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Montefiore Celebrates Success With QCSI's QNXT Next Generation System

Posted on: Wednesday, 22 March 2006, 12:00 CST

QCSI(R) (Quality Care Solutions Inc.), a leading provider of advanced information technology and enterprise application software and services for health insurers and benefits administrators, announced today that Montefiore has successfully implemented QCSI's QNXT enterprise application system for its subsidiary, CMO The Care Management Company. Montefiore is a leading academic medical center, and one of the largest hospital health care systems in the state of New York with more than 150,000 at-risk members.

CMO The Care Management Company is the medical management, risk management and administrative arm of Montefiore's managed care operations. CMO The Care Management Company contracts with the major insurance plans in the region, handling medical management, claims processing, benefits administration and member services.

The successful implementation delivered on specific success metrics that CMO The Care Management Company identified prior to implementation. The QNXT enterprise application system allows CMO The Care Management Company to respond to new market trends and improve its business agility with unmatched functionality. CMO The Care Management Company will benefit from real-time access to information, an intuitive browser interface, and stakeholder-centric functionality for better management of enrollments and eligibility; medical management; provider contracting and provider networks; claims payments; benefits administration; premium billing; accounts receivables; capitation; repricing; HIPAA transactions; and more.

Stephen Rosenthal, CEO of CMO The Care Management Company, stated, "We're very excited about the opportunities that QNXT's flexibility and functionality make possible for our organization. Not only are we better positioned to take advantage of market changes in the future, we're a better, more efficient organization today. Providing the best possible care for members is what CMO The Care Management Company was created to do, and QNXT is going to make us even better."

Dave Engert, CEO of QCSI, stated, "Every time one of our business partners goes live on QNXT, it brings us one step closer to transforming the U.S. health care system. When an already high-performing organization such as CMO The Care Management Company continues to re-invent and improve itself, it's proof that they are dedicated to removing health care information boundaries."

About Montefiore

Montefiore Medical Center is the University Hospital and Academic Medical Center for the Albert Einstein College of Medicine and a nationally recognized leader in patient care, medical education, research and community service. It encompasses two adult acute hospitals and a children's hospital; state-of-the-art faculty practice centers; the Montefiore Medical Group, a network of 30 primary care offices in the Bronx and Westchester counties, and the first, and one of the largest hospital-based home health agencies in the country. Specialty centers in nearby Westchester County include the Fertility and Hormone Center (Dobbs Ferry), Fertility and Fetal Medicine Institute (Hartsdale), Women's Center (Larchmont), Laser and Eye Center (White Plains) and Multispecialty Center (Eastchester). For more information, visit www.montefiore.org.

About CMO The Care Management Company

The Care Management Company is an innovative provider of integrated health care management solutions. Our clients include health plans, hospitals, employer groups, federal and state agencies and provider networks. Our focus is to provide the people, processes and technology to help improve the quality and outcome of patient care while managing administrative tasks and balancing costs. CMO offers a unique approach to health care management that creates synergy between clinical care management, financial and administrative services, and decision support solutions. Our services go beyond the silos of care management, disease management, behavioral health and health promotion to deliver a care model we call CMO Care Continuity(TM).

About QCSI

Cited by a global independent research company as a leader for health care 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 11 years of delivering advanced technology enterprise solutions that empower health insurers, benefits administrators and health care consumers to automate health care administration, lower the cost of care and improve outcomes. QCSI's service-oriented architecture (SOA) applications enable health plans flexibility to reduce costs, improve customer service, increase profitability, expand market share and prepare for government regulations, including HIPAA. Our award-winning enterprise applications include the QNXT product family (Medical, Dental, Case Management, Accounts Receivable, View, and Connect), and the Web-based MyHealthBank suite (Transact, Direct, Navigator, and Finance), proven applications and solutions for the rapidly growing consumer-directed health care 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.

Source: Business Wire

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