SOURCE: National Healthcare Exchange Services, Inc.

November 15, 2006 09:30 ET

Physician Groups Select NHXS to Audit for Underpaid Claims

SACRAMENTO, CA -- (MARKET WIRE) -- November 15, 2006 -- National Healthcare Exchange Services, Inc. (PINKSHEETS: NHCR), headquartered here, said today it signed contracts with several new medical provider groups representing more than 360 physicians to assist them with analyzing contract performance, identifying underpaid claims and improving coding.

These groups include:

Piedmont Medical Care Corporation of Atlanta, Georgia
RMI Physician Services, Inc. of Houston, Texas
Sound Family Medicine of Puyallup, Washington
National Healthcare Exchange Services, Inc. (NHXS) provides turnkey solutions to improve payment accuracy and reduce dispute resolution costs for medical providers. These providers will use eobResolve™ to audit, and automatically appeal underpayments on medical claims. The NHXS rules engine maintains current fee schedule, pricing, and clinical edit logic for each payor greatly improving the sensitivity of the audit and making it cost effective to recover even small dollar 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 the complex rules used. NHXS converts what is typically an expensive and tedious process to one that is simple and automatic.

"By offering medical provider groups a solution like eobResolve™, we believe a more satisfactory method for dispute resolution can ultimately be achieved, with major benefits for medical providers," Rieger said.

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Contact Information

  • For Further information
    Mark W. Rieger
    (916) 231-0670