Cardiff and QCSI™ Partner to Create aQScan Health Care Claims Processing Solution
Seamless Solution Lowers HCFA and UB-92 Processing Costs and Increases Form Throughput for Health Care Payers
San Diego - 2001-06-12 - Cardiff Software Inc., a leader in forms processing and eBusiness automation solutions, and QCSI™ (Quality Care Solutions Inc.), a provider of enterprise-wide health care payer solutions, today announced a partnership to deliver a customized health care claims processing solution that verifies, edits and converts HCFA and UB-92 forms from paper to electronic data. The new integrated solution, aQScan, was developed by QCSI and tightly integrates Cardiff's MediClaim™ system to its QMACS® advanced payer application, seamlessly submitting converted health care claims to QMACS.
Using aQScan, payers significantly increase the speed and accuracy of optical character recognition (OCR) solutions, and can verify and validate processes with real-time links to QMACS database tables. Once the scanning and OCR process is complete using MediClaim, aQScan imports the claim directly into QMACS for adjudication. In addition, aQScan imports the claim image for reference during customer support calls.
"Using MediClaim information capture product in tandem with QMACS and aQScan provides an ideal claims processing environment," said Dennis Clerke, president and CEO of Cardiff. "aQScan takes the risk out of implementing OCR solutions by significantly reducing the error rate of scanned claims."
"With aQScan, we can offer our clients a complete scanning solution for the paper claims submission process," said Gregory S. Anderson, president and CEO of QCSI. "aQScan provides a robust package for health care payers implementing a scanning solution or integrating the MediClaim and QMACS applications."
The aQScan Process
aQScan works with MediClaim during the validation process to edit and verify scanned claim information. Pop-up windows appear when errors are detected in the scanned data. Once the data is corrected, the "clean claim" is then stored for electronic input to QMACS. Typically, payers will be able to triple the amount of claims entered using aQScan verses manual claims processing. Return on investment (ROI) is realized in less than 12 months based solely on reducing manual data entry costs. Other savings include shortened overall claims processing times, reduced paper storage costs, and more efficient customer service.
About QMACS and Cardiff MediClaim
QMACS is an award-winning advanced payer application enabling payers to process claims using a patent-pending proprietary claims adjudication engine. Using configured business rules and high-speed algorithms, a client can significantly improve efficiency for managing provider contracts, employer benefit plans, member services, and claims administration.
Cardiff MediClaim offers an efficient and cost-effective automation solution for processing HCFA 1500, UB-92, non-regulated forms, and attached documents. Leading TPA, HMO and PPO organizations have discovered that automated claims processing can streamline form processing and improve customer service.
About QCSI
QCSI develops award-winning health care administration solutions, enabling health care organizations to conduct real-time claims processing and adjudication to streamline their business processes with advanced reporting capabilities. QCSI solutions reduce training and education costs through an intuitive user interface and modular application design. The proven scalability and flexibility of QCSI products and services allow payers to quickly respond to new business opportunities. QCSI is a privately-held, high-growth company headquartered in Phoenix, Arizona. For more information, call (480) 735-7000, e-mail info@qcsi.com, or visit www.qcsi.com.
About Cardiff Software Inc.
Put Information to Work - Cardiff Software (www.cardiff.com) is a leading provider of document and form-driven business process automation solutions for Global 2000 organizations. The Cardiff family of integrated software products empowers organizations to automate existing business processes using technology to capture, process and respond to strategic business information, thereby improving employee productivity, customer service and profitability. In business since 1991, Cardiff has a global distribution network reaching every continent and more than 20,000 customers worldwide spanning every industry.
For more information, contact Verity at info@verity.com or at World Wide Web site http://www.verity.com or call 408-541-1500.
Verity and the Verity logo are registered trademarks or trademarks of Verity, Inc.
Summary: ...the trip forms and waybills as supporting documentation. Approximately 40,000 trip forms are submitted each month. For the DOT, the problem was verification. Every trip form and waybill must be reviewed to verify the validity and accuracy of the information and to detect fraud. In fact, 18 “edits”...
Summary: ...to research excellence hinges on the attention it pays to detail at every stage of a study. There is little room for error as information is captured from study participants, verified, and processed for research on serious health issues such as AIDS, osteoporotic fractures, cardiovascular disease, breast...
