Earlier this week, Cleveland-based Quadax Inc. announced that it has formed a strategic partnership with Pittsburgh-based 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 [email protected].
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 www.quadax.com or contact [email protected]