Payors Gain a Competitive Edge with Release of QCSI's QNXT 3.2.PHOENIX -- QCSI's next-generation enterprise application delivers real-time, integrated CDHC CDHC Consumer Driven Health Care CDHC Community Dental Health Certificate , Medicare Advantage, Medicare Part D & Care Management functionality to health plans and insurers nationwide Quality Care Solutions Inc. (QCSI QCSI Quality Care Solutions, Inc. (R)), a leading provider of advanced information technology and enterprise application systems and services for health plans, announced today the release of its QNXT 3.2 next-generation enterprise application system. QCSI maintains its leadership position -- as cited by a global independent research company -- by incorporating the functionality needed to meet the most challenging healthcare industry requirements into its latest version of the QNXT system. QNXT 3.2 is a powerful system that will extend the functionality and level of integration achievable across an organization's enterprise information systems. QNXT combines medical and dental in a single payor application, offering customers an integrated system at the lowest total cost of ownership. It is fully deployed on an XML-based, multi-tiered, services-oriented architecture utilizing Microsoft's .NET platform. With an easy-to-navigate Web browser The program that serves as your front end to the Web on the Internet. In order to view a site, you type its address (URL) into the browser's Location field; for example, www.computerlanguage.com, and the home page of that site is downloaded to you. user interface, QNXT 3.2 features a data services layer that functions as a centralized cen·tral·ize v. cen·tral·ized, cen·tral·iz·ing, cen·tral·iz·es v.tr. 1. To draw into or toward a center; consolidate. 2. access point to the database for all of the QNXT core applications. The release of QNXT 3.2 makes real-time health claims processing a reality. Health plans now have the ability to process Consumer Directed Health Care (CDHC) claims with a single system that is integrated to the members' fund balances. Functionality and solutions for Medicare Advantage and Medicare Part D provide health plans the ability to run a single system that not only manages their Medicare programs, but integrates these products with other commercial or Medicaid products, allowing health plans to offer competitive products in the market on a single health claim payor system. QNXT 3.2 also includes a tightly integrated interface to IHCIS' Impact Pro evidence-based predictive modeling software, allowing health plans to take advantage of the wealth of information available to them through their claims and pharmacy data. A single system now allows case and disease managers easy access to patient history, case status, eligibility, medical management utilization, and more in order to identify high-risk and high-cost patients. These high-cost and high-risk patients can be closely managed using the QNXT 3.2 Case Management product as part of the QNXT 3.2 suite of products. All of this functionality, including advanced functionality for medical and dental claims, along with coordination of benefits, and EDI/HIPAA transactions, are now available in a Web-based product that allows the flexibility for "real-time" integrations to third-party products through the use of Web services (1) Loosely, any online service delivered over the Web. Such usage appears in articles from non-technical sources, but not in IT-oriented publications, because definition #2 below describes the correct use of the term. , capitalizing on the technology and the patented architecture only QCSI has. QNXT 3.2 also includes an enhanced integration to MyHealthBank, the market-leading CDHC suite of products recently acquired by QCSI. QNXT 3.2 now offers extensive advanced claims editing and auditing features with best-of-breed solutions, including the McKesson ClaimCheck and Ingenix iCES claim editing products. "The data services layer gives us the flexibility to quickly and effectively add these new features and applications to the core QNXT system, and it further provides our customers with open access to core components of our system, without the need for source code," stated Dave Engert, CEO (1) (Chief Executive Officer) The highest individual in command of an organization. Typically the president of the company, the CEO reports to the Chairman of the Board. of QCSI. "This is a first for an enterprise mission-critical application system for healthcare!" Engert continued, "When deciding which features to add or enhance, we consider healthcare trends, leverage our expertise and customer experience, and use our vision and industry feedback to offer the best product available on the market. This, combined with our LEAP3 professional services (job) professional services - A department of a supplier providing consultancy and programming manpower for the supplier's products. methodology and knowledgeable staff, provides payors a comprehensive solution from a trusted partner -- QCSI." About QCSI Cited by a global independent research company as a leader for healthcare claims platforms and claims platforms for consumer-directed health and claims platforms with integrated medical management, QCSI is empowering companies for "The Next Healthcare Economy, Without Information Boundaries." The company is celebrating more than 10 years of delivering advanced technology enterprise solutions that empower empower verb To encourage or provide a person with the means or information to become involved in solving his/her own problems health insurers and benefits administrators to automate To turn a set of manual steps into an operation that goes by itself. See automation. healthcare administration Healthcare administration is a term that typically refers to the Master of Health Administration (MHA)—also Master of Healthcare Administration— degree, which is a graduate professional degree that provides training in health policy, economics, project and , lower the cost of care and improve outcomes. QCSI enables health plans to reduce costs, improve customer service, increase profitability, expand market share and prepare for government regulations, including HIPAA (Health Insurance Portability & Accountability Act of 1996, Public Law 104-191) Also known as the "Kennedy-Kassebaum Act," this U.S. law protects employees' health insurance coverage when they change or lose their jobs (Title I) and provides standards for patient health, . Our award-winning enterprise applications include the QNXT product family (Medical, Dental, Case Management, Accounts Receivable accounts receivable n. the amounts of money due or owed to a business or professional by customers or clients. Generally, accounts receivable refers to the total amount due and is considered in calculating the value of a business or the business' problems in paying , View and Connect), and the Web-based MyHealthBank suite (Transact An earlier e-commerce system for the Web from Open Market that included order capture and secure order fulfillment using credit cards, ecash and other payment systems. It included customer service and subscription administration capabilities as well as an integrated database for reporting , Direct, Navigator See Netscape Navigator, Netscape and Norton Navigator. Navigator - Netscape Navigator and Finance), proven applications and solutions for the rapidly growing consumer-directed healthcare segment. Headquartered in Phoenix, QCSI can be contacted at 888-940-6432 or info@qcsi.com, or visit our Web site at www.qcsi.com for more information. QNXT, QMACS, QCSI and MyHealthBank are trademarks or registered trademarks of QCSI. U.S. Patent No. 6,879,959. Other marks referenced herein are the service marks, trademarks or registered trademarks of their respective holders. |
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