QuickCap 7.25.1.0: Bringing Fine-Tuned Precision to Value-Based Operations
Feature Upgrades for Accurate Claim Handling
Boost accuracy, meet compliance requirements, and fine-tune claims management with our improved National Correct Coding Initiative (NCCI) functionality.
Effortless Mobility with the TripMaster Integration
Conveniently book rides for members, check the seating or wheelchair capacity, view driver details, and track ride statuses with our new Ride Reservation submodule.
Claims Pricing Precision with FinThrive
Avoid underpayment and overpayment errors when pricing claims with FinThrive. QuickCap offers enhanced flexibility to define the correct allowed amount at the contract level.
Specific Rate Configuration for Medi-Cal and Medicare Claims
Use our newly added entry boxes to configure and apply the correct fee set percentages on Medi-Cal and Medicare claims.
Authorization / Referral
Precision
Monitor NCCI Hold Codes for Authorizations
Review PTP and NCC hold codes in the Authorization/Referral Status Search pane, and select the respective NCCI Associated Modifier checkboxes to automatically apply them.
Improved Experience
New Allow Service Package Checkbox
Select and add a service package for both dental and medical authorizations. To set up the service package option for dental authorizations, you can go to the Enabled/Disabled section of the Company Configurations pane and check the Allow Service Package checkbox.
Manage Dental Authorizations with the New Package Type
View the dental-type service packages in the new Service Package Type column of your search results. Once the dental parameter is enabled, you can find D code types in the Service Codes / Revenue Codes window.
New Service Package Option for Dental Authorization
Select the Package service type in the Service Type column to create a dental authorization. You can view all dental service packages in the Service Package submodule.
Service Package Button for Dental Authorization
Activate the Dental request type to access the Service Package button and select the service package from the drop-down list. All dental service packages are available in the Service Package drop-down list.
Service Package Button for Dental Request Type
Enable dental service requests by clicking the Service Package button in the Authorization/Referral - Quick Review pane. Then, enter the dental service package details in the Package Description box.
Claims
Precision
Optimize Searching in the Codes & Types Module
Narrow down your search results with a category drop-down list that now includes Hospital and Practitioner options. You can also view the list of modifiers with the selected NCCI PTP Associated Modifier checkbox by pointing to the information symbol in the Allow Modifier column.
Easily Apply NCCI Edits on CMS and UB Claims
Refine your NCCI edits by applying modifications for practitioner and hospital files. Enhance verification by checking PTP and NCC pend codes in the Claims Adjudication submodule and the Maintenance module.
Improve Accuracy for Medicare Claims with MPPR Indicators
Ensure precise pricing for Standard Medicare claims that involve Multiple Procedure Payment Reduction (MPPR) indicators 4, 6, and 7. QuickCap’s improved pricing logic considers the Professional Component and Technical Component (PCTC) indicator, CPT code rank, and the relative value units (RVU) during pricing calculation.
Get Precise Claims Pricing When Using FinThrive
With the newly added FinThrive Allowed Amount drop-down list in the Contracting module, you can choose between Minimum of the Contract Value and Billed Charges or Contract Value when pricing claims through FinThrive.
New Automation
New Proposition 56 Payment Feature for Medi-Cal Claims
IPAs can now pay Proposition 56 payments to applicable providers using the Standard Medi-Cal fee schedule. If a Medi-Cal code has an active Proposition 56 payment on the applicable date of service, QuickCap automatically adjusts the final contract amount to reflect the added Proposition 56 rates.
Efficiency
Set Up Clearinghouse Details and ERA File Transmission
Enter the clearinghouse information for OUT 835 during trading partner enrollment. Select the Do you want to send ERA file to SFTP? parameter to automatically send files generated by Winsrv, and with the next actions set to Download or Mark As Sent options.
Codes & Types
Custom Configuration
Customize User-Defined Fields by Location or Service Profile
Edit user field details by clicking the User Defined Fields - Hospital Affiliation link for hospital-based edits or the User Defined Fields - Locations link for location-based edits.
Efficiency
New User Fields Button in the Practitioner Profile Window
Quickly add and edit user field groups by clicking the new User Fields button in the Hospital Affiliation and Locations panes.
Contracting
Precision
Use Members’ ZIP Codes for DME Claims Calculation
By selecting the new Use Member Address’s ZIP for DME Claims checkbox, you can now fetch the rates for DMEPOS and DMEPEN service codes using members’ ZIP codes instead of just the billing and service facility address ZIP codes.
Configure Specific Rates for Medi-Cal and Medicare Claims
Ensure accurate rates, reduce manual intervention, and improve compliance when calculating Medi-Cal and Medicare claims with the newly added Percent % of Medi-Cal Rates and Percent % of Medicare Rates boxes in the Extended Fee Schedule pane.
Efficiency
Apply Reduced Rates for Specific Anesthesia Services
QuickCap now automatically applies a reduced rate for anesthesia services provided by a certified registered nurse anesthetist (CRNA), according to Medi-Cal guidelines.
Contract Management
Efficiency
Manage Lead Documentation with the Documents Tab
Boost lead management by adding 15 new document types for leads in the Add - Lead and Update - Lead panes. Also, you can add multiple documents for a single lead, view those documents, enter notes, and delete any outdated documents.
Credentialing
Precision
Ensure Accurate Credentialing with CCN Data
Enhance your credentialing process by including complete CCN information in the IPA - Organization submodule.
Customer Service
New Automation
Confirm Ticket Resolution with an Email Update
Keep callers informed by automatically sending emails confirming the updated status after closing the support ticket. To auto-send resolution emails, add the caller’s email address to the Caller Information section and select the Send Update Email checkbox.
EDI Services
New Automation
New Parameter to Reject Duplicate Files
When you enable the newly added Do you want to reject duplicate file based on file name? parameter, the system automatically flags and rejects uploads that share the same name as existing files.
Efficiency
Simplify 277 Claims Processing
Automatically create a single 277 file for all claims across different companies. Click the Level-1 Resp. column and then click the Generate button in the 277 (Claim Status) section. Make sure you select the Auto-Generate First 277 File checkbox for the desired companies.
Custom Configuration
Tailor File Naming in the OUT 835 Tab
Customize the file name format for a trading partner's file in the 835 Admin, Download, and Management submodules. Select the checkboxes for company ID, client ID, ERA count, and other details in the File Name Format window.
General
Custom Configuration
Configure Modifier Alerts for Claims and Authorizations
Customize modifier alerts by adding or editing modifier codes in the Modifier Alerts window. Adjust visibility for internal users, external users, or both, and view alerts related to authorizations or claims within the specified date range.
PDR
Efficiency
Improve Compliance with the Upgraded PDR Pane
Select the PDR Received Date checkbox to edit the received date and streamline record searches with the Disputed Claim Paid Date From and Disputed Claims Paid Date To checkboxes. For auditing, view or download letters by clicking the Letters Log link.
Enhanced Protection
Search and View PDR Audit Logs
By selecting the newly added PDR option in the Module drop-down list of your Audit Trail pane, you can now search and view audit logs for the PDR module.
Internal Module
Improved Experience
Deliver Effortless Mobility with the New Ride Reservation Submodule
By enabling the TripMaster integration, you can conveniently reserve rides for members, check the seating or wheelchair capacity, view driver details, and track the ride status.
Reports
Efficiency
New PY Reconciliation Report for ACOs
Generate and customize reports for performance year reconciliation by clicking the newly added PY Reconciliation Report link in the Claims submodule.
