SOURCE: National Healthcare Exchange Services, Inc.

National Healthcare Exchange Services, Inc.

February 23, 2009 09:00 ET

NHXS Signs Seven New Contracts to Provide Contract Compliance and Decision Support Solutions

SACRAMENTO, CA--(Marketwire - February 23, 2009) - National Healthcare Exchange Services, Inc. (PINKSHEETS: NHCR), headquartered here, said today it signed contracts with seven organizations in six states representing 375 providers. These groups will use eobResolve™ to improve contract compliance, revenue recovery, and decision support for their physician groups.

These groups include:

Dermatology Associates of Tyler, Tyler, TX
Mercy Medical Center, Physician Enterprise, Baltimore, MD
Mid Illini Surgical Associates SC, Peoria, IL
Peachtree Orthopaedic Clinic, Atlanta, GA
Premier Family Medicine, Edgewood, KY
Rockford Orthopedic, Rockford, IL
UCI Medical Affiliates, Inc., Columbia, SC

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.

Nancy Wilkes, VP of Practice Management Technology for UCI Medical Affiliates, Inc., says, "My staff and I are looking forward to working with NHXS to implement eobResolve to identify underpayments and automate denials management. NHXS has been a delight to work with and has helped position the product to meet our needs."

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."

"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. Timely and accurate feedback to the payor is essential to reducing that cost," Rieger said.

NHXS services allow medical providers to take full advantage of the efficiencies contemplated by the move to electronic data interchange between health plans and providers. 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.

For more information, visit http://www.nhxs.com.

Contact Information

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