Quadax Decision Intelligence

by Quadax
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OVERVIEW

Real-time revenue cycle management (RCM) analytics and reporting tool that transforms complex healthcare data into actionable insights for financial and operational decision-making.

Quadax Decision Intelligence is a core component of the Intelligence by Quadax (iQ) unified AI framework, designed to optimize the healthcare revenue cycle. It empowers healthcare organizations to make smarter, faster decisions by transforming complex RCM data into clear, real-time, and actionable insights.

Product Overview & Key Benefits Decision Intelligence provides real-time visibility into revenue cycle activity across disparate systems using dynamic dashboards, performance tiles, and advanced visuals. It helps users understand data patterns and correlations, and is equipped with strategic alerts to notify teams of key events when financial or operational thresholds are not met. The tool is built to drive strategic outcomes, including improving financial health, enhancing patient satisfaction, and transforming processes for greater efficiency and improved reimbursements.

Main Features & Capabilities

  • Real-Time Visibility & Analysis: Monitors RCM activity with instant data refresh and no required IT involvement.
  • Advanced Analytics: Identifies trends, correlations, and root causes of claim denials and appeals using detailed reports and visualizations.
  • Holistic Dashboards: Customizable dashboards and performance tiles allow users to see high-level trends and drill down for root cause analysis.
  • Strategic Alerts: Provides notifications on key events to enable immediate action and maintain control over financial objectives.
  • Benchmarking: Measures results against industry benchmarks to identify performance gaps and opportunities.
  • Financial Impact Analysis: Drill-down capabilities for clean claim rates, denial categories, CPT codes, and more to pinpoint payer impact and optimize reimbursement.
  • Purpose-Built Data Models: Quickly transforms complex clinical and financial data into knowledge for decision-making.

Target Users and Use Cases Decision Intelligence targets healthcare CFOs, revenue cycle management teams, and staff across various healthcare settings, including hospitals, health systems, laboratories, pathology groups, and physician/specialty practices. Primary use cases include RCM Optimization, Denial Management and Avoidance, Financial Performance Improvement, and guiding Resource Allocation and Process Improvement.

RATING & STATS

User Rating
3.8/5.0
Customers
1,000+
Founded
1973

KEY FEATURES

  • Real-Time Revenue Cycle Analytics
  • Dynamic Dashboards and Performance Tiles
  • Root Cause Analysis for Denials and Appeals
  • Strategic/Intelligent Alerting
  • Industry Benchmarking
  • Financial Impact Analysis (CPT, Payer)
  • Purpose-Built Data Models
  • Predictive Denial Avoidance (as part of iQ)

PRICING

Model: enterprise
Pricing is not publicly disclosed and is available upon request, typically a custom subscription model tailored for hospitals and large healthcare enterprises.

TECHNICAL DETAILS

Deployment: cloud, saas
Platforms: web
🔌 API Available

USE CASES

Revenue Cycle Management (RCM) OptimizationDenial Management and AvoidanceFinancial Performance ImprovementResource Allocation and Process ImprovementCash Flow Forecasting

INTEGRATIONS

LIS (Laboratory Information Systems)EHR/EMR (Electronic Health Record/Medical Record)OracleMEDITECH Expanse EHRStreamline SmartCare™ EHREpic ResoluteSnowflake (Data Intelligence Solution)

COMPLIANCE & SECURITY

Compliance:
HIPAASOC 1SOC 2
Security Features:
  • 🔒Transport Layer Security (TLS) Encryption
  • 🔒Access Restrictions
  • 🔒Firewalls
  • 🔒Business Continuity & Disaster Recovery
  • 🔒Dual Geo-Diverse Data Centers

SUPPORT & IMPLEMENTATION

Support: email, phone, ticket
Target Company Size: medium, enterprise
TRAINING AVAILABLE

PROS & CONS

✓ Pros:
  • +Provides real-time, in-depth data for analysis and decision-making.
  • +Comprehensive RCM coverage, handling both billing and claims.
  • +Enables quick claim processing and control over production.
  • +Strong compliance and security posture (HIPAA, SOC 1/2).
✗ Cons:
  • -User interface is functional but may not be highly intuitive (based on RCM suite reviews).
  • -High cost (premium pricing for enterprise solution).
  • -Stock system reports (outside DI) may not be useful for decision making (DI is the solution to this).
  • -Occasional glitches reported in the broader RCM suite.

TRY IT OUT

ABOUT QUADAX

Other software by Quadax:
Quadax (Denials Management & AppealsDenial prevention analytics)

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