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Medicare Part D Capabilities Fully Integrated Into QNXT(TM) 3.2; Medicare Part D Program Management Simplified With Functionality Available in the Latest Release of QCSI's QNXT 3.2

Posted on: Wednesday, 27 July 2005, 12:01 CDT

Quality Care Solutions Inc. (QCSI(R)), a leading provider of advanced information technology and enterprise application software and services for health plans, announced today Medicare Part D functionality available in its QNXT 3.2 system and QNXT A/R application. QCSI takes the lead with Part D program management and prescription drug benefit plans capabilities that offer health plans the ability to quickly enter the Medicare Part D market with minimal impact to current operations. QCSI's release of QNXT 3.2 solidifies its leadership position, and comes on the heels of being cited by a global independent research company as a leader for healthcare claims platforms, claims platforms for consumer-directed health and claims platforms with integrated medical management.

As a result of the Medicare Prescription Drug, Improvement and Modernization Act of 2003 (MMA):

-- The QNXT system has been enhanced to allow health plans to configure and manage programs for Part D prescription drug coverage and identify each beneficiary's specific pharmacy plan selection;

-- Among hundreds of features, QNXT can administer the enrollment and accounts receivable aspects including several direct payment options, as well as SSA, RRB and OPM payment methods, low-income subsidy payments from the Centers for Medicare & Medicaid Services (CMS), and late enrollment penalties;

-- Medicare Part D-related member attributes in QNXT allow health plans to submit members to CMS for acceptance, as well as enable health plans to calculate their expected payments from CMS.

"We planned a timely release of QNXT 3.2 with Medicare Part D capabilities and other new functionality to help health plans enter the growing Medicare market. QNXT has a user-friendly, Web-browser interface, powerful processing and an elegant infrastructure to handle the complex intricacies of today's health plans," stated Dave Engert, CEO of QCSI. "Integrating Medicare capabilities into the QNXT system is part of delivering health information technologies that improve quality and reduce the costs of healthcare."

About QCSI

Cited by a global independent research company as a leader for healthcare 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 10 years of delivering advanced technology enterprise solutions that empower health insurers and benefits administrators to automate healthcare administration, lower the cost of care and improve outcomes. QCSI enables health plans 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 healthcare 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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