SOURCE: National Healthcare Exchange Services, Inc.

December 07, 2007 12:59 ET

Cardiovascular Associates of Southeastern Pennsylvania and Saint Alphonsus Physician Services Select NHXS to Provide Contract Compliance and Decision Support Solutions

SACRAMENTO, CA--(Marketwire - December 7, 2007) - National Healthcare Exchange Services, Inc. (PINKSHEETS: NHCR), headquartered here, said today it signed contracts with Cardiovascular Associates of Southeastern Pennsylvania (CASEP) and Saint Alphonsus Physician Services (SAPSI), Boise, ID. St. Alphonsus (100 physicians) and CASEP (50 physicians) will use NHXS' suite of revenue cycle and business intelligence solutions to improve contract compliance, revenue recovery, and decision support.

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.

"We consider the NHXS engagement as a real opportunity to enhance our revenue cycle, retrospectively and prospectively," explains Chris McGoldrick, CPA - CFO of SAPSI.

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

"We look forward to obtaining the financial benefits of being paid the correct amount from the insurance companies from underpaid claims," says David Adams, Executive Director of CASEP. "Without the assistance of NHXS, we would be unable to take advantage of this source of lost revenue."

"The goal with any contract compliance system should be to lower the appeal threshold, improve first EOB payment accuracy and reduce time and cost of recovery. Timely and accurate feedback to the payor is essential to achieving these goals," Rieger said.

In addition to eobResolve™, NHXS provides a number of solutions built around its payor specific payment rules engine. These include nhxsPricer™, a point of service patient responsibility calculator, and contractResolve™, a powerful contract negotiation and forecasting tool.

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Contact Information

  • Contact:
    Mark W. Rieger
    (916) 231-0400