Qmedtrix History

Merrit Quarum, M.D. formed Qmedtrix in 1996 with a vision of offering payers a methodology of determining accurate and reasonable payments for medical services. To this end, Qmedtrix developed an algorithm-based rules engine to identify inappropriate charges and abusive billing patterns, and paired it with a substantial and continuously updated medical bill database. Since its inception, Qmedtrix’s objective has been to reform health care by targeting inappropriate and abusive and fraudulent medical billing practices. Today, the Qmedtrix methodology has been successfully used and defended in jurisdictions across the country.

In 2003, Qmedtrix set important case precedent in California, a state with one of the highest levels of overcharging and abusive medical billing practices. The Kunz v. Patterson Floor Coverings case upheld every aspect of Qmedtrix’s methodology, and in payment disputes that have followed, California workers’ compensation judges have routinely upheld our methodology as the accepted means to compute accurate and reasonable medical reimbursement. In 2006, Florida appellate judges validated Qmedtrix’s methodology in One Beacon Insurance vs. Agency for Health Care Administration (AHCA), a judge in Arizona followed suit in 2008 with the Canyon Surgery Centers v. SCF Arizona ruling.

Why does our methodology work? Extensive knowledge of medical procedures and their costs; continuous research of statutes, rules and fee schedules, case law, various contructual language and comprehensive historical data give us and our clients complete confidence in the validity of our recommendations.

The result: fair compensation to health care providers, substantial savings for payers, and a major step toward correcting inaccurate and unreasonable billing practices, and reversing medical charge inflation that threatens to cripple our national health care system.

A pioneer in developing innovative solutions and the nation’s health care reimbursement decision experts – we are Qmedtrix, on the road to reforming health care.