FOX Quality Consulting

FOX Quality

FOX Systems, Inc. (FOX) is a nationally recognized consulting practice that provides information systems and operations consulting services to public and private sector healthcare clients. FOX specializes in consulting services related to large-scale information systems that support state Medicaid programs, Managed Care Organizations, Pharmacy Benefit Managers, and Clearinghouses. Founded in 1987 by Dr. Susan J. Fox, FOX is a privately held, woman- and minority owned company that is incorporated in California. We maintain our corporate headquarters in Scottsdale, Arizona and have project offices in Los Angeles, California; Baltimore, Maryland; Santa Fe, New Mexico; Nashville, Tennessee; and Atlanta, Georgia to facilitate completion of major contracts.

Since its inception, FOX has worked with over 35 state Medicaid agencies and is a key contractor with the Centers for Medicare & Medicaid Services (CMS). FOX is a leading national MMIS and Medicaid consulting organization and is a major thought leader in Medicaid program structure and MMIS information technology.

We offer demonstrated core competencies in the following areas:

Medicaid, mental health, public health, and substance abuse programs
Business function specialties: Waiver programs, decision support, SURS, prior authorization, HIPAA transactions, pharmacy benefit management, and managed care
HIPAA requirements, regulations, and technical assistance
HIPAA assessment methodologies and supporting tools
HIPAA remediation support and project management
Business process improvement and reengineering
Feasibility studies and development and evaluation of alternative strategies and processes
Cost-benefit analysis based on industry trends and relevant technology
Procurement support for systems and related outsourced professional services, including Request for Proposals (RFPs) and Advance Planning Documents (APDs)
Project Management Office (PMO)
Enterprise Systems Integration, Enterprise Architecture and new enabling technologies (plus, leveraging legacy applications)
Standards Organizations including X12N, Health Level 7 (HL7), Public Health Data Standards Consortium (PHDSC), National Association of Health Data Organizations (NAHDO), National Health Information Infrastructure (NHII), American Health Information Management Association (AHIMA), American Medical Informatics Association (AMIA) and others