SOURCE: National Healthcare Exchange Services, Inc.

September 16, 2008 09:30 ET

Baystate Medical Practices Selects NHXS to Provide Contract Compliance and Decision Support Solutions

SACRAMENTO, CA--(Marketwire - September 16, 2008) - National Healthcare Exchange Services, Inc. (PINKSHEETS: NHCR), headquartered here, said today it signed a contract with Baystate Medical Practices of Springfield, MA. Baystate will use eobResolve™ to improve contract compliance, revenue recovery, and decision support for its 350+ physicians.

National Healthcare Exchange Services (NHXS) provides turnkey solutions to improve payment accuracy and reduce dispute resolution costs for physicians and hospitals. The NHXS rules engine maintains fee schedule, pricing, and clinical edit logic for each payor and automatically identifies and disputes underpayments.

According to Mark W. Rieger, CEO of NHXS, "There is a small but relevant error rate in the payment of medical claims due to complexity and ambiguity in the payment rules used. NHXS converts what is typically an expensive and tedious process to one that is simple and automatic."

"Our organization has understood for some time that we needed a contract compliance solution that was not only robust and intuitive but could also generate a good return," explains Jonathan Moss, Director, Physician Billing. "After a careful review of the vendors, NHXS stood out in several key areas."

"A thorough due diligence by our clients works well for us. It allows NHXS to set itself apart both in terms of our approach to this issue and the robustness of the eobResolve™ product. The goal with any contract compliance system should be to improve first EOB payment accuracy not to perpetuate a second revenue stream from recoveries. Every time the physician has to touch the claim, the cost of doing business increases," Rieger said.

"To manage healthcare cost inflation through innovation, we believe it's critical to scrutinize insurance carrier payments for accuracy and completeness. The expected benefits of NHXS should help us continue to improve and meet our mission of improving the health of the people in our communities every day," Moss said.

In addition to eobResolve™, NHXS provides a number of solutions built around its payor specific business rules engine. These include claim scrubbing, a point of service patient responsibility calculator, and contract modeling.

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Contact Information

  • For Further information
    Mark W. Rieger
    (916) 231-0400