Cleveland, OH—January 31, 2017—Quadax Inc. (www.quadax.com), announced today that it has formed a strategic partnership with Ovation Revenue Cycle Services to enhance claim status responses that Quadax retrieves and transmits to its customers. This reduces manual staff intervention by supplying pending payment information, or the exact reason for claim denials, allowing staff to quickly resolve denials and accelerate cash flow.
With the new Advanced Claim Status (ACS™) solution, Quadax will integrate opt-in payer portal claim status information into the workflow of Xpeditor™, its industry-leading claim management system. Richer and more complete information is available through payer portals and complements the EDI Health Care Claim Status Response (a “277”) which Quadax currently processes for providers. This will help to reduce the need for staff to manually and repeatedly track down additional information to clarify a response to a Claim Status Inquiry (a “276”).
Through Xpeditor, providers can use Ovation’s claim status functionality to retrieve payers’ detailed information on pending claims, remittance reconciliation, denials, and appeals. ACS provides visibility into claims requiring attention and allows action at precisely the right time. Timeframes for payer responses and claim follow up are intelligently calculated and pushed to the user, helping staff focus on claims that need attention.
“Business offices are increasingly challenged by the growing volume of claims requiring follow‐up and specialized processing,” said April Langford, CEO of Ovation Revenue Cycle Services. “With the growing focus on ways to optimize cash collection and reduce outstanding days in A/R, Quadax’s Advanced Claim Status solution will provide a more efficient way to accomplish both of these goals.”
“We are excited and eager to be able provide this capability to our clients, bridging the gap between the increased level of detail found on portals versus that which is typically provided in the 277 response, while eliminating the labor-intensive effort to logon and navigate those portals,” said Tony Petras, Executive Vice President and COO of Quadax EDI Services.
About Ovation Revenue Cycle Services
Ovation Revenue Cycle Services helps clients increase efficiency and achieve cost savings through a flexible suite of software services, designed to improve revenue cycle and HIM operations. With a core focus in health care, Ovation RCS delivers innovative, provider‐proven solutions that fully address the challenges of a rapidly evolving health care environment. Ovation RCS is a wholly‐owned subsidiary of UPMC, a $13 billion global health enterprise based in Pittsburgh, Pennsylvania. Ranked as one of the nation’s best hospitals by US News and World Reports, UPMC is similarly recognized as an industry leader in Revenue Cycle Operations. For more information, visit: www.ovationrcs.com or contact JBurtnett@ovationrcs.com.
About Quadax, Inc.
Quadax, Inc. is a privately held healthcare services and information technology company founded in 1973. We partner with payers, hospitals, physician offices, laboratories and others to make the business of healthcare run better to help our clients focus on their role in providing quality healthcare. Quadax helps its customers improve their financial and operational performance with innovative solutions, strategies, and services built on superior software technologies that include accounts receivable systems, revenue cycle management services, electronic transaction management systems, and reimbursement support services. For more information, visit us at www.quadax.com or contact firstname.lastname@example.org
Time is money. Hospital organizations like yours need to do more with less, and that’s not going to change anytime soon.
With more pressure to maximize revenue, organizations are leveraging technology to remove the manual and tedious tasks in the process and focus precious resources on claims that matter.
Join a free webinar on February Thursday, 2/9 from 11am to 12pm EST to hear more from Connance and Ovation Revenue Cycle Service discuss how to Reduce AR Days, Write-offs and Denials While Increasing Net Patient Revenues with Electronic Claims Status responses.
We hope to see you at the 2017 HFMA Western Region Symposium taking place January 15-17, 2017 at Planet Hollywood in Las Vegas, NV. Are you attending and interested in learning more about Ovation’s HIM services? Please contact Nels Peterson at NPeterson@ovationrcs.com to set up a time to chat at the event.
Sandy Frey, Senior Manager of Quality Audit and Review for Ovation, recently penned this great piece in the October issue of the Journal of AHIMA—”Coding and Auditing Vendor Discovery Guide.”
Have you found yourself overwhelmed by researching and considering a coding and auditing vendor? Do you need help to relieve you of your coding backlog or assist you with your daily inventory? The engulfing nature of sifting through e-mails, phone messages, and service level agreements can stymie the most committed individual. Having a solid vendor selection process in place can help you find the right partner that will lead you to reaching your goals, and not suffering from buyer’s remorse. The more complex the decision and the product or service, the more you need to know about the vendor. Every question you ask your potential partners should make the right choice of vendor apparent.
To read more, download a free PDF of the article at http://ow.ly/kn1M304KzaQ
You’ve started searching for a coding and auditing company to help you with your coding needs. Now, you’re inundated with emails and phone calls from dozens of vendors who want to work with you.
It’s great to have a variety of companies to choose from — but do you have a process in place that can help you find the right partner?
A detailed discussion about your needs and how each company can help your organization is the obvious first step in determining the right match.
Pricing and scheduling are two primary factors — you want to work with someone who can meet your budget and work within your timeline. Be careful not to go into desperation mode. Don’t just shake on what you think is the best deal. You don’t want buyer’s remorse later. Evaluate each of the companies thoroughly.
To help you, we researched and prepared a list of 27 questions you should ask each prospective coding and auditing company that you meet with.
Below are 10 of those pertinent questions to ask any coding and/or auditing vendors- whether onshore or offshore services are provided:
- What level of on-going education is provided to your employees/contractors?
- How are your coders monitored and assessed?
- What makes you confident that your coders can accurately code my organization’s charts?
- What level of reviews are performed on each chart?
- What is your process for obtaining missing chart information?
- What is your pricing methodology? Are discounts of any kind offered?
- Do you require a minimum number of charts per month? What lead time is required for volume fluctuations, if any?
- Do you incorporate our coding policies and procedures into your training and processes? How is this accomplished?
- What differentiates you from your competitors?
- What types of client management activities do you provide?
But wait… there’s more!
Email us at JBurtnett@ovationrcs.com to get the full list of questions (no charge!) including a bonus list of 12 questions to ask during a reference call.
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- Ovation will be attending the HFMA Western Region Symposium from January 15-17, 2017 in Las Vegas, NV.
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