims to the payer. By tackling the root causes that impede claims and cut into profits, you can take charge of your revenue cycle and satisfy even the most challenging payers without the need for IT involvement and at no extra cost.

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.