Quadax Blog

What Does Your Payer Dictionary Have To Do With Clean Claim Rate?

Many business offices, working toward an optimally efficient, cost-effective claims process, set a Clean Claim Rate (CCR) goal of at least 95%. A high CCR means less time and expense associated with getting accurate charges billed as soon as possible following the discharge of services.

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Is Your Cash Flow Engine Running at Peak Efficiency and Optimal Performance?

Claim processing rules are the power behind your cash flow.  The tool you use for scrubbing and submitting your claims is only as good as the library of claim edits under the hood that will identify errors before you submit – giving you the opportunity to send clean, error-free claims.

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14 Day Rule Regarding ADLT and MolPath Tests Continues to Show Movement

Movement continues on CMS reimbursement of Advanced Diagnostic Laboratory Tests (ADLTs) and Molecular Pathology testing during the 14 days following a hospital stay.

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Healthcare Claims: Cleanliness is Next to…

When it comes to healthcare claims, cleanliness is next to, at the very least, fiscal fitness. Producing claims that are “clean” and therefore immediately reimbursable is an important factor in reducing cost-to-collect, especially in an environment where the growth of costs (7.5%) are outpacing revenue (6.6%).[i]  While some denials are inevitable, reducing your denial exposure is all about [...]

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5 Things Technology Can Do, and 7 Things it Can’t.

Automation is more and more important in today’s patient financial services office.  Shrinking margins dictate smaller teams, while the complexity of achieving reimbursement only increases.  In that environment, being able to rely on advanced, highly-automated technology is essential for your efficiency…and your sanity.

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About This Blog

We write about topics relevant to the complex world of revenue cycle management. Our posts feature best practices, helpful ideas, and industry trends in areas such as patient access, claims management, reimbursement, regulatory compliance, and much more! 

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