Summary: ...insurance eligibility, gather signatures, and bill the patients and/or third-party payers. Errors— even one—lead to processing delays, claim denials, rebilling, and in some cases, revenue that simply has to be written off. “We are in probably the most complicated rules-based industry that you will...
Summary: ...Insurance business offers a wide range of policies for homes, buildings, cars, possessions, health, pets, travel and financial security. It had an ageing document management system that was struggling to cope with increasing volumes of data that had to be stored in order to support claims processing....
Summary: ...a few hundred dealerships, Fox Systems teamed with Texas-based Electronic Data Systems (EDS) to build and install two regional production systems based in Flint, Mich. and Phoenix, Ariz. Both are maintained by EDS. Prior to implementing Express Application, loan applications were faxed to one of 200 GMAC...
Summary: ...Case Study: Senator Alan Bible Center for Applied Research. After the demonstration, he quickly made the decision to purchase TeleForm, knowing that the revenue from the nurse practitioners’ project would pay for the application, and give the center an asset to retail. The Solution During the initial...
Summary: ...ways—from paying parking tickets online to accessing digitized images of recorded pleadings from Family Court— all conveniently from their home or office computer. Originally launched as a pilot, this portal, which attracted more than 6 million visits during its first year of operation, has clearly...
Summary: ...an Autonomy channel partner, were among the dozen respondents to the RFP. Autonomy and Binary Office had provided the Autonomy TeleForm, part of the Autonomy Capture solution" that GAO was already using to scan data from paper application forms into their mainframe databases. “In the end, we selected...
Summary: ...effort involved in capturing and processing the data using traditional data entry methods. CSO decided to go to tender for the supply and support of an automated data capture solution using OCR and ICR technology. Essentially, the key drivers behind going to market for a scanning solution were the introduction...
Summary: ...to achieve without lots of sticky tags,” Pettigrove notes. He also estimates that the electronic records are saving each staff member approximately one month’s work in fling alone. The reduction in storage requirements is another advantage of the new system. “ At present we pay around $140,000 annually...
Summary: ...into WorkSite using dedicated document scanners and integration with DocsCorp’s pdfDocs software. All current content is in electronic form, managed and shared through WorkSite, and historical records are also in the process of being converted. The firm uses paper only for documents to be sent to clients....
Summary: ...staff. Real ownership of quality at all levels of Sky's business is now evident, coupled with a dramatic shift in attitude from a focus solely on numbers towards that of offering customers truly excellent service. Four months after its launch, the results were validated in a customer research survey study...
This is a small selection of the Autonomy case studies available, please visit our publications site at http://publications.autonomy.com/ for more information.
Summary: ...into the same AP workfow, the Cardiff Intelligent Document Solution allows organizations to reduce operating costs and accelerate processes. For paperoriginated invoices, this solution automatically captures, identifies, extracts and validates key data elements from invoices. Once effectively digitized,...
Summary: ...generated by: • Ad-hoc desktop scanners that do not have the ability to generate text for indexing • 3rd parties who provide non-OCRed scanned content as email attachments • Desktop OCR processes that lack enterprise throughput, failover, and error handling • Internet research downloads or imports...
Summary: ...computerize health records and incorporate analytics, and constantly evaluate available resources in order to allocate them in a manner which optimizes utilization. Finally, payers must have quicker methods of accurately identifying and adopting best practices. They need to help healthcare providers achieve...
Summary: ...Auminence Product Brief. • A recordable, standardized, faster, and more accurate diagnosis process • Fewer malpractice claims due to missed, incorrect, and delayed diagnoses • Delivery of relevant clinical information including best practices, clinical pathways, literature, fee schedules, and payer...
Summary: ...with other common applications: • Practice management applications for automatic file set-up • Scanning solutions to capture paper records • Work management applications for managing content during engagements • Tax and other applications for record-keeping Anywhere, anytime access to information...
Summary: ...Markets in Financial Instruments Directive (MiFID) – Amended 2008 • Health Insurance Portability and Accountability Act (HIPAA) – Amended 2003 • Health Information Technology for Economic and Clinical Health (HITECH) Act – Effective 2009 Compliance – Autonomy offers the most comprehensive...
Summary: ...represents a major step forward in reducing risks inherent in information by applying policy based on an understanding of the actual content of an email, document or phone recording instead of relying solely on its metadata. “Developments in the global regulatory and legal environment are compelling...
