Related Products
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About
Circle Health is a behavioral health AI platform built for addiction treatment and behavioral health facilities, with digital assistants that automate clinical documentation, utilization review, compliance, and claims preparation across the intake-to-discharge lifecycle. Its Charting Assistant captures encounters through ambient listening, dictation, typing, or uploaded files, generates notes in formats such as SOAP, DAP, BIRP, and clinic-specific templates, suggests ICD codes, validates medical necessity in real time, and prompts for prior-authorization requirements. Circle Health reviews charts, prepares complete authorization packets, tracks clinical and payer criteria, supports live payer calls, and manages eFax submissions for initial and concurrent treatment authorizations. Circle Health continuously checks documentation against payer, regulatory, and accreditation standards, and provides real-time compliance scores.
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About
It’s fair to say that “not all DRG vendors are created equal.” Despite overlapping marketing efforts, there are two general categories of DRG auditing products: those that primarily serve provider hospitals and those that are designed to identify overpayments on behalf of health plans and payers. Just as an attorney typically specializes in defense or plaintiff representation, auditing vendors specialize in the unique needs, cultures and priorities of the parties they respectively serve. Even within the category of payer-based vendors, there is also a wide range of approaches to DRG auditing and overpayment identification. We extend our scope of services to our physician review team to produce clinical validation findings for situations where the identified issues are unsubstantiated clinical diagnoses documented by treating physicians and therefore exceeds the scope of coders. Our results prove that our coding compliance model will produce verified savings.
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Platforms Supported
Windows
Mac
Linux
Cloud
On-Premises
iPhone
iPad
Android
Chromebook
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Platforms Supported
Windows
Mac
Linux
Cloud
On-Premises
iPhone
iPad
Android
Chromebook
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Audience
Behavioral health and addiction treatment teams seeking to automate clinical documentation, utilization review, compliance, authorization, and claims workflows
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Audience
Companies interested in a claims management solution to identify claims with the highest potential for recovery results
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Support
Phone Support
24/7 Live Support
Online
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Support
Phone Support
24/7 Live Support
Online
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API
Offers API
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API
Offers API
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Screenshots and Videos |
Screenshots and Videos |
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Pricing
No information available.
Free Version
Free Trial
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Pricing
No information available.
Free Version
Free Trial
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Reviews/
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Reviews/
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Training
Documentation
Webinars
Live Online
In Person
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Training
Documentation
Webinars
Live Online
In Person
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Company InformationCircle Health
Founded: 2024
United States
www.circlehealth.co
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Company InformationDRG Claims Management
Founded: 2009
United States
www.drgclaims.com/solutions/
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Alternatives |
Alternatives |
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Categories |
Categories |
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Integrations
Google Drive
Kipu
Lightning Step
Microsoft OneDrive
Netsmart Homecare
Opus
Salesforce
Sunwave
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Integrations
Google Drive
Kipu
Lightning Step
Microsoft OneDrive
Netsmart Homecare
Opus
Salesforce
Sunwave
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