QuadraMed is the industry leader in developing information technology solutions enabling healthcare organizations to leverage quality care into positive financial outcomes. From clinical management to patient information management, from revenue cycle management to health information management; QuadraMed solutions increase transparency, profitability, quality, and safety in today’s care delivery process.

QuadraMed’s HIM solutions and consultative services take the stress out of RAC audits. From identifying existing areas of risk to preventing future occurrences and responding to demand letters, our products and services help healthcare organizations every step of the way. We provide the information needed to proactively eradicate coding inaccuracies and manage RAC processes. Clients gain confidence in their organization’s ability to withstand an audit because they know QuadraMed’s RAC product and services will provide support throughout the entire process.

QuadraMed’s HIM Consultative Services include:

• RAC Readiness Service:

QuadraMed helps assess healthcare organization’s potential and vulnerability for RAC audits. By performing comprehensive audits of selected populations of inpatient and outpatient charts, QuadraMed’s auditors will identify RAC vulnerability and coding and documentation inaccuracies. QuadraMed’s RAC Readiness services also include a review of medical necessity documenting practices, validation of MS-DRGs for selected patient populations, and appropriate selection of principal diagnosis, etc. QuadraMed’s team of auditors help clients educate staff members by documenting all RAC-related findings, results, and recommendations through comprehensive written reports or onsite assistance.

• RAC Response Service:

QuadraMed’s RAC Response Service supports healthcare organizations throughout the RAC audit process. All RAC demand letters are forwarded to QuadraMed’s Response Team for review. QuadraMed’s team of coding professionals assesses each requested record for coding accuracy, completeness of documentation and satisfaction of medical necessity criteria. Reviewed records are tracked to establish trend results. If an opportunity for a RAC appeal arises, QuadraMed provides supporting documentation.

United Audit Systems, Inc. (UASI) is a nationally-recognized leader in the Health Information Management field. UASI weaves technology, knowledge and people together to create effective HIM strategies for each healthcare client.

We know that medical coding and regulatory compliance demands continue to increase for every healthcare organization. While working within the core values on which our company was founded, UASI offers the newest solutions for producing low-cost, high-quality records.

UASI offers clients a continuum of innovative products and services.

Medical Chart Audit
UASI assures hospitals of submitting accurate patient billings by performing an integrity medical audit.

Valicode STAT™ Remote Coding Service
Sophisticated image-capture software, coder workflow software and management strategies for a distributed workforce.

Valicode STAT™ @ Home Coding Technology
The power of Valicode STAT at the fingertips of your hospital coding manager.

Onsite Coding Service
UASI's highly professional coders work at your facilities to solve coding backlogs or temporary staffing requirements.

Review DRG/APC Consulting
UASI's staff of senior consultants review coding quality and produce a detailed report of findings and recommendations.

QC-Suite Compliance Management Software
This suite of five modules puts the expertise of a compliance review consultant at your fingertips.