Profile: QuadraMed Corporation (QDHC.O)

QuadraMed Corporation (QuadraMed), incorporated in 1993, provides healthcare information technology (HIT) to hospitals and other healthcare organizations. Its solutions are used by organizations, such as hospitals, which includes community hospitals, academic hospitals, local and regional delivery networks, hospital-based clinics, and governmental agencies, including the 147 Veteran’s Administration hospitals (VA). QuadraMed’s solutions include QuadraMed Care Management Solutions (QCPR), QuadraMed Patient Revenue Management Solutions, QuadraMed Health Information Management Solutions (Quantim HIM), QuadraMed Access and Identity Management Solutions, and Governmental Solutions.

QuadraMed Care Management Solutions

QCPR enables healthcare organizations to reach the goal of an electronic health record (EHR) with integrated, workflow-driven solutions that enable clinicians to organize and manage patient care activities, access patient information, and document the care they provide. QCPR is focused on the patient, facilitating the delivery of safe, accurate, and timely care. QuadraMed’s computer physician order entry (CPOE) is used for clinical decision support. QCPR includes pharmacy, laboratory, and radiology applications that are integrated with the care management process. QCPR also combines with QuadraMed AcuityPlus for nursing workforce management to form the QuadraMed Care Management solution.

QuadraMed Patient Revenue Management Solutions

QuadraMed’s Patient Revenue Management solutions are designed to facilitate timely, accurate, and complete billing. At the core of these solutions are embedded HIPAA electronic data interchange (EDI) transaction sets that drive its workflow-oriented solutions. These solutions offer the flexibility of sending transactions to a clearinghouse or directly to payers. They also provide technology, such as workflow and rules-based logic, in an effort to ensure that the healthcare organization has the right tools available to work the right account at the right time. With contract management, account workflow, central business office, and performance measurement applications, QuadraMed Patient Revenue Management solutions manage the business of transforming patient care into revenue. QuadraMed’s Patient Revenue Management includes HIPAA-compliant EDI, integrated denial management, and exception-driven workflow for the Company's customers.

QuadraMed Health Information Management Solutions

QuadraMed HIM solutions provide links between access, care, and patient revenue. With patient information an element of care, Quadramed HIM electronic documentation management (EDM), workflow, electronic signature, and QuadraMed File Manager solutions enable healthcare organizations to manage information critical to processes within their facilities. QuadraMed HIM abstracting, facility coding, physician coding, and compliance solutions offer a Web-native, integrated health information management platform designed for the healthcare providers’ compliance and reimbursement. The Company's health information management (HIM) products integrate across the suite of Care-Based Revenue Cycle solutions. These solutions are designed with input from HIM professionals to ensure improvements in key success metrics. The Company integrated its Affinity RCM system with the Quantim HIM Outpatient Compliance to allow Affinity clients to use the features of Outpatient Compliance, creating added value and many cross sales opportunities.

QuadraMed Access and Identity Management Solutions

Accurate patient/person identification is accomplished through QuadraMed’s Smart Identity Management solutions. Patient access and resources are managed using QuadraMed Enterprise Scheduling, which includes advanced Web scheduling, medical necessity checking, and insurance verification checking capabilities. It also includes its enterprise master patient index solution, Smart Identity Exchange (Smart I/X).

Governmental Solutions

QuadraMed Government solutions provide value across the Veteran’s Administration hospitals (VA) Medical Center network for data integrity and productivity through coding tools, compliance monitoring, and billing and coding edits, electronic work assignment and reporting for inpatient and outpatient encounters. QuadraMed Encoder Product Suite (EPS) integrates key clinical elements through the VA’s clinical package, named CPRS, with revenue cycle coding and billing tools. These tools provide an integrated healthcare information system for the VA. QuadraMed’s valued subcontractors include DSS, Inc., MEGAS, and Unicor, with their VistA-integration utilities, case assignment, reporting, claims auditing, and professional fee coding tools.

The Company competes with McKesson Corporation, Inc., Siemens Medical, Meditech Corporation, Eclipsys Corporation, Cerner, GE Medical Systems/IDX, and 3M/SoftMed Corporation.