Patient Access Process Interactive

Patient Access

QuadraMed's Care-Based Revenue Cycle solutions begin with Access Management, the entry point for the patient experience. Through these industry-leading solutions, patients and resources are identified accurately at every entry point to a healthcare enterprise.

From setting physician orders in motion to maximizing how healthcare organizations use their resources and cash flow, QuadraMed's advanced Access Management rules engine ensures that facilities optimize the patient experience. Our Access solutions enable organizations to leverage quality of care into proper reimbursement at the lowest administrative cost. See the MPI process!

 

Product Detail

Streamline patient access and manage the scheduling needs of your entire enterprise with QuadraMed Enterprise Scheduling. Our solution maximizes your resources and helps move patients through your organization efficiently, without costly delays and conflicts. Driven by a rules-based scanning engine, QuadraMed Enterprise Scheduling gives you powerful tools to automate the front-end of the healthcare process. It provides true enterprise functionality (multi-facility, multi-departmental, multi-procedural), patient identification for the prevention of patient identity errors, advanced pre-registration fields to enable the capture of critical registration and billing information and worklists to push tasks downstream from scheduling to departments such as registration and billing.

Product Benefits

  • Increase patient and physician satisfaction
  • Accelerate reimbursements
  • Increase efficiency and workflow
  • Increase resource utilization
  • Increase patient volume
  • Integrated access management functions

QuadraMed Enterprise Scheduling is the core component of a complete healthcare access management solution. Integrated Web modules, a consumer focused self check-in Kiosk and a comprehensive surgery and peri-operative documentation system are powerful add-ons to the standard solution further expanding its enterprise capabilities.

Case StudyCase Study

Ph Case Study

Hannibal Regional Hospital, Hannibal, MO Hannibal Regional Hospital cut its A/R days to 42, improving its cash flow by $3 million.

$3M

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Product Detail

Streamline access to your hospital's resources and enable quick and accurate collection and sharing of patient and financial information across all key patient access areas. QuadraMed Access Management Web solutions open additional channels of revenue by facilitating direct physician and patient access to scheduling services. Furthermore, they enable an organization to send appointment confirmations, verify patient demographics, third-party payer confirmation, benefits and eligibility authorizations, referral certifications, and co-pays - all prior to treatment thereby reducing collection problems, decreasing no-shows and increasing revenues.

Product Benefits

  • Improve patient and physician satisfaction
  • Automate the physician order and referral management process
  • Increase patient volume
  • Reduce denied claims and improves compliance efficiency
  • Increase collection of co-pays and deductibles
  • Reduce no-shows and cancellations

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Hospital

A Real Story with Real Results

Learn how healthcare organizations are realizing real benefits using QuadraMed Care-Based Revenue Cycle solutions in an upcoming case study.

 

Product Detail

Automate the process of checking patients in for appointments with QuadraMed MediKiosk Powered by Galvanon. This module greatly reduces patient wait times and increases staff productivity, helping to drive out costs from front-end processes and increase patient throughput. Seamless HL7 integration with the QuadraMed's Enterprise Scheduling application makes the registration process more convenient for patients and more efficient for hospitals. By leveraging the accurate registration and billing information captured during the initial scheduling process, redundant data entry is eliminated and the potential for costly errors is reduced.

Product Benefits

  • Speeds patient check-in process
  • Reduces costs
  • Reduces the risk of liability
  • Reduces patient wait times
  • Reduces data entry and errors
  • Reduces duplicate medical records
  • Improves patient satisfaction

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Hospital

A Real Story with Real Results

Learn how healthcare organizations are realizing real benefits using QuadraMed Care-Based Revenue Cycle solutions in an upcoming case study.

 

Product Detail

Add ease and speed to your exchange of information with payers and clearinghouses with QuadraMed embedded EDI capabilities. These ANSI X12, HIPAA standard transaction sets are integrated into our Affinity applications and truly operationalize HIPAA by embedding workflow-oriented solutions and facilitating direct submission of transactions between providers and payers.

Product Benefits

  • 270/271 Health Care Eligibility Benefit Inquiry and Response
  • 837 Health Care Claim: Institutional and Professional
  • 276/277 Health Care Claim Status Request and Response
  • 835 Health Care Claim Payment/Advice

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Hospital

A Real Story with Real Results

Learn how healthcare organizations are realizing real benefits using QuadraMed Care-Based Revenue Cycle solutions in an upcoming case study.

 

Product Detail

Improve patient identification accuracy and streamline the patient encounter process with QuadraMed Precise ID. Whether at the time of scheduling or during pre-registration/registration it is essential to accurately determine if the patient has been seen previously in your healthcare system. Knowledge of a patient's existing medical information and the ability to access it timely improves patient safety and reduces costs.

