Product Detail

Automate and improve the accuracy and timeliness of your patient billing and receivables management with QuadraMed Patient Accounting solutions. Our Patient Accounting solutions give you flexible and powerful tools such as EDI and worklists to improve cash flow and manage your revenue cycle processes. Supported with easy access to electronically stored documents, paper folders can be a thing of the past.

Product Benefits

• Improves timely cash collections
• Improves ROI with paperless operations
• Anytime, anywhere access to patient information
• Reduces A/R days outstanding
• Improves efficiency through exception-driven workflow
• Reduces cost to collect by using embedded EDI capabilities

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

Product Detail

Gain the advantages of exception-driven workflow and rules-based logic with the QuadraMed Workflow suite of products. Our Workflow solutions offer advanced reporting capabilities for the "ABCs" of Revenue Cycle Management -- Patient Access, Billing and Collections. They provide intuitive worklists for Patient Service Reps, Billers and Collectors to ensure that users work the right account at the right time according to management's prioritization and assignment.

Product Benefits

• Improves efficiency through exception-driven workflow
• Improves cash flow through integrated denial management and EDI transaction sets
• Improves productivity with metrics to track Key Performance Indicators

Product Detail

Gain a comprehensive solution for managing complex contract relationships with QuadraMed Contract Management. Our Contract Management solution reduces administrative overhead and improves contract performance. It includes powerful modules for contract administration, repricing, modeling and reporting. It handles and reports on all types of contractual arrangements for both single site and enterprise-wide organizations.

Product Benefits

• Nets down accounts receivables to actual cash value
• Improves contract negotiation
• Identifies payment variances and potential lost revenue

Product Detail

Consolidate your collection worklists, aged trial balance reports and patient accounting inquiries for multiple facilities across your enterprise with QuadraMed Central Business Office. Our Central Business Office solution allows enterprises using multiple Affinity Patient Accounting applications to aggregate follow-up worklists into one easily accessible view.

Product Benefits

• Improves workflow with aggregated worklists
• Expedites collections
• Improves authorized access to financial information

Product Detail

Access and evaluate key indicators of operational performance with QuadraMed InSight. Our InSight solution simplifies current and trend reporting with graphs and interactive displays that present complex information in succinct logical ways. This executive information system provides drill-down capabilities and assimilates large volumes of complex data for timely decision making.

Product Benefits

• Enables viewing of data in new ways to focus in on problem areas
• Enables early identification of trends
• Facilitates timely, informed operational decision making

Product Detail

Achieve fast, accurate person identification and prevent patient identity errors with QuadraMed Precise ID. With advanced probabilistic person matching capabilities and direct integration with the QuadraMed 's Healthcare Information System, Precise ID addresses the person identification problem where it starts. It ensures that your staff "gets it right" the first time so the rest of the healthcare delivery process can operate the way it is intended to. Accurately identify patients whenever and however they access the healthcare enterprise with QuadraMed Precise ID. Our Precise ID solution offers specialized tools to help QuadraMed HIS clients drive to even greater accuracy standards. QuadraMed also offers tools to help with accurate patient demographic exchange across multiple HIS sites to improve registration accuracy and minimize redundant data collection. QuadraMed Precise ID:

Product Benefits

• Improves patient identification accuracy
• Decreases patient record duplication & fragmentation
• Speeds registration
• Reduces redundant data collection
• Improves patient safety
• Prevents unnecessary costs and delays in billing and receivables
• Eliminates patient identity errors
• Improves patient safety
• Reduces exposure to risk
• Improves customer satisfaction
• Improves efficiency and staff productivity

Product Detail

Improve overall decision support reporting and analysis with Performance Measurement (PM). Performance Measurement is a tool specifically designed for healthcare organizations reporting and analysis needs. It provides fast, reliable access to detailed cost, charge, profit, utilization and clinical outcomes reported across all patients, physicians and payers

Product Benefits

• Determine the profitability of services by payer/physician and other detailed levels
• Create benchmarks for cost and LOS performance comparisons using national database
• Enhanced managed care reporting and contract negations
• Identify areas for financial and quality improvement
• Physician Profiles (Report Card) summarizing physician resource utilization practices
• Incorporates NHQM measures to trend/analyze P4P measures

Product Detail

Achieve enhanced workflow for managing your inpatient and outpatient coding and compliance auditing with QuadraMed Encoder Product Suite and VIP Compliance suite, a comprehensive, VistA-integrated revenue cycle management solution for the veterans Affairs health information management and billing professionals.

Product Detail

Improve Chart Deficiency tracking through VistA integration with QuadraMed VA Chart Complete Suite. QuadraMed VA Chart Complete Suite is a simple yet powerful tool using the VistA-integrated Quantim Record Management system that helps VA medical centers meet the challenges of timely record completion. It automates the way your HIMS department monitors the document completion process and provides expanded reporting capabilities to meet Joint Commission requirements. It is the perfect tool for the VA to manage medical record completion process and simplify communication with medical staff.

Product Benefits

• Effectively manages the medical record completion process
• Simplifies and automates communication with providers
• Integration with VistA-TIU and ADT package for deficiency tracking

Product Detail

Improve VA medical center revenue cycle and departmental communication with the benefit of QuadraMed Government Programs Consulting Division. From revenue cycle process improvement, provider documentation analysis and education to remote billing and coding backlog support, QuadraMed offers unmatched expertise within Veterans Affairs business and clinical settings.

Product Benefits

• Revenue cycle analysis
• Documentation, coding integrity and physician education services
• VistA package reviews for revenue discovery and capture