Unified Revenue Cycle Management Solution

The toolset you use to manage your clients’ receivables makes all the difference when it comes to keeping your promises. Speed and accuracy are of the utmost importance. That’s why you need a partner like Quadax: a vendor who shares your desire to rapidly determine a patient’s eligibility, get their claim scrubbed accurately, and then paid quickly. Our solution becomes yours and the results make you look good while making your clients feel good.

Unified Revenue Cycle Management Solution

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

Advanced Claim Status

Advanced Claim Status integrates a richer and more complete claim status response into your workflow to save your staff time and effort and enable further automation.

DDE Link

Quickly access FISS using DDE Link—your gateway to one of three “Shared Systems” that process Medicare claims. Integration with FISS is easily enabled with no extra hardware required.

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.

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)

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.

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.

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.