Accuracy in Action: Smarter Pricing, Scanning, and Payment Workflows

Discover the Power of QuickCap

QuickCap 7.25.3.0: Driving Efficiency and Strategic Clarity Through Intelligent Automation

optimize claims process

Get Accurate and Compliant Medicare Pricing

Leverage Micro-Dyn’s DRGActive and PRICERActive components to automate Medicare pricing, reduce manual setup, and ensure accurate, audit-ready reimbursement.

optimize claims process

Optimize COB Management Across Claims

Streamline header- and line-level coordination of benefits, including dental and front-end claims, to reduce errors, strengthen compliance, and maintain consistent reporting.

optimize claims process

Expedite Claims Processing with AI-Powered OCR

Use intelligent OCR to convert CMS scanned claims into structured data, cutting manual corrections and speeding adjudication with greater reliability.

optimize claims process

Simplify IPA Capitation Workflows

Centralize IPA payment management with automated rules that ensure timely, accurate reimbursements while reducing administrative effort.

optimize claims process

Verify Eligibility Instantly with FinThrive API

Access real-time patient coverage information, minimizing claim denials and keeping workflows moving with fast, reliable insurance verification.

Capitation

Improved Experience

  • Simplify IPA Capitation for Accurate, Timely Payments

    claims issue using the new pend codes

    Manage IPA payments in a single, seamless capitation workflow that ensures accuracy and reliability while reducing manual effort. Capture IPA details and linked health plans in one place to boost efficiency and deliver a smoother, more transparent process.

Claims

Precision

  • Add COB Details Window to Claims Adjudication

    claim processing

    Optimize your claims processing with a dedicated COB Details window for header-level reporting. Use adjustment codes and simplified workflows to keep your front-end, dental, and standard claims consistent and accurate.

  • Introduce Micro-Dyn Pricing Logic for UB Claims

    MedVision's Quickcap Feature

    Apply DRG-based pricing with the Micro-Dyn Pricing Info window. Users can review grouper and pricer inputs, outputs, and applied DRG logic to boost adjudication accuracy, simplify troubleshooting, and strengthen audit readiness.

  • Enable Home Infusion Therapy Pricing for Medicare

    MedVision's Quickcap Feature

    Generate accurate Medicare service pricing by leveraging Home Infusion Therapy Rates within the standard workflow. QuickCap factors in national rates and geographical adjustments to deliver compliant reimbursement aligned with updated Medicare policies.

  • Refine MPPR 5 Pricing with Rank-Based Logic

    MedVision's Quickcap Feature

    Calculate precise Medicare payments for MPPR Indicator 5 codes with new rank-aware logic. By distinguishing primary from secondary CPT lines, QuickCap facilitates fairer reimbursements, accurate payments, and consistent compliance.

New Automation

  • Smarter Claim Scanning with AI-Powered OCR

    claims issue using the new pend codes

    Use AI-powered OCR to scan CMS claims with greater accuracy, cutting down on errors and manual corrections. This update speeds up claims processing and improves data reliability, so your billing workflows run smoother than ever.

Efficiency

  • Faster, Smarter UB04 Claim Processing

    claims issue using the new pend codes

    Submitting UB04 institutional claims is now faster and easier, right alongside your CMS1500 and dental claims in one seamless workflow. With guided fields, smart search tools, and built-in accuracy checks, you save time, reduce errors, and maintain thorough compliance in your billing process.

Contracting

New Automation

  • Integrate Micro-Dyn for Advanced Medicare-Compliant Pricing

    claims issue using the new pend codes

    Automate Medicare-compliant claim pricing with Micro-Dyn’s DRAGActive and PRICERActive modules. This integration reduces manual setup, minimizes errors, and ensures accurate reimbursements aligned with CMS standards.

EDI Services

Precision

  • Enhance COB Details Handling in EDI Services

    claims issue using the new pend codes

    Strengthen your COB reporting with streamlined payer data capture, improved encounter reporting, and built-in validation. These enhancements help you close reporting gaps, reduce audit risks, and maintain reliable compliance in 837 transactions.

Eligibility

New Automation

  • Instant Eligibility Checks with FinThrive API Integration

    Automated Claim Scrubbing with PCG’s VEWS

    Verify patient coverage in seconds with real-time eligibility powered by FinThrive’s APO integration. Save time, reduce errors, and keep claims moving with faster, more reliable insurance verification.