VA gives $211M contract to QuadraMed for ICD-10 work

By Mike Miliard
10:56 AM

The U.S. Department of Veterans Affairs (VA) has awarded QuadraMed a five-year, $211 million contract to implement its Quantim coding, compliance and abstracting solution. The aim is to improve the VA healthcare system's coding productivity and accuracy through real-time compliance monitoring and customizable billing processes.

The agreement expands and builds upon QuadraMed's Quantim solution, which has been optimized for the VA's specific requirements. The VA has been utilizing QuadraMed's Quantim solution since 2005 at 150 VA medical centers.
VA officials say Quantim was originally selected as its go-forward ICD-10 coding and compliance solution – and retained its lead as the solution of choice due to its flexibility to integrate into the VA's VistA Health Information System.

Under the new agreement, the VA will also be purchasing QuadraMed's innovative Physician Query Tracking and Central Reporting tools, in addition to implementation, technical training and support services.
The VA healthcare system currently utilizes Quantim to streamline inpatient and outpatient coding, compliance, claims editing and revenue-cycle processes, and will gain the following new functionality and enhancements under the new agreement:

  • Physician-query tracking capabilities to ensure accuracy, timeliness and compliance with clinical documentation 
  • Integrated, enterprise-wide, central-management reporting and monitoring of Quantim key performance indicators
  • New functionality for Veteran's Equitable Resource Allocation monitoring

QuadraMed lists these other benefits of Quantim:

  • Multi-entity readiness: it scales to support additional facilities within a single instance of software
  • The provision of an accurate database reflective of the patient's encounter, including the severity of illness, use of resources and quality of care provided
  • The enabling of best practices through healthcare delivery; research and analysis; reimbursement and policy-making processes
  • The prevention of practices that inappropriately increase payment or skew non-compliant reimbursement data
  • The automation of productivity monitoring and reduces administrative costs