Quadax
The step you take before requesting Quadax access on the smart sheet.
What is creating a login on the Quadax site?
This is the frequency that notes should be added to PCC.
What is weekly?
The software used to submit refund requests.
What is Workday?
A deviation request includes a request letter, a statement, and this.
What are no-pay claims?
This is the number of claims that CMS is choosing for its pre-pay probe at all facilities.
What is five?
The name of the claims management tool in Quadax.
What is Xpeditor?
These are the people who should be participating in the weekly Medicaid pending meeting.
Who are the ED, BOM/ABOM, Admissions Director and Social Services Director/Designee?
The PCC report that's included in your refund packet.
What is the transaction report?
Do this after you request a deviation.
What is add a note in PCC?
This is the area of PCC where occurrence codes and condition codes are added to claims.
What is the AR Bill Setup?
The required letters at the end of a filename you want to upload.
What is .DAT?
This is when to move a resident to an NFLOC status in PCC.
What is when the resident has been approved for Medicaid and has an approved LOC?
If the resident is this age or younger, the state of Indiana will not take back funds.
What is 55?
If these don't match, your deviation request will be denied.
What are the amounts (on the letter and the statements) OR the dates (on the statements and the no-pay claims).
This is why we submit no-pay claims to Medicare.
What is so that CMS can track spells of illness and monitor days used?
This status means your claim needs work before it can be billed.
What is W:Client Workflow?
This is how long you should wait to follow up on a Medicaid application after you submit it.
What is a week (7 days)?
Refunds for a discharged resident who is still alive should be issued to this person or entity.
What is the resident?
The three ways a deviation request can be submitted.
What are fax, uploading in the Medicaid portal, or hand delivery?
This area of PCC must be complete to accurately trigger a no-pay claim.
What is the level of care (LOC) area on the census tab?
The required letters/numbers at the beginning of a filename you want to upload.
What is 837ub_?
What is 45 days?
Refunds for a deceased resident with no will should be issued to this person or entity.
What is the resident's estate?
This is an extra piece of documentation needed when your deviation request is for a resident with a Medicare Advantage policy.
What is proof of the managed care policy?
This code, a legacy from the pandemic, should no longer be in any active A/R Bill Setups.
What is DR?