Summary: ...IDOL Answer Product Brief. Once a question has been answered and the answer submitted to the system, an email is automatically created and sent to the customer who originally asked the question as well as being stored for future use. email Server Users send questions to the Autonomy Answer service by...
Summary: ...technology is based on probability and statistics, rather than linguistics. Collaboration Authorized users have access to the full history of documents related to a specific contract. Autonomy CLM supports scanning of paper records into the appropriate workspaces. Documents can be saved into other folders...
Summary: ...recognition and generation, OCR, and image processing. This framework can be used alone or integrated with the DocManager and Workflow Manager engines to provide a sophisticated rule-based document imaging system. For instance, by using bar-code and OCR technology to process inbound documents, the document...
Summary: ...subject), document components (headers, footers, footnotes), tagged text (heading levels, bulleted lists, body text), table components (sheet name, row ID, column ID), and presentation components (notes, slide title). Documents can be converted to HTML either on the fly or in batches, with graphics converted...
This is a small selection of the Autonomy Product Briefs available, please visit our publications site at http://publications.autonomy.com/ for more information.
Summary: ...MediClaim provides a comprehensive, high-volume enterprise solution for scanning insurance claim forms (HCFA (CMS) 1500 and UB-92) and automating the collection and processing of claim payment data. Leading insurance third-party administrators, HMOs and medical organizations have shown that MediClaim...
Summary: ...3) Integrated with TeleForm—LiquidOffce is integrated with TeleForm, Cardiff’s award-winning scanning and content capture application, allowing customers “In terms of ROI, we expect LiquidOffce to pay for itself in less than one year. The next stage in this process is to migrate all of our internal...
Summary: ...data entry, and staffing challenges were constant. After TeleForm: By incorporating TeleForm, the applications are scanned and then automatically converted to electronic format, with only a small portion of the forms needing manual verification. The new process is illustrated below. The Business Process...
Summary: ...be automated by applying various functions such as OCR (on both electronic data and hard copies), tagging, categorization and normalization at the first point of contact with new product information. Once content has been indexed by IDOL, additional functions can be applied such as hyperlinking, clustering...
Summary: ...behalf of Alaska Airlines after fraudulent charges were made in the name of their customers. “We recently became aware of a crime that resulted in the compromise of payment card information of some Alaska Airlines and Horizon Air customers. An employee working in our Phoenix, Arizona reservation center…...
Summary: ...more significant staff and/or professional time, and additional costs. These issues should be discussed with the client along with the firm’s file retention policy so that it is clear who will pay the extra costs associated with this activity.13 Second, documents stored on a law firm network or individual...
Summary: ...relevant documents rapidly "Autonomy’s search technology is becoming a de facto standard for companies” Financial Times, 4th July, 2007 4 Online Browsing Similar to employees, online browsers are on the lookout for information on a range of websites from health information portals, news, entertainment...
Summary: ...or Increasing Legal Liability Firm Reputation Increasing Liability Insurance Cost Discovery Costs Client’s Inability to Pay for Work Product 1 2 3 4 5 Rank classify and administer with the manual methods that once served for paper. The dynamic nature of electronic content has affected the defnition...
Summary: ...Inside Counsel Seminar ECA - Autonomy Whitepaper. “You start with the principle of knowing what you are actually looking for and where it is,” Michels said. “Once you have done that, you can try to hone in on that Holy Grail, the zero to 10 percent of actually responsive documents.” After intelligent...
Summary: ...a centrally managed archive service that enables enterprises to achieve the goals of data reduction and the long-term retention of valuable business information. EAS lets you clean up your information store without deletion. For example, it helps you remove mailboxes that are no longer used, while protecting...
Summary: ...IT planning problematic . ” ? A new dimension in IT service delivery ? Roll out to 87 per cent of businesses by April 2009 - Until now Ethernet connectivity has been largely limited to selected urban areas, with coverage based on just 60 points of presence (POPs) in 40 metropolitan areas.
...
Summary: ...Autonomy Whitepaper - Best Practices for Cloud-Based Information Governance. For example, most organizations are reticent to invest in infrastructure to manage matters of excessive size or involving a large, multi-party litigation. During these peak periods of demand, the flexible aspects of the cloud...
This is a small selection of the Autonomy White Papers available, please visit our publications site at http://publications.autonomy.com/ for more information.
Related Case Studies
Find us on Facebook
Follow us on Twitter
See us on YouTube
Find us on LinkedIn