Our Precise ID solution for Affinity enables accurate identification during scheduling and registration so all relevant records can be delivered to the appropriate location to aid in providing quality care. When used in conjunction with other Smart Identity Management solutions: SmartScan, MPIspy, SmartMerge, SmartManager, SmartID, and MPI Professional Services, Precise ID provides Affinity clients a comprehensive Identity Management solution. QuadraMed Precise ID:

Product Benefits

  • Improves patient identification accuracy
  • Decreases patient record duplication & fragmentation
  • Improves patient safety
  • Speeds registration by reducing redundant data collection
  • Prevents unnecessary costs and delays in billing and receivables
  • Integrates with and complements QuadraMed Enterprise Scheduling, QuadraMed Affinity Registration and CMPI

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Hospital

A Real Story with Real Results

Learn how healthcare organizations are realizing real benefits using QuadraMed Care-Based Revenue Cycle solutions in an upcoming case study.

 

Product Detail

Achieve the benefits of a central, enterprise level database of patients and their encounters with QuadraMed Community Master Population Index (CMPI). CMPI allows facilities to share and exchange patient and encounter information through the use of a "person" identifier, the Community Identification Number. Optional integration is available so CMPI can utilize the Smart Identity Management solutions providing probabilistic searching capabilities at the Care Delivery Organization (CDO)

Product Benefits

  • Provides an Enterprise Index with an "enterprise" identifier independent from facility centric identifiers
  • Improves patient satisfaction by facilitating sharing of data within the CDO so patients don't have to repeatedly provide the same information.
  • Improves patient safety by using probabilistic searching for person identification
  • Unifies patient information and provides a view of encounters across the CDO
  • Provides the ability to maintain "person" information without requiring someone to have been a patient
  • Supports both QuadraMed and non-QuadraMed components of a CDO

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Hospital

A Real Story with Real Results

Learn how healthcare organizations are realizing real benefits using QuadraMed Care-Based Revenue Cycle solutions in an upcoming case study.

 

Product Detail

Streamline the entire patient intake process with QuadraMed Patient Registration. From pre-registration to admission, inpatient and outpatient, QuadraMed Patient Registration provides multiple registration flows tailored for various scenarios. It also provides customizable data collection requirements, comprehensive data capture, and integrated electronic document management, EDI and HIPAA support.

This flexible solution delivers real value to your organization by enabling you to collect patient information required for admission, care and billing, while also managing beds and census reporting. QuadraMed Patient Registration is a core, foundational component of the Care-Based Revenue Cycle designed to get the patient to their place of care quickly.

Product Benefits

  • Improves patient safety by integrating with QuadraMed Precise ID for exact person identification
  • "Seeds" registration with information from previous visits to expedite the intake process and improve patient satisfaction
  • Includes embedded, automated eligibility and benefit checking using the HIPAA EDI 270/271 transactions
  • Integrated with QuadraMed Electronic Document Imaging for collection and viewing of pertinent documents
  • Supports database extenders, custom questions, as defined by authorized users
  • Includes an on-line Medicare Secondary Payer Questionnaire
  • Provides HIPAA defined privacy capabilities including Notice of Privacy Practices tracking
  • Supports use of the QuadraMed Medi Kiosk Powered by Galvanon to expedite the check in process

Case StudyCase Study

Ph Case Study

Genesis Healthcare System Only seventeen months after implementing QuadraMed Precise ID, Genesis HealthCare System realized an 85% reduction in duplicate medical record creation.

85%

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Product Detail

As healthcare providers move to implement electronic health records, self-service will become even more widespread. Automating patient interactions not only addresses consumer demand, it serves as the entry point for electronic record keeping.

QuadraMed Consumer Web Portal (CWP) offers patients direct access to hospitals via the Internet to self-schedule, re-schedule, or cancel appointments according to rules set by the healthcare organization. CWP also enables patients to download forms, review appointment information and edit personal data, further streamlining patient access and interaction with hospitals and healthcare systems. All of this functionality and access is easily controlled by the healthcare organization within the core QuadraMed Enterprise Scheduling system.

Product Benefits

  • Increase revenue by increasing patient-base
  • Improve patient and physician satisfaction
  • Reduce call volume and paperwork
  • Increase staff efficiency

Coming SoonComing Soon

Hospital

A Real Story with Real Results

Learn how healthcare organizations are realizing real benefits using QuadraMed Care-Based Revenue Cycle solutions in an upcoming case study.