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    Sunday: Closed

    Hospitals & Health Systems

    Hospitals and health systems manage high volumes of claims across multiple specialties, requiring robust billing solutions to maintain financial health. QuantumX offers comprehensive RCM services tailored to the complex needs of large healthcare facilities:

    QuantumX provides:

    • Multi-Specialty Billing: Handling claims for various departments, from emergency medicine to surgical units, with accurate coding for each specialty.
    • Compliance with Regulations: Ensuring adherence to HIPAA, CMS, and payer-specific guidelines to avoid penalties.
    • Accounts Receivable (A/R) Management: Reducing A/R days through diligent follow-up and denial resolution.
    • Integration with EHR Systems: Seamlessly integrating with hospital practice management software for efficient workflows.
    QuantumX helps hospitals and health systems achieve a 30% faster reimbursement cycle and up to a 40% increase in collections, allowing them to focus on delivering quality care.

    Hospital billing involves navigating a complex system with over 1,600 insurers, each with unique requirements. quantumX can help with charge entry, claim submission, and compliance with Medicare and Medicaid rules, ensuring timely payments and reducing errors using tools like EHRs.

    Hospital billing involves a three-party system, as outlined by the American Hospital Association, with hospitals dealing with over 1,600 insurers, each having different plans and requirements. The process includes charge entry, where services are assigned specific amounts, and claim submission using forms like CMS-1500 for outpatient services or UB-04 for hospital billing. Compliance with Medicare and Medicaid regulations, which span over 130,000 pages, is crucial, as noted by CMS. Tools like Electronic Health Records (EHRs) and claims scrubbing technology, as mentioned by Coronis Health, help organize paperwork and reduce errors. The No Surprises Act, effective as of 2022, protects patients from unexpected out-of-network bills, and QuantumX RCM can assist hospitals innavigating these regulations to ensure timely reimbursements.

     

    Billing Challenge QuantumX RCM Solution
    Multi-Specialty Coordination Unified billing for departments (ED, Surgery, ICU) with specialty-specific coding.
    Regulatory Complexity Ensures HIPAA, CMS, and state-level compliance.
    Slow Reimbursement Reduces A/R days with automated workflows and staff follow-up.
    System Integration Connects with major EHRs and practice management platforms.
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